CASE: Chronic alcoholic pancreatitis -- LPJ^-www.drkeyurbhatt.in*

40 Yrs male with chronic alcoholic pancreatitis with multiple episodes of acute pancreatitis,
with 8 kg wt loss, DM.

CECT : S/O Chronic pancreaitis.

SUEGERY: LPJ

Pt discharged on POD 6.

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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 - Dr Keyur Bhatt - Best Gastro Surgeon

                                   Dr Keyur Bhatt- Best GI Surgeon     

 

 

CASE: Intrahepatic rupture of GB^-www.drkeyurbhatt.in*

89 Yrs male with high grade fever, pain, jaundice for 6 days..
Usg s/o Distended GB With perforation near fundus
CECT: Intrahepatic rupture of GB With impected stone in neck of GB Size 8 mm.
Surgery: Open cholecystectomy and lavage

Pt discharged on POD 5.

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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 - Dr Keyur Bhatt - Best Gastro Surgeon

                                   Dr Keyur Bhatt- Best GI Surgeon     

 

 

CASE: Sub Acute intestinal obstruction --- Ileal malignancy^-www.drkeyurbhatt.in*

73 yrs female with multiple episodes of intestinal sub acute obstruction
with nausea, constipation, distension of abdomen
ESR, Montoux, TB IgG/M/A : NEGATIVE

COLONOSCOPY: Normal colon except a small polyp in ascending colon, terminal ileum up-to 5 cm normal.

CECT: Terminal ileal stricture with proximal dilated bowel loops..

 


SURGERY : Laparotomy and EXTENDED Rt hemicolectomy and terminal ileal resection for ileal mass.

Histology : Ileal carcinoid spreaded upto serosa and 2/11 nodes positive.

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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 - Dr Keyur Bhatt - Best Gastro Surgeon

                                   Dr Keyur Bhatt- Best GI Surgeon     

 

 

CASE: DUODENO JEJUNAL INTUSSUSCEPTION^-www.drkeyurbhatt.in*

19 YR girl with acute abdominal pain and persistent vomiting
USG: S/o dilated stomach and duodenum
CECT S/O : Duodeno Jejunal Intussusception

 


SURGERY: Lap assisted reduction of Intussusception and resection & anastomosis of polyp baring segment of proximal jejunum.

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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 - Dr Keyur Bhatt - Best Gastro Surgeon

                                   Dr Keyur Bhatt- Best GI Surgeon     

 

 

CASE: NCPF + hypersplenism --> PSRS (Proxymal Spleno Renal Shunt)^-www.drkeyurbhatt.in*

35 yrs female with 5-6 yrs history of PORTAL hypertension (NCPF) non cirrhotic portal fibrosis
UGIE: S/O Grade 3 multiple columns of varices in GE junction, PGP+, IGV+.
DOPPLER : S/O Portal vein diameter 2 cm . splenic vein 12 mm. with multiple colaterals.& massive splenomegaly.Liver slightly bright in echotexture, left renal vein normal.

Clinically : pallor ++ with spleen reaching in RIF.

LFT : Normal
TLC : 2000./ cmm        Hb : 6 gm / dl
PLATELATE : 22,000 / cmm

SURGERY: SPLENECTOMY AND PROXIMAL SPLENO RENAL SHUNT.

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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 - Dr Keyur Bhatt - Best Gastro Surgeon

                                   Dr Keyur Bhatt- Best GI Surgeon