case 1: acute necrotizing pancreatitis with localized necrosis in lesser sac day 38.. with air foci ( infected ) and majority component in liquid form..
taken up for endoscopic transgastric necroesctomy and was done successfully ( more than 2 liter of pus was drained ) and pt was shifted to icu for observation
for day or so pt improved clinically but again in 3 days had a similar distension, respiratory distress, tachycardia..and rise in count
CECT was done and was s/o again collection ( gross) almost similar to pre endoscopy and free intra peritoneal gas as well..along with more necrotic solid area
was timely taken up for open necrosectomy...and discharged with left sided drain in situ on day 12..with oral diet..
CASE 2: Young female with ideopathic acute necrotizing pancreatitis with severe infected necrosis..
with worsining G/C and daily persistant spikes of fever , respiratory distress and distension, low out put on DAY 29 Of illness was taken up for open necrosectomy
had very severe wound infection ...treated with dressing and secondary suturing...doing well now all drains out by now..patient at home and taking normal diet, ambulant.
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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
