Dr. Keyur Bhatt - Gastrosurgeon

Monday, February 6, 2012

CASE: cholecysto duodenal and cholecysto colonic fistula with perforated GB^-www.drkeyurbhatt.in*

Elderly female with chronic pain in RHC, DM, HTN, IHD..
USG: S/O chronic calculus cholecystitis..1 yr back

presented with high grade fevere, pain in RHC, Nausea..

USG: S/o gangrenous perforated GB with peri GB Collection.

SURGERY: Open cholecystectomy with dividsion of cholecystoduodenal and cholecysto colonic fistula..lavagae and drainage..

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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

Acute on chronic mesenteric ischemia: bowel gangrene^-www.drkeyurbhatt.in*

Middle aged male known HTN,
Pain in abdomen for 5 days..progressive..with nausea, vomiting and distension and febal bowel sounds..
CT: s/o chronic infacrts in kideny, spleen..and acute gangrenous changes in small bowel..
2DECHO: s/0 35% EF with dilated RA/LV..And dilated descending aorta with small thrombus

Bolus heparin with later on infusion given..
next day taken up for surgery in view of downgoing abdominal conditions..
SURGERY: Gangrenous segment of jejunum resected and anastomosis done. pt was discharged in due time..

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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

Tuesday, January 31, 2012

Benign Biliary stricture TYPE 4: hepatico jejunostomy with access loop^-www.drkeyurbhatt.in*

Middle aged male encountered severe grade bile duct and b/l hepatic ducts injury along with ligation of Rt Hepatic artery..

later developed BBS IV.

SURGERY: HJ with access loop.

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www.sidshospital.com

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

CASE: peutz jeghers syndrome with intucessecption and perforated base of appendix : Enterotomy and rt hemicolectomy

young male with known case of peutz jeghers syndromewith severe abdominal pain for 1.5 days with distension, nausea, vomiting...

CECT: S/O multiple intucessecptions with dilated bowels and perforated base of appendix..

SURGERY: Multiple enterotomy and resections of larger polyps, reduction of intucessecptions, and Rt hemicolectomy

CASE: Bleeding posterior duodenal ulcer..-Ligation of vessel^-www.drkeyurbhatt.in*

middle aged male with ugi bleed,
SCOPY : S/o posterior duodenal ulcer with active bleeding, failed to achieve total control

SURGERY: Duodenotomy and underrunning of vessel and ligation of GDA supraduodenally..