CASE: Acute PV & SMV thrombosis + jejunal ischemia - staged approach for surgery^-www.drkeyurbhatt.in*

Middle aged male with c/o severe pain in abdomen, nausea, vomiting & constipation, rise TLC

CECT S/o: acute Portal, SMV, Splenic vein thrombosis with proximal jejunal ischemia/gangrene

PLAN:  Managed conservatively with Heparin and Anticoagulants --> gradually started on diet and discharged with close follow up. as suspected stricture in jejunum in coming days.

Readmitted with vomiting after 6 weeks, no pain, rest all Investigations normal.

CECT: S/o : Completely recanalised portal and SM vein, with stricture in proximal jejunum and dilated proximal bowels

PLAN: Taken up for surgery and resection with primary anastomosis of strictured segment. discharged on POD 6, With normal diet. 

Acute mesenteric venous gangrene/ischemia can be managed conservatively provided with normal arterial flow and patient being kept in ICU with proper monitoring, and later as they develop stricture can be managed with single stage surgery, avoiding stoma formation in case of management of gangrenous bowel, and doubtfull viability of bowel with thrombosed veins.

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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: LAP Haller's myotomy & anterior fundal wrap (achalasia with hiatus hernia)^-www.drkeyurbhatt.in*

Middle aged female with progressive painless dysphagia

on investigation found to have achalasia cardia and hiatus hernia as well with 8 kg wt loss.

UGIE: no e/o malignancy

SURGERY: Lap haller's myotomy & anterior fundal wrap

Pt was discharged next day.

had 4 kg wt gain by the time to stitch removal only..www.gisurgerysurat.com

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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: Trans gastric necrosectomy (acute alcoholic necrotizing pancreatitis)^-www.drkeyurbhatt.in*

28 yrs male, chronic alcoholic with severe necrotizing pancreatitis
day 36 of illness with fever, agonizing pain, persistent vomiting

CECT: Infected pancreatic necrosis

 

SURGERY: Trans gastric pancreatic necrosectomy

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

34 Yrs male with chronic alcoholic pancreatitis with head mass
8 kg wt loss, severe intractable pain in abdomen with back radiation,

SURGERY: LPJ With head coring.

Discharged on POD 7.

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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: LAP fundoplication + fixation of stomach (recurrent gastric volvulous)^-www.drkeyurbhatt.in*

middle aged female with recurrent colicky pain in abdomen, nausea, regurgitation.
UGIE: Reveled large hiatus hernia with distorted stomach
X ray: s/o left sided eventration of diaphargm
BARIUM : GASTRIC VOLVULOUS with hiatus hernia..

Surgery: Laparoscopic repair of hiatus with Nissan's floppy fundoplication & derotation of stomach with retro colic seromascular gastro jejunostomy (stomach fixation to prevent volvulous)

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You Tube : Dr Keyur Bhatt

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