HPB and GI Surgery Clinic

HPB and GI Surgery Clinic Team of surgeons specialist in liver transplant, GI / Gastro surgery, lap surgery, & robotic surgery

Hernia fact: it’s a protrusion of abdominal fat or intestine through a weak point in the abdominal wall. Commonly seen n...
09/01/2024

Hernia fact: it’s a protrusion of abdominal fat or intestine through a weak point in the abdominal wall. Commonly seen near naval or groin area.
Only treatment to cure this is surgical repair. Robotic or Laparoscopic repair causes less pain and early recovery.

Low hemoglobin or Anemia fact: Anemia is a condition in which you don’t have enough healthy red blood cells to carry ade...
18/12/2023

Low hemoglobin or Anemia fact: Anemia is a condition in which you don’t have enough healthy red blood cells to carry adequate oxygen to your tissues. Having anemia may make you feel exhausted.

There are many forms of anemia, each with its own cause. Loss of blood is the most common cause of anemia. Anemia can be temporary or long term, and it can range from mild to severe. Sometimes anemia is related to liver disease or liver cirrhosis. Sometimes it may be due to blood loss in gastrointestinal tract due to ulcers or tumours .

See your doctor if you suspect you have anemia because anemia can be a sign of serious illnesses. Treatments for anemia range from taking supplements to undergoing medical procedures. You may be able to prevent some types of anemia by eating a healthy, varied diet.

Gallbladder fact: Cholecystitis  is inflammation of the gallbladder. Your gallbladder is a small, pear-shaped organ on t...
15/12/2023

Gallbladder fact: Cholecystitis is inflammation of the gallbladder. Your gallbladder is a small, pear-shaped organ on the right side of your abdomen, just beneath your liver. The gallbladder holds a digestive fluid called bile that’s released into your small intestine.

In most cases, cholecystitis is caused by gallstones that block the tube leading out of your gallbladder. This results in a buildup of bile that can cause inflammation. Other causes of cholecystitis include bile duct problems and tumors.

If left untreated, cholecystitis can lead to serious complications, such as a gallbladder that becomes enlarged or that ruptures. Once diagnosed, cholecystitis requires a hospital stay. Treatment for cholecystitis is removal of the gallbladder.

Anemia fact: Anemia is a condition in which you don’t have enough healthy red blood cells to carry adequate oxygen to yo...
28/08/2023

Anemia fact: Anemia is a condition in which you don’t have enough healthy red blood cells to carry adequate oxygen to your tissues. Having anemia may make you feel exhausted.

There are many forms of anemia, each with its own cause. Loss of blood is the most common cause of anemia. Anemia can be temporary or long term, and it can range from mild to severe.

See your doctor if you suspect you have anemia because anemia can be a sign of serious illnesses. Treatments for anemia range from taking supplements to undergoing medical procedures. You may be able to prevent some types of anemia by eating a healthy, varied diet.

Pancreas fact: Pancreatitis can occur as acute pancreatitis — meaning it appears suddenly and lasts for days. Or pancrea...
23/08/2023

Pancreas fact: Pancreatitis can occur as acute pancreatitis — meaning it appears suddenly and lasts for days. Or pancreatitis can occur as chronic pancreatitis, which describes pancreatitis that occurs over many years.

Mild cases of pancreatitis may go away without treatment, but severe cases can cause life-threatening complications.

Acidity: Gastroesophageal reflux disease (GERD) is a condition due to back flow of stomach juice or sometime bile  into ...
22/08/2023

Acidity: Gastroesophageal reflux disease (GERD) is a condition due to back flow of stomach juice or sometime bile into your esophagus (Food Pipe). This back flow irritates the lining of the esophagus and causes symptoms of GERD. Common symptoms of GERD are acid reflux and heartburn.

Though these symptom are quiet common but when these symptoms occur at least twice a week and interfere with your daily activities then it is termed as GERD.

Colon cancer fact: Most cases of colon cancer begin as small, noncancerous (benign) clumps of cells called adenomatous p...
21/08/2023

Colon cancer fact: Most cases of colon cancer begin as small, noncancerous (benign) clumps of cells called adenomatous polyps. Over time some of these polyps become colon cancers.

Polyps may be small and produce few, if any, symptoms. For this reason, doctors recommend regular screening tests to help prevent colon cancer by identifying polyps before they become colon cancer.

Guidelines generally recommend colon cancer screenings begin at age 50. Your doctor may recommend more frequent or earlier screening if you have other risk factors, such as a family history of the disease.

GB fact( Bile duct injury): Laparaoscopic cholecystectomy ( LC ) is the gold standard of treatement for symptomatic gall...
19/08/2023

GB fact( Bile duct injury): Laparaoscopic cholecystectomy ( LC ) is the gold standard of treatement for symptomatic gall stones. It is a safe procedure, but rarely the bile duct gets injured during surgery. This complication occurs in 0.4% to 0.6 % of cases undergoing LC. If not managed properly this complication can be life threatening.
Diagnosis:
The bile duct can get clipped or transected. If it is clipped patient will develop jaundice and sometimes fever, pain abdomen i.e.cholangitis. If the duct is transected bile will come into the abdominal cavity and may come out through the wound or drains. The patient needs to be stabilized in the acute setting, may require a drain placement either percutaneously/ radiologically or surgically.

The type of bile duct injury and extent is usually determined with a MRCP.
Treatment:
Definitive treatment in most of the cases is Roux en Y Hepatico-Jejunostomy, which is a safe procedure and successful in the long term. Here a part of small intestine is connected to the healthy bile duct proximal to the injury or stricture.

Liver fact: Liver hemangioma  is a noncancerous  mass that is made up of a tangle of blood vessels.Most cases of liver h...
18/08/2023

Liver fact: Liver hemangioma is a noncancerous mass that is made up of a tangle of blood vessels.
Most cases of liver hemangioma are discovered during a test for some other condition. Most people who have a liver hemangioma never experience signs and symptoms and don’t need treatment.

GB fact: Factors that may increase your risk of gallstones include:Being femaleBeing age 60 or olderBeing overweight or ...
17/08/2023

GB fact: Factors that may increase your risk of gallstones include:

Being female
Being age 60 or older
Being overweight or obese
Being pregnant
Eating a high-fat diet
Eating a high-cholesterol diet
Eating a low-fiber diet
Having a family history of gallstones
Having diabetes
Losing weight very quickly
Taking some cholesterol-lowering medications
Taking medications that contain estrogen, such as hormone therapy drugs

Bile duct fact: Dilated bile duct since birth without any apparent cause of obstruction is choledochal cyst. Patients pr...
16/08/2023

Bile duct fact: Dilated bile duct since birth without any apparent cause of obstruction is choledochal cyst. Patients present in their childhood with pain upper abdomen, lump in the abdomen , jaundice or fever. Some will present similarly in adulthood. Rarely it may be an incidental diagnosis while doing an ultrasonography for some other reasons. In patients harbouring the problem for a long time may develop cancer in the biliary tree, liver or pancreas. Treatment is removing the bile duct and making a bypass surgically.

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