CASE: LPJ^-www.drkeyurbhatt.in*

28 YRS Female with chronic pancreatitis

CECT:

SURGERY: LPJ

Discharged on POD 7.

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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     

 

 

CASES: 1.PERFORATED PAYOCELE 2. PERFORATED GB WITH CIRRHOSIS OF LIVER^-www.drkeyurbhatt.in*

CASE 1.OLD age women with perforated payocele of GB. Status ERC and stone clearance and stented.
was advised cholecystectomy 8 months back refuted....

ultimately landed with perforation of payocele with perforation and
SURGERY: Open cholecystectomy

CASE 2: Old age women with GB STONE and cholecystitis...kept conservatively in view of Cirrhosis of liver..
symptoms increased and was taken up for LAP cholecystectomy few months back...but considering the liver condition and intrahepatic situation of GB surgery was abandoned after placement of camera.

remained asymptomatic for another few months
now presented with sever pain in abdomen
CECT: S/O perforated GB with impacted stone in neck with cirrhosis of liver ans PHT

SURGERY: OPEN CHOLECYSTECTOMY.

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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: Pancreas & Splenic vein transaction with liver grade 4 injury^-www.drkeyurbhatt.in*

Middle aged male with history of trauma...shock ...collapsed
Tense abdomen with hemoperitoneum

Resuscitation started and taken up for Laparotomy
found to have Deep laceration in left lobe of liver, 2.5 liters of hemoperitoneum, completely transected pancreas at neck with total transaction of splenic vein ...
A TEAM efforts by surgeons, intencivists, anesthetists....

SURGERY: Repair of liver laceration...distal pancreatectomy and splenectomy.

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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: Gangrenous cholecystitis^-www.drkeyurbhatt.in*

24 yr male with pain and jaundice
found to have ? CBD Stone. ERC and cleared & stented
post procedure pancreatitis ...kept conservatively ...improved..but unfortunately developed gangrenous cholecystis with perforation.

SURGERY: OPEN chelecystectomy

post op biliary fistula sattleing down conservatively...

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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

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CASE: PERSISTENT NON HEALING FECAL FISTULA^-www.drkeyurbhatt.in*

Middle aged man with intestinal obstruction
operated more than 3 months ago and resection anastomosis done for ischemic stricture..
developed controlled fecal fistula
kept conservatively...but was non healing and developing episodes of SAIO.... And out put was around 400~500 ml / day
CECT was done and taken up for surgery
SURGERY:  Segment baring fistula was resected with new ileo ileal anastomosis (side to side) and adhesilysis.

pt was discharged with normal diet 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