CASE: CA RECTOSIGMOID - AR^-www.drkeyurbhatt.in*

Elderly male with frequent lower gi bleeding and h/o severe aortic stenosis (valve area less than 10 mm) and atherosclerotic changes in descending abdominal aorta

on evaluation found to have ca recto-sigmoid junction and unfortunately patient was refuted from surgey in two major onco-surgical hospitals due to medical fitness issues..

patient was worked up and taken up for surgery

surgery: Anterior resection and primary anastomosis -
whole surgery was done in segmental epidural anaesthesia maintaining Vitals through out normal, and patient did not stayed a single day in ICU. Was started on oral diet by day 3 and discharged on day 6 uneventfully,

Bx: T3N0 moderatedly differentiated adenocarcinoma of rectum.

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Dr. Keyur Bhatt - Best Gastro Surgeon

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Dr. Keyur Bhatt- Best GI Surgeon - Dr Keyur Bhatt - Best Gastro Surgeon

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

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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

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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: 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

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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: 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

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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