Wednesday, September 5, 2012

CASES: PANCREATIC NECROSECTOMIES^-www.drkeyurbhatt.in*

case 1:  acute necrotizing pancreatitis with localized necrosis in lesser sac day 38.. with air foci ( infected )  and majority component in liquid form..

taken up for endoscopic transgastric necroesctomy and was done successfully ( more than 2 liter of pus was drained ) and pt was shifted to icu for observation
for day or so pt improved clinically but again in 3 days had a similar distension, respiratory distress, tachycardia..and rise in count

CECT was done and was s/o again collection  ( gross) almost similar to pre endoscopy and free intra peritoneal gas as well..along with more necrotic solid area

was timely taken up for open necrosectomy...and discharged with left sided drain in situ on day 12..with oral diet..


CASE 2: Young female with ideopathic acute necrotizing pancreatitis with severe infected necrosis..
with worsining G/C and daily persistant spikes of fever , respiratory distress and distension, low out put on DAY 29 Of illness was taken up for open necrosectomy

had very severe wound infection ...treated with dressing and secondary suturing...doing well now all drains out by now..patient at home and taking normal diet, ambulant.

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CASE: CA SIGMOID With LGI bleed^-www.drkeyurbhatt.in*

elderly (86 yrs) female with LGI Bleed for last one year
on evaluation found to have CA SIGMOID.

PLANNED FOR ANTERIOR RESECTION AND primary anastomosis..

successfully discharged with normal diet on day 7.
 BX. : S/O adenocarcinoma with all nodes negative and T3 lesion.. all margins free


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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

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

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

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CASE: CA COLON With adjacent liver infiltration^-www.drkeyurbhatt.in*

middle aged male with constipation and anemia, CABG was done six months ago
evaluated and worked up ..found to have CA hepatic flexure with adjacent liver infiltration

CECT:



SURGERY: Extended rt hemicolectomy and in toto segment 6 resection of liver

all margins clear..adeno ca with free liver margin.... 6/12 lymph nodes positive..

pt schedule for chemotherapy

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Dr. Keyur Bhatt - Best Gastro Surgeon

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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: Corossive esophagial and gastric injury^-www.drkeyurbhatt.in*

young female with ingestion of acid 5 months ago
on FJ Feeds

dysphagia grade 4
barium s/o long standing lower 1/3 esophagila stricture with pyloric stricture

surgery: esophago coloplasty with pyloroplasty




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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: Spontenous rupture of CDC and biliary peritonitis - CDC EXCISION AND ryhj^-www.drkeyurbhatt.in*

3 yrs old child with abdominal pain and distension with fever
initially diagnosed as perforated appendix and peritonitis
laparoscopy was done by Dr. Ashok Jagani and immediately found to have biliary peritonitis and there was bile leaking near hilum..was confirmed...drain kept and closed
next day opened at institute..

Diagnosis confirmed by doing intra op cholengiography


CDC was excised and end to side hepatico jejunostomy was done
child was discharged on DAY 6  uneventfully.

www.gisurgerysurat.com/

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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

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