Monday, February 25, 2013

CASE: CA RECTUM - LAR^-www.drkeyurbhatt.in*

Old age male with HTN, DM  with bleeding P/R. On work up found to have ca lower 1/3 of rectum


CECT:


surgery : LAR With covering ileostomy.



BX: T3N2G1 Adeno ca.  


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CASE: Corrosive type 5 gastric injury - Total gastrectomy and Roux en Y esophagoo jejunal pouch^-www.drkeyurbhatt.in*

young female with corrosive ingestion 5 months back, was on FJ feeds.

Scopy and Dye study reveled total contracted stomach with tight stricture at GE junction.

surgery: Total gastrectomy and Roux En Y jejunal pouch with esophago jejunal anastomosis + FJ




Dye study confirmed no leak on day 4 and pat was started on oral liquids and gradually on normal diet
discharged on day 8, without any undue complication.

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CASE : Total colectomy and IPAA for FAP^-www.drkeyurbhatt.in*

Young female with FAP (familial adenomatous polyposis coli) with family history of malignancy to her mother  infact died of the same in early age

Surgery: LAP Assisted total abdominal proctocolectomy and ileal pouch anal anastomosis with covering loop ileostomy



patient was discharged on POD 5. 

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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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Tuesday, January 8, 2013

CASE: Liver trauma with biliary peritonitis^-www.drkeyurbhatt.in*

Young male with fall from 3rd floor during construction...
hemoperitoneum,  with mild distension of abdomen
hemodynamically stable. Hb 10, pulse 90bpm, BP: 110/70 on day 3.
day 4 started high grade fever with increased distension and septic look.
usg and
diagnostic taping done on day 3 s/o bile

surgery: exploratory laparotomy done and biliary peritonitis found.. lavage draingae..cholecystectomy and intra-op cholangiogram done s/o biliary leak from the laceration of segment 6.

drain kept inside and multiple drains in abdomen. + biliary stenting done with 7 x 10 fr stent.

patient discharged on OPD 9 with controlled biliary fistula draining 5-10 ml bile/day in drain.. hemodynamically stable and on normal diet.




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CASE : Strange case with obstruction^-www.drkeyurbhatt.in*

elderly male presented with obstruction, distension, dehydration and toxemia
NCCT: S/O Small bowel obstruction with ? mass ? stricture in terminal ileum with grossly dilated proximal bowel loops and collapsed colon...

surgery: exploratory laparotomy and enterotomy and removal of foreign body (plastic sheet) impacted partially within diverticula and terminal ileum (causing obstruction)






patient was discharged post operatively with minor wound infection..recovered with dressing..

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