Monday, February 25, 2013

CASE: Large hiatus hernia - nissan's fundoplication^-www.drkeyurbhatt.in*

Middle aged female with persistent dyspeptic symptoms.. and chest pain
got done CXR, ECG, 2 D ECHO ,TMT, Conventional angiography as well found every thing normal

UGIE: Reveled huge hiatus hernia

CECT: confirmed it



surgery: lap reduction of hernia with  floppy nissans fundoplication
patient was discharged on POD 1 With normal diet.


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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

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

                                   Dr Keyur Bhatt- Best GI Surgeon     

 


CASE: LAP Splenectomy^-www.drkeyurbhatt.in*

 Middle aged female with ITP Not responding to conservative treatment

platelates persistantly bellow 20-30 thousand/cmm

surgery : Lap splenectomy

patient was discharged on pod 2. with platelate count of 1.7 lac/cmm

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: GB TUBERCULOSIS^-www.drkeyurbhatt.in*

Middle aged male with dyspeptic symptoms

ON UGIE: Found to have ulcer in anturm with puckring bx taken s/o possibly granulomatous lesion

ACE & ASCA levels were normal

CECT: S/O mass in GB fundus region with regional liver & stomach  involvement.




plan: surgery - Radical cholecystectomy with lymphadenoctomy, transverse colonic sleev resection with distal gastrectomy and Roux en Y gastro jejunostomy.




BX: Surprisingly Primary tuberculosis of GB.
Patient is started on AKT

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 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




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: 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