Dr. Keyur Bhatt - Gastrosurgeon

Thursday, May 31, 2012

CASE: HILAR CHOLANGIO CARCINOMA^-www.drkeyurbhatt.in*

Middle aged male with Surgical obstructive jaundice, with Bilirubin more than 15 mg/dl
MRCP: S/O block in CHD

PLAN: ERC and stenting was done to reduce the bilirubin, Which decreased after 35 days to less than3,
Again CECT with angio done for liver:

SURGERY : Hilar excision, with lymph node dissection was done with RYHJ, (Stented anastomosis on both the side with two ducts on each side with septoplasty )
patient recovered uneventfully post operatively and resection margins were free of tumor and all 10 L.N. were reactive..

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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

CASE: Chronic idiopathic pancreatitis^-www.drkeyurbhatt.in*

Middle aged male with pain in abdomen central, with back radiation, for 4 yrs and wt loss and anorexia for 2-3 yrs

Evaluated and found to have Chronic calcific pancreatitis with dilated ducatal system and multiple stones.

CECT: small pseudocyst in head of pancreas with multiples stones in MPD / dilated MPD. S/o chronic calcific pancreatitis

SURGERY: LPJ

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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

CASE: Massive lower GI bleed in CRF, Stercoral ulcers^-www.drkeyurbhatt.in*

Middle aged male with DM, HTN, CRF, on dialysis
had massive LOWER GI bleed,
h/o chronic constipation present.

COLONOSCOPY s/o large stercoral ulcers in entire rectum with profuse continues bleeding..and active spurting..

multiple sessions of endoscopy was done..over 3-4 days period., with more than 2 transfusion requirement of PCV per day..with all local, systemic measures applied, but bleeding was not controlled

Ultimately patient was taken up for rescue surgery: APR, With permanent colostomy.

pt recovered well in post op period and was discharged in due time..

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You Tube : Dr Keyur Bhatt

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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: Choledochal cyst type 1 - CDC Excision and RYHJ^-www.drkeyurbhatt.in*

Young female with Chronic colicky pain in abdomen for 2 yrs

on evaluation found to have CDC Type 1.

CECT:

SURGERY: CDC Excision and RYHJ

pt discharged on POD 6.

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You Tube : Dr Keyur Bhatt

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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: CA SIGMOID WITH LIVER METS^-www.drkeyurbhatt.in*

Middle age female with ca sigmoid with b/l liver mets, two in segment 2/3
and one in seg 8.

CECT: Confirmed the diagnosis

Surgery: anterior resection, diverting colostomy with left hepatectomy and rt metastectomy