Monday, February 25, 2013

CASE: CA STOMACH^-www.drkeyurbhatt.in*

Old aged male with gastric outlet obstruction and hemetemesis on evaluation found to have well differentiated tumor of stomach

surgery: D2  Distal Gastrectomy + colonic resection




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www.sidshospital.com

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www.drkeyurbhatt.in/

www.sidshospital.com

 

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 - Dr Keyur Bhatt - Best Gastro Surgeon

                                   Dr Keyur Bhatt- Best GI Surgeon     

 


  


CASE: D 1 CARCINOID - distal gastrectomy with RYGJ^-www.drkeyurbhatt.in*

Middle aged male with acid peptic symptoms
On evaluation found to have G1 neuroendocrine tumor of stomach/duodenum (WHO 2010)

CECT s/o lesion in D1 on posterior wall

EUS: S/o one place involvement of submucosa and ? mascularis as well

S. Chromogrannin A: 288

surgery: Distal antrectomy and D 1 resection with regional lymphadenectomy







BX: Well differentiated neuroendocrine tumor of stomach with full thickness involvement of submucosa, all lymph nodes are negative.

www.gisurgerysurat.com

www.sidshospital.com

You Tube : Dr Keyur Bhatt


www.gisurgerysurat.com/

www.drkeyurbhatt.in/

www.sidshospital.com

 

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 - Dr Keyur Bhatt - Best Gastro Surgeon

                                   Dr Keyur Bhatt- Best GI Surgeon     

 

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

www.gisurgerysurat.com/

www.drkeyurbhatt.in/

www.sidshospital.com

 

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 - Dr Keyur Bhatt - Best Gastro Surgeon

                                   Dr Keyur Bhatt- Best GI Surgeon     

 

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.  


www.gisurgerysurat.com/

www.drkeyurbhatt.in/

www.sidshospital.com

 

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 - Dr Keyur Bhatt - Best Gastro Surgeon

                                   Dr Keyur Bhatt- Best GI Surgeon     

 


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.

www.gisurgerysurat.com

www.sidshospital.com

You Tube : Dr Keyur Bhatt

www.gisurgerysurat.com/

www.drkeyurbhatt.in/

www.sidshospital.com

 

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 - Dr Keyur Bhatt - Best Gastro Surgeon

                                   Dr Keyur Bhatt- Best GI Surgeon