CASE: Distal pancreatectomy with splenectomy^-www.drkeyurbhatt.in*

24 yrs female with blunt trauma abdomen
and headinjury
2 days old presentation with severe abdominal pain and distension, respiratory distress and hypotension

CECT: S/O pancreatic fracture near tail

surgery: exploration after 36 hrs of trauma...so changes of pancreatitis was evident..

 Distal pancreatectomy and splenectomy.

pt on oral diet POD 5 , on the line of discharge...

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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: Choledochal cyst type 1^-www.drkeyurbhatt.in*

12 yrs girl with h/o cholangitis 15 days back
worked up and detected to have type one choledochal cyst.

CECT:

SURGERY: CDC excision and HJ

Pt discharged on POD 6.

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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: Ca Cecum with lower GI massive bleeding + GSD + LT indirect huge inguinal hernia + CA urinary bladder^-www.drkeyurbhatt.in*

57 yr male with H/O two episodes of TIA 7 Days back started on asprin. Admited under PHYSICIAN
c/o GI bleeding in the form of melena...Hb dropped to 8 from 14 in 4 days
subjected to scopy: BY GI PHYSICIAN
mass in cecum with active bleeding..
RADIOLOGIST: CECT: Detected CA CECUM, CA  BLADDER, GSD + Left Inguinal huge hernia..

CARDIOLOGIST: 2D ECHO: S/O 36 % EF

ANESTHETIST: Epidural anesthesia.

G I SURGEON: Rt hemicolectomy, cholecystectomy, preperitoneal mesh plasty.

URO SURGEON: TURBT

Discharged on POD 6... fortunately both T 1 malignancy....pt cured.....

 TEAM EFFORT.......made him go home in time .....

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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: CDC with ca in situ^-www.drkeyurbhatt.in*

22 yrs male with lower CBD narrowing leading to cholangitis diagnosed in 2001
stented...bx and cytology negative..

insitu stent for 10 yrs now presented with cholangitis with stone and dilated CBD
stent, stone removed...and re stented..and Rx conservatively...

after 2 months two stents placed to dilate the lower Stricture..no e/o malignancy..
ON CECT was looking like CHOLEDOCHAL CYST ?

SURGERY: Plan: side to side bilio enteric roux en y anastomosis..
Intra op: was looking more of CDC TYPE 1  with smooth lower end tapering and dilated fusiform mid CBD..OF AROUND 3 CM..

PLAN changed and decided to remove CDC (as there are around 20% chance of development of malignancy )....AND Hepatico jejunostomy...was done....after total Excision of CDC..

Pt discharged on pod 6.

HISTOLOGY: CARCINOMA IN SITU IN CHOLEDOCHAL CYST...NO E/O INVASION...L.N. NEGATIVE....

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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

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CASE: Gall stone + CBD Stones with lower CBD Stricture^-www.drkeyurbhatt.in*

56 yr male with cholangitis
lower end bening long stricture with multiple CBD stones...ERC failed.

Open surgery and drainage: with bilioenteric anastomosis..

post operatively pt recovery was smooth and was discharged in due time..

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Dr. Keyur Bhatt - Best Gastro Surgeon

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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