Dr. Keyur Bhatt - Gastrosurgeon

Wednesday, December 12, 2012

CASE:myofibroblastic tumor from colon - excision with wedge resection^-www.drkeyurbhatt.in*

Young male with mass in RHC region for 3 months
No significant GI or other symptoms
progressively increasing in size

surgery: wide local excision with Gastric sleeve resection, pancreatic sleeve in tail region and colonic (transverse colon-segmental involvement) resection and anastomosis

patient was discharged on POD6. Uneventfully
Bx: IHC : s/o myofibroblastic tumor with low mitotic index (1 mitotic /50 fields )
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Dr Keyur Bhatt- Best GI Surgeon

Thursday, November 29, 2012

case: Lower gi bleed - mackel's divertucula^-www.drkeyurbhatt.in*

young male with history of enteric fever and positive tests for the same
with lowe GI bleed daily needing transfusion of 2 pcv. (total 8 given in 4 days) and still Hb was 7.5.

on further evaluation found to have bleeding from mid ileum (on ileo-colonoscopy) and all terminal ileal ulcers were shallow and healing.

taken up for surgery and found to have gross bleeding from mackel's diverticula (3 x 5 cm)size with no blood proximal to diverticula

SURGERY: Resection and anastomosis of mackel's diverticular segment of ileaum

patient was discharged on POD 6.

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Dr Keyur Bhatt- Best GI Surgeon

case: perforated sigmoid diverticula - left hemicolectomy and coloraectal anastomosis^-www.drkeyurbhatt.in*

old aged male with DM , HTN,
C/o pain in lower left abdomen for 7 days
high grade fever, diarrhoea

found to have perforated sigmoid diverticula and localized abscess

SURGERY: left hemicolectomy and coloraectal anastomosis

patient was discharged on pod 7.

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Dr. Keyur Bhatt- Best GI Surgeon

Dr. Keyur Bhatt - Best Gastro Surgeon

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Dr Keyur Bhatt- Best GI Surgeon

CASE: Massive Lower GI bleed for bleeding enteric ulcers - terminal ileal resection and ileo transverse anastomosis^-www.drkeyurbhatt.in*

CASE: young male with history of fever and abdominal pain with massive lower GI bleed.. on evaluation found to have sever ulcerations in terminal ileum with significant active bleed

with profound shock and high inotrops and sepsis

surgery: terminal ileal resection with ileo-transverse anastomosis.. was diascharged on POD 9.

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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

CASES: Small bowel carcinoids with SAIO And bowel ischemia^-www.drkeyurbhatt.in*

case 1: Old aged female with chronic constipation and dull aching pain in abdomen with recent onset mas in RIF

on evaluation found to have ( suspected ) terminal ileal carcinoid with bowel ischemia.

surgery: Rt hemicolectomy and ileal resection with anastomosis.

CECT:

BX: CARCINOID OF TERMINAL ILEUM

case 2: old aged male with known HTN And epileptic. found to have similar complaints and was diagnosed with metastatic carcinoid with SAIO and bowel ischemia

surgery: Extended Rt hemicolectomy and terminal ileal resection