Sunday, September 23, 2012

CASE: Chronic pancreatitis with obstructive jaundice - LPJ With CDD^-www.drkeyurbhatt.in*

36 male with h/o  chronic alcohol intake
having chronic pancreatitis initially type A pain but now having type B
no endocrine or exocrine insufficiency
h/o jaundice for last 10 days

on CECT: found to have chronic calcific alcoholic pancreatitis with lower CBD long stricture and dilated proximal CBD AND IHBRD.

CA: 19.9 : NORMAL

surgery: LPJ With CDD. patient discharged on  POD 6. With normal diet.




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CASE : Acute bowel gangrene of proximal jejunum^-www.drkeyurbhatt.in*

65 yrs male with pain in abdomen for 2 days sever, with sepsis, ARF, 
On evaluation with CT : found to have jejunal gangrene starting from DJ flexure to early ileal loops

surgery: Resection and primary anastomosis at DJ Flexure after mobilizing duodenum 4th part
patient diascharged on day 10 after surgery with normal diet





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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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CASE: CA GALL BLADDER^-www.drkeyurbhatt.in*

Middle aged female with with pain in abdomen in Rt flank
USG: S/o rt renal stag horn calculi, with mass in fundus of G.B.


CECT: s/o gundic mass in GB with RT renal Stag Horn calculi


surgery: Radical cholecystectomy with lymphadinectomy and Removal of Rt stag horn claculi and stenting.

pt discharged on day 10.

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www.sidshospital.com

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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

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CASE: Gastric GIST, excision with wedge of stomach^-www.drkeyurbhatt.in*

middle aged male with pain in epigastric region, increase in size of lump in last 10-15 days
on evaluation found to have huge mass arising near greater curvature of stomach with close proximity to pancreas, spleen, stomach

CECT S/o likely GIST of stomach



Endo Sono: s/o GIST arising from the fourth layer of greater curvature of stomach.

surgery: excision of in toto tumor with gastric sleeve. discharged on POD 5.



BX With IHC s/o Gastric GIST, high grade, pt is now on the oral targeted therapy (gleevec)

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Dr. Keyur Bhatt - Best Gastro Surgeon

Dr. Keyur Bhatt- Best GI Surgeon

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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


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www.sidshospital.com

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

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