Saturday, October 30, 2010

CASE: Perforated sigmoid diverticula with peritonitis^-www.drkeyurbhatt.in*

perforation peritonitis with sigmoid diverticula

sigmoid diverticula

perforated diverticula with peritonitis

perforation

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post op with end colostomy

Thursday, October 28, 2010

CASE: chronic alcoholic pancreatitis with pseudocyst in tail of pancreas & splenic vein thrombosis (PHT) (28.10.10) @ MAHAVIR^-www.drkeyurbhatt.in*

completed surgery with LPJ

Chronic pancreatitis with pseudocyst in tail
and multiple calculi in duct
opened duct till head and
pseudocyst drained into duct only

  

inferior layer of anastomosis of LPJ


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CASE: chronic alcoholic pancreatitis pus in MPD (27.10.10) @ SURAT GENERAL^-www.drkeyurbhatt.in*

chronic alcoholic pancreatitis

MPD with pus discharge within

Longitudinally opened pancreatic duct with coring of head
















completed LPJ


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www.drkeyurbhatt.in/

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Dr. Keyur Bhatt - Best Gastro Surgeon

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Dr. Keyur Bhatt - Best Gastro Surgeon

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Thursday, October 21, 2010

Evidence-Based Pancreatic Head Resection for Pancreatic Cancer and Chronic Pancreatitis^-www.drkeyurbhatt.in*



From the *Department of Surgery and †Division of Gastroenterology, University of Zu¨ rich, Zu¨ rich, Switzerland


Conclusions
Pancreatoduodenectomy and its main modifications are safe
and effective treatment modalities, especially in experienced
centers with a high patient volume. For chronic pancreatitis,
surgical resection provides major relief of pain and thus increased
quality of life. Overall survival for patients with pancreatic
cancer is determined predominantly by the pathology
within the resected specimen.



ANNALS OF SURGERY 
Vol. 236, No. 2, 137–148


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Long-Term Results of Distal Pancreatectomy for Chronic Pancreatitis in 90 Patients^-www.drkeyurbhatt.in*



From the *Department of Surgery, Hammersmith Hospital, London, United Kingdom, and the †Department of Biochemistry and

Molecular Biology, Royal Free and University College Medical School, London, United Kingdom


Distal pancreatectomy for chronic pancreatitis from any etiology
can be performed with low mortality and a good outcome
in terms of pain relief and return to work in approximately
60% of patients. Little effect is seen on exocrine function of
the pancreas, but there is a diabetic risk of 46% over 2 years.
Pseudocyst disease is associated with the best outcome, but
other manifestations of this disease, including strictures, calcification,
and limited concomitant disease in the head of the
pancreas, can still be associated with a good outcome.



ANNALS OF SURGERY Vol. 236, No. 5, 612–618

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