What lifestyle changes should I make after the treatment?

Cut the food into little, bite-sized pieces and consume it while sitting up straight. This allows gravity to assist in the movement of food through your esophagus. Never lie down flat. Aspirating or getting food in your lungs is more likely due to this. Elevate your head while sleeping. Avoid solid foods before going to bed.

What can I expect from medications?

Medications like nifedipine improve symptoms in 0% - 75% of patients with achalasia, whereas isosorbide improves symptoms in 53% - 87 %.

What can I expect from Botox injections?

In up to 35% of persons with achalasia, Botox injections successfully relaxed their spastic esophageal sphincter muscles. Please note: The injections must be repeated every 6 – 12 months to sustain symptom relief.

What can I expect from Laparoscopic Heller myotomy (LHM)?

This laparoscopic surgery/minimally invasive surgery is effective in 76 % - 100 % of patients with achalasia. Please note: About 15% of people develop symptoms of gastroesophageal reflux after surgery.

What can I expect from the pneumatic or balloon dilation treatment?

In 50 % - 93 % of persons with achalasia, balloon dilation improves symptoms. Remember that you may have to repeat the process to maintain the symptom relief. Please note: Repeated dilations can cause a perforation (hole) in your esophagus.

Laparoscopic Non-Obstetric Surgery During Pregnancy

Details of the Patient

Patient's Name: Anonymous
Patient's Age: 26
Patient's Gender: female

Symptoms shown by the Patient

Intermittent abdominal pain

An Overview of the Case

Surgeon: Dr. Samrat Jankar & Dr. Shraddha Galgali
Anesthesiologist: Dr. Dhananjay Sanjekar

A 26-year female presented with 17th week of gestation complained of intermittent abdominal pain. It was diagnosed as a 12X8 cm left-sided heterogenous ovarian cyst, matured dermoid tumour on imaging. Considering a large symptomatic cyst and risk of rupture during pregnancy, the patient was taken for laparoscopic surgery with consent for open conversion and risk of abortion.

With all standard surgical and anaesthesia precautions, Dr Samrat Jankar and the team could complete Salphingo-oophorectomy surgery laparoscopically without any adverse events. The postoperative specimen and fluid sent for cytology were negative. Further, lavage cytology was done, which was also negative for malignancy.

Operative time: 90 min
Blood loss: 30 ml
Hospital stay: 48 hours

Challenges for Laparoscopic Surgery in this Case:

Gravid uterus till infraumbilical position (less space for manipulation).
Large cyst (benign or malignant) need to remove entirely without spillage.
Surgical time has to be as short as possible.

Dr. Samrat Jankar said, “This was the first laparoscopic non-obstetric surgery during pregnancy at SUHRC and also a first-time experience for us. This was possible only because of good teamwork.”

Treatment Provided to the Patient

Left Salphingo-oophorectomy

Medical Tests Performed

Pre and postoperative FHS monitoring
Intraoperative ETCO2 monitoring
Early postoperative mobilization

Guidelines Provided after Treatment

The patient was advised to strictly adhere to the postoperative guidelines to avoid adverse side effects, and follow-up was recommended.

Feedback from the Patient

The patient was happy with her treatment.

Relevant Questions

Q. My grandfather was diagnosed with GERD, how can he be treated?

GERD is a digestive disorder that affects the ring of muscle between your oesophagus & your stomach. This can usually be controlled with medication. If you wish to avoid long-term medication then we recommend: Fundoplication. Plan a consultation with Dr Samrat Jankar, our expert gastroenterologist. He will provide the best possible & effective treatment for this.

Q. How does non-vegetarian food cause acidity?

Yes, non-vegetarian food causes acidity or may lead to acid peptic disease. If you are experiencing so, then take less spicy and less oily food. You can have chicken and eggs but should avoid them being cooked in a fried oily manner.

Q. Can i know about bariatric surgery and the criteria on meeting which i will qualify for this surgery?

To be eligible for bariatric surgery, you must meet the following requirements:

Have a body mass index (BMI) of 40 or higher, or have a BMI between 35 and 40.
An obesity-related condition, such as heart disease, diabetes, high blood pressure or severe sleep apnea.
Weigh less than 450 pounds, the maximum weight that hospital radiology equipment can accommodate. If you need to lose weight to meet this requirement, a nutritionist is available to help.

Q. If i want to reduce weight, then what all options do i have, surgically or otherwise?

Each weight loss surgery option presents unique risks and benefits, so it's important to compare them. There are many surgical options out there, like Bariatric surgery, gastric bypass surgery, Sleeve gastrectomy etc. For further details, you can visit our clinic or book an appointment @+917904139064.

Q. My brother has sleep apnea most probably due to his obesity, how can that be treated?

For milder cases of obstructive sleep apnea, we recommend some lifestyle changes. Such as,

Lose weight if you're overweight.
Exercise regularly.
Use a nasal decongestant or allergy medications.
Don't sleep on your back.
Avoid taking sedative medications such as anti-anxiety drugs or sleeping pills.

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