Dr. Keyur Bhatt - Gastrosurgeon

Dr. Keyur Bhatt - Best Gastro Surgeon

Dr. Keyur Bhatt- Best GI Surgeon

Dr. Keyur Bhatt - Best Gastro Surgeon

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Dr Keyur Bhatt- Best GI Surgeon

Thursday, February 18, 2016

carcinoma esophagus in elderly male^-www.drkeyurbhatt.in*

74 years male with carcinoma of middle one third of esophagus.
operated for Thoracoscopy / laparoscopy / neck incision ( three field esophagectomy)

post op patient recovered well and was discharged on POD 6, Uneventfully.

www.gisurgerysurat.com

www.sidshospital.com

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Dr. Keyur Bhatt - Best Gastro Surgeon

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Dr Keyur Bhatt- Best GI Surgeon

Saturday, February 13, 2016

Total laparoscopic left hemi colectomy for malignancy^-www.drkeyurbhatt.in*

www.gisurgerysurat.com

www.sidshospital.com

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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: 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

www.gisurgerysurat.com

www.sidshospital.com

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Dr. Keyur Bhatt - Best Gastro Surgeon

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Dr Keyur Bhatt- Best GI Surgeon

CASE: Corrosive type 5 gastric injury - Total gastrectomy and Roux en Y esophagoo jejunal pouch^-www.drkeyurbhatt.in*

young female with corrosive ingestion 5 months back, was on FJ feeds.

Scopy and Dye study reveled total contracted stomach with tight stricture at GE junction.

surgery: Total gastrectomy and Roux En Y jejunal pouch with esophago jejunal anastomosis + FJ

Dye study confirmed no leak on day 4 and pat was started on oral liquids and gradually on normal diet
discharged on day 8, without any undue complication.

www.gisurgerysurat.com

www.sidshospital.com

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Dr. Keyur Bhatt - Best Gastro Surgeon

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Dr Keyur Bhatt- Best GI Surgeon

Tuesday, January 8, 2013

CASES: Chronic pancreatitis with head mass^-www.drkeyurbhatt.in*

CASE 1: Middle aged chronic alcoholic and smoker male with Chronic pancreatitis and head mass and biochemical obstructive jaundice

surgery: LPJ With head coring intra op frozen section negative for malignancy and final Bx: s/o chronic pancreatitis.

CASE 2: Young adult male with chronic alcoholic pancreatitis for 5 yrs and 8 kg wt loss ,

surgery: LPJ With head coring

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CASE : Emergency left hepatectomy for trauma and biliary leak^-www.drkeyurbhatt.in*

young male with alleged h/o trauma and liver tare, CECT s/o near complete transection of left lateral segment of liver with mild to moderate amount of free fluid in abdomen

viatly: pt stable initially, upto 6-8 hrs of trauma
Hb stable in 24 hrs but started having distension , distress on repeat usg found to have increase in free fluid

explored suspecting biliary peritonitis and rightly found along with necrotic liver left lateral lobe

surgery: left lateral hepatectomy and cholecystectomy and intra op cholangiogram - to confirm negative bile leak.

patient was discharged uneventfully on POD 7.

www.gisurgerysurat.com

www.sidshospital.com

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

Thursday, December 13, 2012

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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www.sidshospital.com

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Thursday, November 29, 2012

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.

www.gisurgerysurat.com

www.sidshospital.com

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Dr Keyur Bhatt- Best GI Surgeon

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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Sunday, September 23, 2012

CASE: CA GALL BLADDER^-www.drkeyurbhatt.in*

Middle aged female with with pain in abdomen in Rt flank
USG: S/o rt renal stag horn calculi, with mass in fundus of G.B.

CECT: s/o gundic mass in GB with RT renal Stag Horn calculi

surgery: Radical cholecystectomy with lymphadinectomy and Removal of Rt stag horn claculi and stenting.

pt discharged on day 10.

www.gisurgerysurat.com

www.sidshospital.com

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Dr Keyur Bhatt- Best GI Surgeon

CASE: Gastric GIST, excision with wedge of stomach^-www.drkeyurbhatt.in*

middle aged male with pain in epigastric region, increase in size of lump in last 10-15 days
on evaluation found to have huge mass arising near greater curvature of stomach with close proximity to pancreas, spleen, stomach

CECT S/o likely GIST of stomach

Endo Sono: s/o GIST arising from the fourth layer of greater curvature of stomach.

surgery: excision of in toto tumor with gastric sleeve. discharged on POD 5.

BX With IHC s/o Gastric GIST, high grade, pt is now on the oral targeted therapy (gleevec)

www.gisurgerysurat.com

www.sidshospital.com

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Wednesday, September 5, 2012

CASE: CA SIGMOID With LGI bleed^-www.drkeyurbhatt.in*

elderly (86 yrs) female with LGI Bleed for last one year
on evaluation found to have CA SIGMOID.

PLANNED FOR ANTERIOR RESECTION AND primary anastomosis..

successfully discharged with normal diet on day 7.
BX. : S/O adenocarcinoma with all nodes negative and T3 lesion.. all margins free

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CASE: CA COLON With adjacent liver infiltration^-www.drkeyurbhatt.in*

middle aged male with constipation and anemia, CABG was done six months ago
evaluated and worked up ..found to have CA hepatic flexure with adjacent liver infiltration

CECT:

SURGERY: Extended rt hemicolectomy and in toto segment 6 resection of liver

all margins clear..adeno ca with free liver margin.... 6/12 lymph nodes positive..

pt schedule for chemotherapy

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: Corossive esophagial and gastric injury^-www.drkeyurbhatt.in*

young female with ingestion of acid 5 months ago
on FJ Feeds

dysphagia grade 4
barium s/o long standing lower 1/3 esophagila stricture with pyloric stricture

surgery: esophago coloplasty with pyloroplasty