Dr. Keyur Bhatt - Gastrosurgeon

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: APPENDICULAR PSEUDOMYXOMA^-www.drkeyurbhatt.in*

Young male with non specific pain in central and rt side of abdomen

P/A: soft no palpable mass,

USG S/O : exophytic mass in abdomen of more than 10 x 8 cm.

CECT: S/o soft lump in RIF region surrounding appendix with calcification within
p/o appendicular pseudomyxoma.

Surgery: modified Sugabaker's procedure
( Extended Rt hemicolectomy, peritonectomy, cholecystectomy, omentectomy )

patient discharged on pod 6.

bx: s/o appendicular pseudomyxoma

www.gisurgerysurat.com

www.sidshospital.com

You Tube : Dr Keyur Bhatt

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: Mallignangt melanoma of Ano-Rectum - APR^-www.drkeyurbhatt.in*

65 yrs male presented with mass protruding from the anus and bleeding per rectum
on evaluation found to have Malignant melanoma of rectum / anal canal
CECT: Chest and abdomen: No e/o metastatic disease apart from local tumor.

surgery: APR

pt discharged in time
Bx: Malignant melanoma of rectum growth limited to rectum, and 5/11 nodes positive.

www.gisurgerysurat.com

www.sidshospital.com

You Tube : Dr Keyur Bhatt

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 HOP - Classical WPD^-www.drkeyurbhatt.in*

62 yrs female with SOJ, On evaluation found to have CA HOP with Dilated CBD And PD
After stenting re evaluated for resectablity

CECT: With doubtful plains near portal vein CA HOP.

SURGERY: Classical Whipple's pancreatico duodenectomy

pt was discharged on day 6 post op with normal diet.

www.gisurgerysurat.com

www.sidshospital.com

You Tube : Dr Keyur Bhatt

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

Sunday, September 9, 2012

CASES: CA colon with intestinal obstructions^-www.drkeyurbhatt.in*

CASE 1. 75 yrs female with pain in abdomen and distension and vomiting
CBC: Hb 6.5., suspected diagnosis was ca ascending colon
CECT: S/o same findings

surgery: EXTENDED RT hemicolectomy with cholecystectomy and primary anastomosis of ileum to transverse colon and lymphadinectomy

patient was discharged on POD 9.

CASE 2. 70 Yrs female with pain in abdomen and constipation with distension...x ray s/o dilated colon...and small bowel loops..

CECT: s/o pseudo obstruction...
patient detoriated and suddenly collapsed in conservative trial ...x ray : was done s/o free gas under diaphargm..immediately explored...and found to have colonic perforation with napkin ring structure growth in descending colon sigmoid junction and ischemic whole colon with diameter of more than 10 cm...with multiple perforations....total colectomy was done with ileostomy but unfortunately pt did not make...

www.gisurgerysurat.com

www.sidshospital.com

You Tube : Dr Keyur Bhatt