Such cases are very rare, will continue to conduct Choledochoduodenostomy of selected patients: HOD Gastroenterology GMC
Government Medical College (GMC) Srinagar has set up a new benchmark by performing a successfully maiden Choledochoduodenostomy of a 72-year-old patient who is now performing well.
An official told news agency—Kashmir News Observer (KNO), that a 72-year-old patient was admitted in Medical Gastroenterology ward at Super Speciality Hospital Srinagar with obstructive jaundice.
He said that on evaluation patient was found to have periampullary growth with liver metastases.
ERCP was tried for palliative drainage but was not possible as the growth had occupied whole the lumen of duodenum,he said, adding that EUS guided biliary drainage (choledocho duodenostomy) which is first time done in Kashmir under the eminent leadership of Prof. Dr. Showkat Ahmad Kadla and Anaesthesia team under leadership of Prof. Dr. Rukhsana in presence Superintendent Dr. Jahangir Bakhshi. of Medical
The patient is doing well and is planned to be discharged tomorrow on 22/08/2022, he said.
The procedure is first of its kind in valley. Previously these patients had to go to New Delhi for the same which would cost them 2-3 lac rupees, he said.
However, here the cost was zero, as stent was placed under golden card and accessories were donated by the doctors of Medical Gastroenterology Superspeciality Srinagar, he added.
Dr. Showkat Ahmad Kadla, Professor and HOD, Gastroenterology, Super Speciality Hospital, GMC Srinagar while talking to KNO said that Choledochoduodenostomy has been first done in while J&K and Himachal Pradesh.
“Choledochoduodenostomy, choledochojejunostomy, or sphincteroplasty are used in the treatment of selected patients with retained, recurrent, and impacted bile duct stones; strictures of the bile ducts; stenosis of the sphincter of Oddi; pancreatitis associated with biliary disease; choledochal cysts; fistulas of the bile duct; and biliary obstruction, either benign or malignant,” he said.
He said that patient is stage-4 tumour patient and we punctured his duodenum and this procedure is done in just few parts of India.
He said that all accessories were provided to patient free of cost and we just wanted to start it here so that patient won't have to go to Delhi fir this procedure where it is very costly.
It is very rare and difficult procedure and around 30 people were engaged with this procedure, he said, adding that he hasn't slept for last three nights as actually it took time to convince the patient and attendants.
As it is risky procedure but patient himself being a well-educated person happily decided to go for it so that it can give him some relief, he said, patient is alright and has got very much relief. “Tomorrow, he will be discharged,” he said—(KNO)
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