Tuesday, January 8, 2013

CASE : Strange case with obstruction^-www.drkeyurbhatt.in*

elderly male presented with obstruction, distension, dehydration and toxemia
NCCT: S/O Small bowel obstruction with ? mass ? stricture in terminal ileum with grossly dilated proximal bowel loops and collapsed colon...

surgery: exploratory laparotomy and enterotomy and removal of foreign body (plastic sheet) impacted partially within diverticula and terminal ileum (causing obstruction)






patient was discharged post operatively with minor wound infection..recovered with dressing..

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CASE: chronic pancreatitis with head mass -LPJ With head coring^-www.drkeyurbhatt.in*

middle aged chronic alcoholic and smoker male with pain in abdomen and 6 kg wt loss with pancreatic exocrine partial insufficiency. and type b pain

on evaluation found to have chronic pancreatitis.



SURGERY: LPJ with head coring

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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

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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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www.sidshospital.com

 

Dr. Keyur Bhatt - Best Gastro Surgeon

Dr. Keyur Bhatt- Best GI Surgeon

Dr. Keyur Bhatt - Best Gastro Surgeon

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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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www.sidshospital.com

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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

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


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.

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

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