CASE: Acute mesenteric ischemia due to acute block in SMA^-www.drkeyurbhatt.in*

Middle aged male with pain abdomen for last 3-4 days acute in onset..central abdominal pain
with vomiting ...past history of CHD and coronary stenting done before 3 yrs

CECT  was done and was s/o acute sma block with thrombosis and proximal bowel gangrene and distal bowel ischemia...along with that air pockets in all lobes of liver..

taken up for surgery:

DAY 1: laparotomy and Superior Mesenteric Aartery exploration and thrombectomy and closure

Day 2: Re -exploration, proximal bowel resection anastomosis ..lavage and drainage.

patient was on inotrops and venti support for 7 days and was gradually improved  and started on oral diet and discharged on day 12.

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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     

 

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 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     

 

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 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     

 

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 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     

 

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 - Dr Keyur Bhatt - Best Gastro Surgeon

                                   Dr Keyur Bhatt- Best GI Surgeon