Dr. Keyur Bhatt - Gastrosurgeon

Friday, November 2, 2012

case : short segment bowel gangrene wiyh mesenteric emboli^-www.drkeyurbhatt.in*

old aged female with 3 days pin in abdomrn and mild sepsis
on evaluation found to have embolic gangrene of ileum and localized perforation

SURGEY: Segmenal resection and anastomosis

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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

EHPVO -PSRS^-www.drkeyurbhatt.in*

42 yr female with recurrent bleeding from esophageal and gastric varices more than 11 sessions of endo therapy and dyspite developement of recurrent varices...and hypersplinism

SURGERY : PSRS (proximal spleno renal shunt with splenectomy)
pre op portal pressure 38mm of water post shunt droped to 9.

post op patient sent home on day 5.

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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

Thursday, November 1, 2012

case: bowel gangrene with sepsis and MODS With acute mesenteric venous ischemia^-www.drkeyurbhatt.in*

middle aged female with severe pain in abdomen and metabolic acidosis septic shock....after three days of history
and recent onset DM
CECT : s/o acute smv thrombosis with proximal bowel gangrene with peritonitis...

Surgery: emergency laparotomy and lavage and resection of gangrenous jejunum and single layer anastomosis at Dj flexure...

at the time of surgery Nor adr was at 12ml/hr std dilution, heparin oninfusion 3ml/hr.
dopa 10ml/hr..creat: 3.5 TLC: 34,000 and s. albumin 1.4 hb:6.8 with this BP: 90/50.pulae:160/min..

fortunately patient came out of sepsis slowly...and on the path of goin home finally after 25 days of surgery....

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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: mal rotation with small bowel volvulous^-www.drkeyurbhatt.in*

17 yr child with bilious vomiting and recurrent pain in abdomen
on investigation found to have small bowel volvulous with mal rotation

Surgery: lap assisted derotation of bowel and release of lap band and appendectomy

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You Tube : Dr Keyur Bhatt

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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

Sunday, September 23, 2012

CASE: Liver laceration with tare - Emergency left hepatectomy^-www.drkeyurbhatt.in*

young female with 6 weeks amenorrhoea and h/o fall from 3rd floor height
and hemoperitoneum
CECT: S/O LIVER left lobe with seg 8 extension hematoma and laceration with moderate free fluid in abdomen
however pt remained hemodynamically stable for 2 days, Hb remained stable around 10 after initial transfusion of two PCV.

Developed distension, fever, sepsis on day 3
repeat CT S/o gross free fluid with increased non enhancing liver paranchyma (on aspiration found to have blood and bile mixed peritonitis)

taken up for surgery and EMERGENCY LEFT HEPATECTOMY with ligation of left hepatic ducts was done (confirmed with intra op cholangiography) along with MTP.
post op pat had minor biliary lieak from paranchyma draining 20 mlbile/day..and was discharged with drain on normal diet on POD 11.