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Archive Interviews with Dr Vipulroy Rathod in English


Archive Interviews with Dr Vipulroy Rathod in Hindi


Case Capsules

EUS

A 62 year old female was referred to us for the favour of evaluation of suspected lower CBD block. An irregular hypoechoic area in the lower CBD with some areas of hyperechoic structures with calcific spots within with posterior acoustic shadowing is seen. Proximal bile duct is dilated. There aree two differential diagnosis- an adenomatous lesion of the bile duct wall with calcification or multiple small stone leading to cholangitis in infected purulent bile. There are no evidence of any free fluids or nodes.


OGDSCOPY

Esophagoscopy revealed partial web but fairly large opening in the upper esophagus. A balloon was passed and balloon dilatation was performed upto 17 mm at 6.5 ATM pressure. Post dilatation scope could be negotiated easily which revealed adequate dilatation.

\r\n Patient tolerated the procedure well and there were no intra or immediate post procedural complications and patient was sent home the same evening.


OGDSCOPY - CA

OGD Scopy was considered to look for primary site of diagnosed peritoneal metastatic adenocarcinoma. Previous Upper G.I. Endoscopy and Colonoscopy done elsewhere including PET CT Scan was inconclusive and hence this intervention.

\r\n OGD Scopy revealed normal esophagus and cardia. Stomach showed severe nodularity with distensibility of stomach in body region with nodularity and hyper vascularity seen on NBI. Rest of the stomach and proximal duodenum appeared normal. Multiple biopsies were taken from nodular region of stomach and sent for histopathology.


OGDSCOPY - FOREIGN BODY

OGD Scopy was considered to evaluate the current status of accidental foreign body (marble) swallowed by the patient a week ago. Despite all the conservative measures the marble appeared to be in the stomach on X-ray done this morning and therefore endoscopic removal of the marble was considered.

\r\n OGD scopy revealed normal esophagus and cardia. A 1.5 cms green colored marble was seen with few erosions in the stomach. Proximal duodenum appeared normal.


OGDSCOPY - ACTIVE BLEEDING

OGD Scopy was considered to evaluate the exact etiology of patients symptoms of massive malena and coffee ground vomitus. Patient has h/o NSAID in the recent past.

\r\n OGD Scopy revealed presence of altered blood in the stomach. A large prepyloric ulcer was seen with the adherent clot. After the dislodgement of the clot active oozing was seen which was treated with saline adrenaline injection and heater probe coagulation was performed to complete hemostasis was ensured. Proximal duodenum appeared normal.


EUS ERCP


EUS ERCP Interface