Dr. Keyur Bhatt - Gastrosurgeon

Dr. Keyur Bhatt - Best Gastro Surgeon

Dr. Keyur Bhatt- Best GI Surgeon

Dr. Keyur Bhatt - Best Gastro Surgeon

Dr. Keyur Bhatt- Best GI Surgeon - Dr Keyur Bhatt - Best Gastro Surgeon

Dr Keyur Bhatt- Best GI Surgeon

CASE: PERSISTENT NON HEALING FECAL FISTULA^-www.drkeyurbhatt.in*

Middle aged man with intestinal obstruction
operated more than 3 months ago and resection anastomosis done for ischemic stricture..
developed controlled fecal fistula
kept conservatively...but was non healing and developing episodes of SAIO.... And out put was around 400~500 ml / day
CECT was done and taken up for surgery
SURGERY: Segment baring fistula was resected with new ileo ileal anastomosis (side to side) and adhesilysis.

pt was discharged with normal diet on POD 6.

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Dr Keyur Bhatt- Best GI Surgeon

CASES: 1.PERFORATED PAYOCELE 2. PERFORATED GB WITH CIRRHOSIS OF LIVER^-www.drkeyurbhatt.in*

CASE 1.OLD age women with perforated payocele of GB. Status ERC and stone clearance and stented.
was advised cholecystectomy 8 months back refuted....

ultimately landed with perforation of payocele with perforation and
SURGERY: Open cholecystectomy

CASE 2: Old age women with GB STONE and cholecystitis...kept conservatively in view of Cirrhosis of liver..
symptoms increased and was taken up for LAP cholecystectomy few months back...but considering the liver condition and intrahepatic situation of GB surgery was abandoned after placement of camera.

remained asymptomatic for another few months
now presented with sever pain in abdomen
CECT: S/O perforated GB with impacted stone in neck

SURGERY: OPEN CHOLECYSTECTOMY.

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CASE: NECROTIZING PANCREATITIS RADIOLOGICAL Drainage followed by MRPN in second month of illness^-www.drkeyurbhatt.in*

32 yrs male alcoholic
with respiratory distress, constipation, pain , fever, vomiting in third week of NECROTIZING PANCREATITIS...

treated with minimal invasive approach...(as a first stage) with RADIOLOGICAL Drainage of pus in lesser sac.
stabilizing him for few more weeks and than planned for necrosectomy after 6 weeks of illness.
discharged after 8 days of conservative treatment (OPN WIH ABSCESS IN THIRD WEEK) with drain now in situ...
pt on Normal diet, no fever, and soft abdomen...and residual necrosis in situ..(planned surgery after 2-3 weeks)

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Dr Keyur Bhatt- Best GI Surgeon

CASE: MINIMAL INVASIVE (Lap assisted) PANCREATIC NECROSAECTOMY^-www.drkeyurbhatt.in*

Middle aged male with pain in necrotizing pancreatitis and 3rd week of illness

kept conservatively for one more week

CECT:

taken up for necrosectomy on day 28 of illness

SURGERY: Lap assisted retroperitoneal pancreatic necrosectomy

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CASE: Tropical pancreatitis (Retrovirus positive) - LPJ^-www.drkeyurbhatt.in*

28 Yrs female with Retro virus positive for last 3 yrs..
with significant pain in abdomen for 2-3 yrs ..diagnosed as Chronic calcific pancreatitis

CECT:

SURGERY: LPJ

Dr. Keyur Bhatt - Best Gastro Surgeon

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Dr. Keyur Bhatt - Best Gastro Surgeon

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CASE : LOWER CBD STRICTURE With stone & cholangitis^-www.drkeyurbhatt.in*

55 yr male with sepsis, Pyogenic cholangitis .
Ostructing stone and lower cbd sticture.
STATUS : ERCP Failed.

SURGERY: Open CBD exploration & choledecho jejunostomy.

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Monday, July 18, 2011

CASE: Mesenteric cyst......Whats the diagnosis....please comment^-www.drkeyurbhatt.in*

32 yrs female with recurrent abdominal distension
PAST HISTORY: 7 yrs back aspirated 3 liter of ascitis....> Asymptomatic for 3 yrs --> again aspirated 2 liters of ascitis......--> again developing abdominal distension.

NO OTHER SYMPTOMS, NO H/O KOCH'S, Family complete. , no fever, no wt loss,

CECT:

FLUID EXAMINATION: amylase 1300mg/dl Triglyceride : 3 mg /dl ADA : normal.... TLC: < 150 With predominant lymphocytes...

Gross: straw colored transparent fluid....

SURGERY: Exploration & removal of rt ovarian cyst.

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Tuesday, July 12, 2011

CASE: Old age Huge Recurrent strangulated incisional hernia + HTN + IHD + Obesity^-www.drkeyurbhatt.in*

72 yrs female with Huge Recurrent strangulated incisional hernia + HTN + IHD + Obesity
came with acute onset vomiting , fever, distension, constipation, tachycardia
Past history: Lap chole and paraumbilical hernia repair 1.5 yrs back. (mesh plasty, lap)

CECT:

SURGERY:

anterior abdominal wall had total 11 defects all transmiting bowel

Discharged after 7 day.

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CASE: Mirizzi syndrome type 1/2 with gangrenous cholecystitis (retro virus positive)^-www.drkeyurbhatt.in*

42 yr male and RV positive for 2 yrs on HAART
Developed sever pain in RHC and diagnosed as acute gangrenous cholecystitis

MRCP : Phrygian Cap with Mirizzi type 2.

SURGERY: Open cholecystectomy and choledochoplasty:

pt discharged afte 6 days of surgery

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Dr Keyur Bhatt- Best GI Surgeon

CASE: MINIMAL INVASIVE PANCREATIC NECROSAECTOMY^-www.drkeyurbhatt.in*

28 yrs male with severe nerotizing pancreatitis
with sepsis. on 28 days of illness

CECT:

SURGERY:
Lap assisted minimal invasive pancreatic necrosectomy:

pt discharged on POD 7 with drain in situ..

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