CASE: EXTREME CASE OF chronic pancreatitis --- LPJ, HJ, GJ^-www.drkeyurbhatt.in*

37 Yrs male with intermitant pain in abdomen for 3 yrs
h/o DM for 2.5 yrs
h/o wt loss of 20 kg in 2.5 yrs
h/o gastric vomiting on and off with wt loss of 10 more kg in last 3 months....

Imaging s/o: chronic pancreatitis with stones and calcifications...
with portal vein thrombosis, lower CBD stricture, duodenal Narrowing & GOO

SURGERY: Roux en Y -  Lateral pancreatico jejunostomy, Hepatico Jejunostomy, Gastro jejunostomy.

www.gisurgerysurat.com/

www.drkeyurbhatt.in/

www.sidshospital.com

 

Dr. Keyur Bhatt - Best Gastro Surgeon

Dr. Keyur Bhatt- Best GI Surgeon

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

                                   Dr Keyur Bhatt- Best GI Surgeon     

 

 

CASE: Colo colic Intucessecption : A minimal invasive approach^-www.drkeyurbhatt.in*

62 yrs female with acute abdomen
OBSTIPATION For last 5 days

On investigation found to have Colo - colic Intucessecption near splenic flexure and large bowel obstruction.

FIRST STAGE:

Hydrostatic reduction of Intucessecption in emergency with oral contrast and saline p/r

SECOND STAGE:

Na Picosulfate oral ingestion for two consequitive days to clear bowel..

Check CT s/o total reduction of Intucessecption with empty bowel. and a small stack with the lead point of intucessptum (a lipoma)

THIRD STAGE:

Colonoscopic  removal of polyp and pt was discharged on Next day.

www.gisurgerysurat.com/

www.drkeyurbhatt.in/

www.sidshospital.com

 

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: Advance case of Chronic pancreatitis with head mass and CBD obstruction^-www.drkeyurbhatt.in*

Middle aged male with chronic alcoholic pancreatitis with Dilated MPD & CBD

CECT:

SURGERY: LPJ with head coring and CDJ.

www.gisurgerysurat.com/

www.drkeyurbhatt.in/

www.sidshospital.com

 

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     

 

 

CASES: CARCINOMA RECTUM LOWER 1/3^-www.drkeyurbhatt.in*

72 Yr male with Ca lower 1/3 of rectum.
CECT:

SURGERY: Lap assisted low anterior resection with double staple anastomosis. and covering ileostomy.

 



CASE : 66 yrs male with Ca lower 1/3 of rectum. + sliding left inguinal hernia with sigmoid colon.
CECT:

SURGERY:
Open low anterior resection with double staple anastomosis and repair of sliding left inguinal hernia, & covering colostomy.

www.gisurgerysurat.com/

www.drkeyurbhatt.in/

www.sidshospital.com

 

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 - Dr Keyur Bhatt - Best Gastro Surgeon

                                   Dr Keyur Bhatt- Best GI Surgeon     

 

 

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.

www.gisurgerysurat.com/

www.drkeyurbhatt.in/

www.sidshospital.com

 

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