case: lap splenectomy for multiple splenic abscesses^-www.drkeyurbhatt.in*

young male with daily high spiking fever for 12 days
on work up found to have multiple splenic abscess

CECT:

SURGERY: LAP. Splenectomy

patient was discharged on POD 2.

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CASE: CA RECTOSIGMOID - AR^-www.drkeyurbhatt.in*

Elderly male with frequent lower gi bleeding and h/o severe aortic stenosis (valve area less than 10 mm) and atherosclerotic changes in descending abdominal aorta

on evaluation found to have ca recto-sigmoid junction and unfortunately patient was refuted from surgey in two major onco-surgical hospitals due to medical fitness issues..

patient was worked up and taken up for surgery

surgery: Anterior resection and primary anastomosis -
whole surgery was done in segmental epidural anaesthesia maintaining Vitals through out normal, and patient did not stayed a single day in ICU. Was started on oral diet by day 3 and discharged on day 6 uneventfully,

Bx: T3N0 moderatedly differentiated adenocarcinoma of rectum.

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CASE: Acute mesenteric ischemia due to acute block in SMA^-www.drkeyurbhatt.in*

Middle aged male with pain abdomen for last 3-4 days acute in onset..central abdominal pain
with vomiting ...past history of CHD and coronary stenting done before 3 yrs

CECT  was done and was s/o acute sma block with thrombosis and proximal bowel gangrene and distal bowel ischemia...along with that air pockets in all lobes of liver..

taken up for surgery:

DAY 1: laparotomy and Superior Mesenteric Aartery exploration and thrombectomy and closure

Day 2: Re -exploration, proximal bowel resection anastomosis ..lavage and drainage.

patient was on inotrops and venti support for 7 days and was gradually improved  and started on oral diet and discharged on day 12.

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                                   Dr Keyur Bhatt- Best GI Surgeon     

 

CASE:myofibroblastic tumor from colon - excision with wedge resection^-www.drkeyurbhatt.in*

Young male with mass in RHC region for 3 months
No significant GI or other symptoms
progressively increasing in size

surgery: wide local excision with Gastric sleeve resection, pancreatic sleeve in tail region and colonic (transverse colon-segmental involvement) resection and anastomosis

patient was discharged on POD6. Uneventfully
Bx: IHC  : s/o myofibroblastic tumor with low mitotic index (1 mitotic /50 fields )
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                                   Dr Keyur Bhatt- Best GI Surgeon     

 

case: Lower gi bleed - mackel's divertucula^-www.drkeyurbhatt.in*

young male with history of enteric fever and positive tests for the same
with lowe GI bleed daily needing transfusion of 2 pcv. (total 8 given in 4 days) and still Hb was 7.5.

on further evaluation found to have bleeding from mid ileum (on ileo-colonoscopy) and all terminal ileal ulcers were shallow and healing.

taken up for surgery and found to have gross bleeding from mackel's diverticula (3 x 5 cm)size  with no blood proximal to diverticula

SURGERY: Resection and anastomosis of mackel's diverticular segment of ileaum

patient was discharged on POD 6.

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                                   Dr Keyur Bhatt- Best GI Surgeon     

 

case: perforated sigmoid diverticula - left hemicolectomy and coloraectal anastomosis^-www.drkeyurbhatt.in*

old aged male with DM , HTN,
C/o pain in lower left abdomen for 7 days
high grade fever, diarrhoea

found to have perforated sigmoid diverticula and localized abscess

SURGERY: left hemicolectomy and coloraectal anastomosis

patient was discharged on pod 7.

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CASE: Massive Lower GI bleed for bleeding enteric ulcers - terminal ileal resection and ileo transverse anastomosis^-www.drkeyurbhatt.in*

CASE: young male with history of fever and abdominal pain with massive lower GI bleed.. on evaluation found to have sever ulcerations in terminal ileum with significant active bleed

with profound shock and high inotrops and sepsis

surgery: terminal ileal resection with ileo-transverse anastomosis.. was diascharged on POD 9.

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CASES: Small bowel carcinoids with SAIO And bowel ischemia^-www.drkeyurbhatt.in*

case 1: Old aged female with chronic constipation and dull aching pain in abdomen with recent onset mas in RIF 

on evaluation found to have ( suspected ) terminal ileal carcinoid with bowel ischemia.

surgery: Rt hemicolectomy and ileal resection with anastomosis.

CECT:

BX: CARCINOID OF TERMINAL ILEUM

case 2: old aged male with known HTN And epileptic. found to have similar complaints and was diagnosed with metastatic carcinoid with SAIO and bowel ischemia

surgery: Extended Rt hemicolectomy and terminal ileal resection

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CASE: Hydatid cyst of liver - drainage and partial cysto pericystectomy^-www.drkeyurbhatt.in*

CASE: Liver hydatid with large cyst and multiple daughter cysts

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                                   Dr Keyur Bhatt- Best GI Surgeon     

 

CASE: Marotation with duodenal obstruction^-www.drkeyurbhatt.in*

Young male with persistant vomiting and recurrent upper GI Symptoms

on evaluation found to have malrotation of gut with small bowel volvulous

surgey: surgical reduction and release of Ladd band and duoduno-jejunostomy 

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Dr. Keyur Bhatt - Best Gastro Surgeon

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                                   Dr Keyur Bhatt- Best GI Surgeon     

 

Case: ANP With infected pancreatic necrosis^-www.drkeyurbhatt.in*

old aged (gall stone) necrotizing pancreatitis with sepsis, hypotension,early ARDS
day 28 of ilness was taken up for pancreatic necrosectomy

cect:

was done with conventional approach (open pancreatic necrosectomy and feeding jejunostomy) and was discharged in due time following surgery

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                                   Dr Keyur Bhatt- Best GI Surgeon     

 

case: ca rectosigmoid - hartmann's procedure^-www.drkeyurbhatt.in*

Old aged female with acute onset obstipation over recent 3-4 months of constipation
on evaluation found to have Ca recto sigmoid with acute obstruction
CECT:

SURGERY: Radical left hemicolectomy and hartmann's procedure:

patient was discharged on day 12 of surgery.

Bx: adenocarcinoma of rectosigmoid G2T2N0

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Dr. Keyur Bhatt - Best Gastro Surgeon

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CASES : IBD - Total coletcomies^-www.drkeyurbhatt.in*

case 1.Recently diagnosed UC for 1 month patient had TOXIC MEGACOLON WITH PERFORATION

SURGERY: Total abdominal colectomy with end ileostomy ..patient was discharged on POD 8.

case 2. : Middle aged male presented with history of few days diarrhoea and sudden lower GI bleeding..and shock..on evaluation found to have IBD with massive LOWER GI BLEED (Colonic). but by the time patient was in profound shock..high inotrops and Early ARDS.

emergency TOTAL ABDOMINAL COLECTOMY and end ileostomy was done.

unfortunately we lost the patient of refractory ventricular tachycardia on day 7.

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Dr. Keyur Bhatt - Best Gastro Surgeon

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                                   Dr Keyur Bhatt- Best GI Surgeon