Tuesday, January 8, 2013

CASES: Chronic pancreatitis with head mass^-www.drkeyurbhatt.in*

CASE 1: Middle aged chronic alcoholic and smoker male with Chronic pancreatitis and head mass and biochemical obstructive jaundice

surgery: LPJ With head coring intra op frozen section negative for malignancy and final Bx: s/o chronic pancreatitis.








CASE 2: Young adult male with chronic alcoholic pancreatitis for 5 yrs and 8 kg wt loss ,

surgery: LPJ With head coring




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CASE: Achalasia cardia - lap haller's myotomy with fundoplication^-www.drkeyurbhatt.in*

middle aged female with progressive disphagia and hypothyroidism
on work up detected with achalasia cardia


surgery: lap haller's myotomy and anterior fundoplication . patient was discharged on next day with soft diet

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CASE : Emergency left hepatectomy for trauma and biliary leak^-www.drkeyurbhatt.in*

young male with alleged h/o trauma and liver tare, CECT s/o near complete transection of left lateral segment of liver with mild to moderate amount of free fluid in abdomen

viatly: pt stable initially, upto 6-8 hrs of trauma
Hb stable in 24 hrs but started having distension , distress on repeat usg found to have increase in free fluid




explored suspecting biliary peritonitis and rightly found along with necrotic liver left lateral lobe

surgery: left lateral hepatectomy and cholecystectomy and intra op cholangiogram - to confirm negative bile leak.




patient was discharged uneventfully on POD 7.

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Dr. Keyur Bhatt - Best Gastro Surgeon

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Thursday, December 13, 2012

case: lap splenectomy for multiple splenic abscesses^-www.drkeyurbhatt.in*

young male with daily high spiking fever for 12 days
on work up found to have multiple splenic abscess

CECT:





SURGERY: LAP. Splenectomy

patient was discharged on POD 2.

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Dr. Keyur Bhatt- Best GI Surgeon

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CASE: CA RECTOSIGMOID - AR^-www.drkeyurbhatt.in*

Elderly male with frequent lower gi bleeding and h/o severe aortic stenosis (valve area less than 10 mm) and atherosclerotic changes in descending abdominal aorta

on evaluation found to have ca recto-sigmoid junction and unfortunately patient was refuted from surgey in two major onco-surgical hospitals due to medical fitness issues..

patient was worked up and taken up for surgery

surgery: Anterior resection and primary anastomosis -
whole surgery was done in segmental epidural anaesthesia maintaining Vitals through out normal, and patient did not stayed a single day in ICU. Was started on oral diet by day 3 and discharged on day 6 uneventfully,







Bx: T3N0 moderatedly differentiated adenocarcinoma of rectum.

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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