Dr. Keyur Bhatt - Gastrosurgeon

Wednesday, September 5, 2012

CASE: Spontenous rupture of CDC and biliary peritonitis - CDC EXCISION AND ryhj^-www.drkeyurbhatt.in*

3 yrs old child with abdominal pain and distension with fever
initially diagnosed as perforated appendix and peritonitis
laparoscopy was done by Dr. Ashok Jagani and immediately found to have biliary peritonitis and there was bile leaking near hilum..was confirmed...drain kept and closed
next day opened at institute..

Diagnosis confirmed by doing intra op cholengiography

CDC was excised and end to side hepatico jejunostomy was done
child was discharged on DAY 6 uneventfully.

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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

Saturday, June 23, 2012

CASE: NCPF With recurrent bleeding and failed endotherapy^-www.drkeyurbhatt.in*

middle aged female with recurrent UGI bleed , more than 35 glue injection sessions

repeated episodes of gastric and duodenal varices bleeding

Surgery: splenectomy for decompression and liver BX

BX: NCPF, No evidence of cirrhosis of liver

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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

CASE: OPEN PANCREATIC NECROSECTOMY^-www.drkeyurbhatt.in*

Middle aged male with Acute Gall stone Necrotizing pancreatitis
day 35, not improving with conservative management

CECT: S/o organized infected pancreatic necrosis with air foci within the collection

SURGERY : OPEN 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

CASE: CA body of pancreas with chronic pancreatitis - distal pancreatectomy with splenectomy^-www.drkeyurbhatt.in*

middle aged male with pain in central, left abdomen

on USG / CECT : Found to have chronic pancreatitis with stones in head with dilated PD 9 mm and mass of around 3 x 4 cm in body of pancreas with central area of necrosis..

CA 19.9 : 65

Endo Sono FNAC: confirmed the diagnosis of adeno ca of pancreas

SURGERY: Distal pancreatectomy with splenectomy, removal of stones via duct from head & roux en Y pancreatico jejunostomy

patient was discharged on POD 6

FINAL BX: G2 T2N0 All margins negative without lymphovascular invasion.
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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

CASE: Revision Frey's for Old Pustow^-www.drkeyurbhatt.in*

36 yrs male operated for Pustow's procedure for chronic pancreatitis before 20 yrs
having pain in abdomen initially type A now converted to Type B
and dependent on daily high dose of analgesics

evaluated and found to have strictured previous anastomosis with dilated head, neck ducts with stones in duct..and dilated duct in tail as well

CECT: S/O chronic pancreatitis with strictured duct and dilated duct in head and tail with impacted stone