Excelsior Correspondent
JAMMU, Sept 13: A unique treatment Hybrid Laparoscopy assisted ERCP (LA-ERCP) to remove complicated bile duct stone in a patient who had altered gastric anatomy due to prior weight loss surgery (Bariatric surgery) was successfully performed at SPS Hospitals, Ludhiana.
This brought a huge relief to patient’s incessant pain and misery, while sparing a major open abdominal surgery.
The treatment used laparoscopic assistance to reach the upper part of intestine (duodenum) where in Endoscopic Retrograde Cholangio Pancreatography (ERCP) was performed and impacted stone in CBD was removed sparing the need for open surgery which otherwise is a norm in such patients.
A 50 year female was diagnosed with the bile duct stone after being admitted to hospital in ‘severe pain’ after a meal. Routine Endoscopic Procedure (ERCP) can sort out the problem if stones are in the bile duct but this patient had undergone bariatric gastric bypass surgery which alters the normal gastrointestinal pathway so doing normal ERCP is impossible in such patients. In LA-ERCP, stomach is entered directly with a small key hole opening on abdomen and through it endoscopic procedure (ERCP) is performed to remove bile duct stones.
A team of skilled doctors that included Dr Nirmaljeet Singh Malhi, Chief Gastroenterologist, Dr Arindam Ghosh, Chief Gastrosurgeon, Dr Jasmeet S Dhingra, Gastroenterologist and Dr Naresh Anand, Senior Anaesthesiologist at SPS Hospitals performed this procedure.
Dr NJS Malhi said the treatment has a very high success rate and this is being done for the first time in this region. ‘It is a great technological advancement,’ he added. He stressed upon the rising incidence of obesity in our population, with more number of patients opting for Bariatric surgery, this procedure in patient with bile duct stones is likely to become the treatment of choice, in the days to come.
Dr A Ghosh explained that people could not previously be adequately treated without a major surgery. But with this advancement for suitable patients, it means a 1-2 hour procedure with a short hospital stay, instead of a long surgery and a hospital stay of several days.
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