Monday, February 25, 2013

CASE: CA RECTUM With obstruction^-www.drkeyurbhatt.in*

old age patient with ca rectum and bostruction

CECT:


surgery: Hartmann's procedure



Bx: T3N1 adeno ca

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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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Dr. Keyur Bhatt - Best Gastro Surgeon

Dr. Keyur Bhatt- Best GI Surgeon

Dr. Keyur Bhatt - Best Gastro Surgeon

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

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


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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Dr. Keyur Bhatt- Best GI Surgeon

Dr. Keyur Bhatt - Best Gastro Surgeon

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