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

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: Multiple diverticulosis of colon - TAC -IRA^-www.drkeyurbhatt.in*

OLD aged female with h/o peritonitis (2 liter) and laparotomy and lavage 1 yr back for perforated sigmoid diverticula..

one year later again she had perforation peritonitis and was operated again and sigmoid colostomy was made

later on evaluated and found to have multiple diverticulas in whole colon right from cecum to sigmoid...with high risk of future perforation and peirtonitis

PLAN SURGERY: Total abdominal coletcomy and ileo rectal anastomosis..with diverting ileostomy

patient was discharged on POD 5.

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Dr. Keyur Bhatt - Best Gastro Surgeon

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Dr. Keyur Bhatt - Best Gastro Surgeon

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Dr Keyur Bhatt- Best GI Surgeon

case: very starange! - 8 x 3 cm stone in CBD^-www.drkeyurbhatt.in*

Elderly female with pain in RHC and jaundice...on evaluation found to have ?? OMG - 8 X 3 CM stone in lower CBD with CBD diameter 3.5 cm!!

surgery: open CBD Exploration with Choledecho duodenostomy and cholecystectomy.

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Dr. Keyur Bhatt - Best Gastro Surgeon

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Dr. Keyur Bhatt - Best Gastro Surgeon

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Dr Keyur Bhatt- Best GI Surgeon

CASE: CA CECUM - EXTENDED RT HEMICOLECTOMY^-www.drkeyurbhatt.in*

Elderly male with constipation for 2 months and anemia, Dehydration, pre renal azotemia

past history of IHD, Hemiplagia,

X ray: s/o multiple air fluid levels

CT (PLAIN): s/o ? growth at IC region with dilated small bowel loops and collapsed colon

surgery: emergency Rt hemicolectomy with terminal ileal resection and ileo transverse anastomosis

the patient was discharged on POD 12.
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Dr. Keyur Bhatt - Best Gastro Surgeon

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Dr. Keyur Bhatt - Best Gastro Surgeon

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Dr Keyur Bhatt- Best GI Surgeon

CASE: CA RECTUM With obstruction^-www.drkeyurbhatt.in*

Elderly female with constipation and distension of abdomen for 7 days
past history of constipatioin for 1.5 yrs

ON CECT: found to have CA RECTO-SIGMOID

CEA: 50

SURGERY: Emergency exploratory laparotomy and hartmann's procedure

patient was discharged on POD 10

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Dr. Keyur Bhatt - Best Gastro Surgeon

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Dr Keyur Bhatt- Best GI Surgeon

CASE: HCC - Extended rt hepatectomy^-www.drkeyurbhatt.in*

Young male with non specific pain in abdomen and rt shoulder

initially evaluated and found to have ? liver abscess in rt lobe of liver...later on work up reveled Right lobe liver tumor

? HCC ?HEPATOBLASTOMA ?FLC

AFP: 5990.

TRIPHASIC CECT:

SURGERY: Extended Right hepatectomy (resection of seg 4,5,6,7,8)

post op LFT: normal, patient was discharged on POD 7.

BX, IHC: Hepato cellular carcinoma.

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Dr. Keyur Bhatt - Best Gastro Surgeon

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Dr. Keyur Bhatt - Best Gastro Surgeon

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Dr Keyur Bhatt- Best GI Surgeon

CASE: CDC type 4A - Excision and RYHJ^-www.drkeyurbhatt.in*

Young female with RHC pain for 2 yrs on and off
on evaluation found to have CDC Type 4 a

MRCP:

SURGERY: CDC Excision and RYHJ

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: Mucinous cyst adenocarcinoma of pancreas^-www.drkeyurbhatt.in*

Middle aged male with HTN, COPD, Secondary PHT
Dull aching pain in central abdomen and left hypochondrium and palpable mass

usg / CECT: S/o mass arising from body of pancreas with solid cystic components..possiblity of mucinous cyst adenoma

SURGERY: distal pancreatectomy

patient was discharged on POD 4.

Bx: Mucinous cyst adenocarcinoma, lymphonodes and margin negative.

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 : Right para adrinal tumor^-www.drkeyurbhatt.in*

young female with non specific pain in RHC region for 1.5 yrs
on evaluation found to have rt para adrinal highly vascular tumor, closely surrounded by liver, IVC, PV, CBD, pancreas

surgery: excision of tumor

pt was discharged POD 3.

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Dr. Keyur Bhatt - Best Gastro Surgeon

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Dr Keyur Bhatt- Best GI Surgeon

Monday, February 25, 2013

CASE: LPJ With head coring^-www.drkeyurbhatt.in*

Young femle with pain in abdomen for 6 yrs and 10 kg wt loss

on evaluation found to have chronic pancreatitis with multiple stones in PD. (Tropical pancreatitis)

surgery: LPJ with head coring

patient discharged pain free on day 5.

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: Large hiatus hernia - nissan's fundoplication^-www.drkeyurbhatt.in*

Middle aged female with persistent dyspeptic symptoms.. and chest pain

got done CXR, ECG, 2 D ECHO ,TMT, Conventional angiography as well found every thing normal

UGIE: Reveled huge hiatus hernia

CECT: confirmed it

surgery: lap reduction of hernia with floppy nissans fundoplication

patient was discharged on POD 1 With normal diet.

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: LAP Splenectomy^-www.drkeyurbhatt.in*

Middle aged female with ITP Not responding to conservative treatment

platelates persistantly bellow 20-30 thousand/cmm

surgery : Lap splenectomy

patient was discharged on pod 2. with platelate count of 1.7 lac/cmm

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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: GB TUBERCULOSIS^-www.drkeyurbhatt.in*

Middle aged male with dyspeptic symptoms

ON UGIE: Found to have ulcer in anturm with puckring bx taken s/o possibly granulomatous lesion

ACE & ASCA levels were normal

CECT: S/O mass in GB fundus region with regional liver & stomach involvement.

plan: surgery - Radical cholecystectomy with lymphadenoctomy, transverse colonic sleev resection with distal gastrectomy and Roux en Y gastro jejunostomy.

BX: Surprisingly Primary tuberculosis of GB.
Patient is started on AKT

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