Our Interesting Cases
EUS Guided Gastro-jejunostomy
A 67 year old male presented with recurrent vomiting to us. He was found to have cancer in gall bladder causing obstruction of intestine. We placed a stent from stomach directly connecting his intestine and he could start eating very next day.
Removing large stones from bile duct
- An 87 year old lady was referred from Abu Dabhi for jaundice and pain and her CT scan was suggestive of stone in bile duct.
- She was rejected for any endoscopic surgery we removed a large stone from her bile duct using endoscopic therapy – ERCP
- A major surgery was avoided
Using LASER treatment for gall stones
An elderly man with large stone in bile duct – stone broken with LASER
Boerhaave’s syndrome
- A 58 year old male who had rupture of esophagus and admitted in ICU after a failed surgery.
- He was treated endoscopically with closure of defect using a padlock clip.
- https://journals.lww.com/ghep/fulltext/2021/01040/endoscopic_management_of_failed_surgical_repair_of.9.aspx
First case of retroperitoneal paraganlioma detected on EUS from India
- 33 year old female presented to us with pain and CT scan outside was suggestive of mass in abdomen, biopsy using usual techniques was not possible.
- EUS guided biopsy found it to be a rare paraganglioma
- https://journals.lww.com/ghep/fulltext/2022/02020/eus_guided_tissue_acquisition_from_the.4.aspx
Endosonography guided liver abscess drainage
- A 62 year old male presented to us with fever and pain in abdomen. He was found to have pus collection in liver – sonography/CT guided aspiration was not feasible.
- We did the first endosonography guided pus drainage in central India region. Patient recovered in 2 days without major surgery
- https://www.thieme-connect.com/products/ejournals/html/10.1055/s-0042-1747912
EUS guided gall bladder stone treatment
87 year old female who was admitted with fever and gallbladder swelling in ICU, surgery was very high risk for surgery. She was treated with gall bladder stent placement through intestine and was discharged with in 5 days post procedure.
Endoscopic tumor removal
90 year old male who had drop in hemoglobin was found to have GIST tumor in the stomach. This was removed by an advanced endoscopy technique – endoscopic full thickness resection – EFTR
POEM procedure for difficulty in swallowing
58 year old female who had difficulty in swallowing was diagnosed to have achalasia cardia. POEM procedure was done for her and she went home 3rd day and now is able to swallow even hard nuts.
ARMA procedure for GERD
A 50 year old man who wanted to stop medications for his acid reflux disease was treated with ARMA procedure this has made his medicine use to minimum