#therapeuticendoscopy

[drnitinbehl]

Get advanced therapeutic endoscopy treatment in Punjab from an experienced doctor offering accurate diagnosis and minimally invasive digestive care.

[pace-hospitals]

Successful Endoscopic Ampullectomy & CBD Stenting for Periampullary Adenoma in a 60 Y.O. Male

The PACE Hospitals’ expert gastroenterology team successfully performed an Endoscopic Ampullectomy, Precut Sphincterotomy, and Common Bile Duct (CBD) Stenting on a 60-year-old male patient diagnosed with a periampullary mass lesion. The aim of the procedure was to safely remove the ampullary lesion, relieve biliary obstruction, ensure adequate bile drainage, and prevent complications.

PACE Hospitals is widely recognized as one of the Best Gastroenterology Hospital in Hyderabad, India. With a team of highly skilled and experienced medical & surgical gastroenterologists and hepatologists, PACE Hospitals offers comprehensive diagnostic and treatment services for a wide range of digestive system diseases and disorders.

Past Medical History

The patient had a known history of diabetes mellitus and heart failure with reduced ejection fraction (HFrEF) secondary to dilated cardiomyopathy. No other significant chronic illnesses or prior major surgeries were reported.

On Examination

On admission, the patient was conscious, coherent, and oriented. General examination was normal with stable vital parameters. Systemic examination revealed a soft, non-tender abdomen with no organomegaly or guarding. Respiratory system examination showed normal breath sounds bilaterally without added sounds. Cardiovascular examination demonstrated normal heart sounds without murmurs. No peripheral edema, cyanosis, or signs of dehydration were noted. Neurological examination was normal with no focal deficits.

Diagnosis

Upon admission to PACE Hospitals, the patient was thoroughly evaluated by the Gastroenterology team following a 1-month history of burning pain in the chest and abdominal pain, persistent hiccups, and loss of appetite. There was a strong clinical suspicion of a periampullary mass causing distal common bile duct (CBD) obstruction.

The patient underwent an extensive diagnostic evaluation. Triphasic CT Abdomen demonstrated a well-defined minimally enhancing periampullary mass lesion (15 × 13 mm) with external compression of the terminal CBD and bilobar intrahepatic biliary radicle dilatation (IHBRD). Endoscopic ultrasound (EUS) confirmed the presence of an ampullary lesion. Laboratory markers, including CEA and CA-19-9, were within normal limits. Echocardiography showed heart failure with reduced ejection fraction (HFrEF) with a left ventricular ejection fraction of 50%.

Based on the confirmed diagnosis, the patient was advised to undergo Periampullary Mass Lesion Treatment in Hyderabad, India, under the expert care of the Gastroenterology Department.

Medical Decision Making

After a detailed consultation with consultant gastroenterologists, Dr. Govind Verma, Dr. M Sudhir, Dr. Padma Priya, and cross consultation with cardiologist, Dr. Seshi Vardhan Janjirala, a comprehensive evaluation was performed to determine the most appropriate diagnostic and therapeutic approach. Considering the patient’s history of burning chest and abdominal pain, persistent hiccups, and loss of appetite, along with significant comorbidities such as Diabetes Mellitus, Dilated Cardiomyopathy, and HFrEF (EF 50%), an optimal treatment strategy was formulated.

Based on these clinical and imaging findings, it was determined that Endoscopic Ampullectomy with precut sphincterotomy and CBD stenting was identified as the most suitable therapeutic intervention to relieve obstruction, obtain definitive tissue diagnosis, and avoid the risks associated with major surgery.

The patient and his family members were clearly counselled about the periampullary lesion, the need for endoscopic ampullectomy with common bile duct (CBD) stenting, and the associated risks.

👉 Book an Appointment: Best Doctors in Hyderabad, Telangana, India

[worldnursing]

Speech Title: Emergency vs Elective Cholecystectomy: A Comparative Analysis of Patient Profiles, Intraoperative Findings, and Postoperative Outcomes

Introduction

We are delighted to feature Dr. Vinod Ramachandran, an accomplished Surgical Registrar from Perth, Western Australia. With strong clinical experience in trauma, acute care surgery, and subspecialty surgical services, Dr. Ramachandran brings a unique blend of academic rigor and frontline surgical expertise. His upcoming presentation will explore a critical comparison between emergency and elective cholecystectomy—an essential topic in modern surgical practice.

Benefits of Attending

Participants attending Dr. Ramachandran’s session can look forward to:

A comprehensive analysis of emergency vs elective cholecystectomy cases.

Insights into patient presentation patterns and how these influence clinical decision-making.

Detailed intraoperative comparisons, shedding light on surgical complexity and variations.

Evaluation of postoperative outcomes, providing data-driven guidance for optimizing patient care.

Real-world surgical perspectives from a registrar working in a major trauma and tertiary referral hospital.

This session is particularly valuable for surgeons, gastroenterologists, emergency physicians, trainees, and researchers interested in improving biliary surgery outcomes.

Research Interests of the Speaker

Dr. Ramachandran’s academic and clinical interests include:

Trauma surgery and acute care surgery, strengthened by his postgraduate studies in Surgery and Trauma.

Comparative surgical outcome research, particularly in biliary and gastrointestinal surgery.

Rural and remote healthcare, inspired by his year of practice in resource-limited settings.

Evidence-based surgical practice, focusing on improving patient safety and optimizing operative strategies.

His commitment to integrating research with surgical practice continues to shape his contributions to the medical field.

Awards, Recognition & Achievements

MBBS (Honours) graduate from Monash University.

Master’s in Surgery and Trauma from Newcastle University, with a strong foundation in trauma-focused academic work.

Clinical experience in a high-volume trauma and tertiary referral hospital in Perth.

Recognized for adaptability and excellence demonstrated during his rural medical practice.

Ongoing contributions to surgical research, showcasing his dedication to advancing surgical care. Important Links: Submit Abstract: https://nursing.utilitarianconferences.com/submit-abstract Register Here: https://nursing.utilitarianconferences.com/registration Email: [email protected] Facebook: https://www.facebook.com/g.priyanka.92798/ LinkedIn: https://www.linkedin.com/in/nursingutilitarianconferences/ Instagram: https://www.instagram.com/nursingucg/

Conclusion

Dr. Vinod Ramachandran brings extensive experience, academic depth, and a passion for surgical advancement to his presentation. His analysis of emergency vs elective cholecystectomy will offer valuable insights for clinicians and researchers alike. Attendees can expect an engaging, informative, and clinically relevant session from a rising leader in surgical practice.

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[drnitinbehl]

[drnitinbehl]