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.

Hepato Pancreato Biliary (HPB) Surgery in Pune

Hepato-Pancreato-Biliary surgeries include treating benign and malignant diseases of the liver, pancreas, gallbladder, and bile ducts. HPB surgeries are complex procedures, and Dr. Samrat Jankar, the top HPB surgeon and best gastroenterologist in Pune, has a wide range of interests and expertise in performing these procedures.

The doctor specializes in conventional open and minimally invasive surgery, such as laparoscopic procedures. Dr. Samrat Jankar is an expert Laparoscopic surgeon in Pune performing, Subtotal Cholecystectomy, Laparoscopic CBD Exploration, Laparoscopic Cystogastrostomy, Laparoscopic Hydatid Cyst Surgery and Open HPB Cancer Surgeries.

This passionate hepato-pancreato-biliary surgeon in Pune works long hours to treat a wide range of disorders and conditions. He is known to provide advanced, comprehensive surgical procedures with outstanding results.

The HPB conditions treated by Dr Samrat Jankar

Gallstone disease
Liver Tumors
Pancreatic Tumors
Bile Duct Tumors
Cholangitis
Obstruction
Perforation
Fistula of biliary tract
Spasm of the sphincter
Biliary cyst
Biliary atresia

Tests for diagnosing hepato-pancreato-biliary diseases

Dr. Samrat Jankar may ask you to undergo various tests to diagnose the disease. Some of them include:

Endoscopic Retrograde Cholangiopancreatography (ERCP)
Magnetic Resonance Cholangiopancreatography (MRCP)
Endoscopic Ultrasound (EUS) and sometimes Ultrasonography

Different types of Hepato-Pancreato-Biliary surgeries

Laparoscopic Subtotal Cholecystectomy:

This laparoscopic procedure is a safe and recognized approach for the treatment of symptomatic gallstone disease. Further, it is used for difficult cholecystectomy in order to reduce serious vascular and bile duct injuries. Dr. Samrat Jankar is highly skilled in this procedure and has successfully handled several complex cases.

Most people undergoing Laparoscopic Cholecystectomy are discharged from the hospital the same day, depending on their overall health. You will need around 2 to 3 days to return to your normal activities.

Laparoscopic CBD Exploration:

Laparoscopic Common Bile Duct Exploration is an effective and safe procedure used to investigate if something like a stone is obstructing the flow of bile from your liver and gallbladder to your intestine.

If there is a blockage, the bile will back up into the liver and cause jaundice, or the bile duct may become infected and require immediate surgery.

Laparoscopic Cystogastrostomy:

This is a treatment for pancreatic pseudocysts, which are a collection of leaked pancreatic fluids. People suffering from pancreatic pseudocysts may experience vomiting, nausea, stomach ache, fever or swollen belly.

Laparoscopic Cystogastrostomy is a minimally invasive surgery that drains the pseudocysts using advanced laparoscopic techniques. The surgeon will connect the pseudocysts and the nearby digestive organ, stomach, or small intestine to allow the pseudocysts to drain through that organ.

Undergoing this procedure through laparoscopy minimizes hospitalization and recovery time. Also, it gives a better cosmetic appearance and decreases post-surgery pain.

Laparoscopic Hydatid Cyst Surgery:

The hydatid disease is a serious disease, potentially lethal, caused by the larvae of Echinococcus granulosus. The larval form of the tapeworm lodges itself in the body, where they form a fluid-filled sac known as a hydatid cyst.

The cysts can grow in size up to 5 to 10 cm or more, and it contains immature forms of the tapeworm. It is mostly found in the liver. During laparoscopic hydatid cyst surgery, the surgeon removes the cyst contents without contaminating the patient, then sterilizes and manages the cyst cavity using appropriate technique.

Nowadays, minimally invasive methods like laparoscopy are preferred over open surgery because they cause fewer complications, reduce morbidity and recurrence rates and require a shorter hospital stay.

Open HPB Cancer Surgeries:

Hepato-pancreatic-biliary cancers include cancer of the bile duct, gall bladder, and pancreas. Surgery is one of the primary modalities to treat cancer. Dr. Samrat Jankar is a highly experienced HPB surgeon who has managed many open HPB cancer surgeries with a favorable outcome.

Success rate of hepato-pancreato-biliary (HPB) surgery

Surgical methods for hepato-pancreato-biliary disorders have a success rate that varies depending on the stage of the disease. When performed by an experienced and proficient surgeon in premium healthcare centers like SUHRC Symbiosis University Hospital & Research Centre, Pune, these treatments have a low risk of complications.

Precautions to be taken after hepato-pancreato-biliary (HPB) surgery

Dr. Samrat Jankar recommends following a healthy regimen after HPB surgery to help recover faster.

After undergoing the procedure, you do not require any special care.
Consume a well-balanced, protein-rich diet.
Cut down on excessive fats and sugar.
Avoid alcohol, tobacco, and smoking.

Frequently Asked Questions

Infection, diabetes, pseudocyst, abscess formation, malnutrition, and organ failure are major pancreatitis complications. Hypovolemic shock is an emergency that occurs when fluid levels drop quickly. Chronic pancreatitis can sometimes progress to pancreatic cancer.

Yes, you can live without a pancreas. However, you will need to make a few lifestyle changes. Your pancreas produces hormones that help your body digest food and regulate blood sugar. You will need to take medications to manage these functions after surgery.

Hydatid cyst is a potentially dangerous but treatable infection that can be fatal in rare situations. Hydatid disease is found all across the world, although it is more prevalent in grazing areas.

Relevant Questions

Q. What are the symptoms of colon cancer?

Colon cancer is also known as colorectal cancer, a term that combines colon cancer with rectal cancer, which starts in the rectum. The following are some of the signs and symptoms of colon cancer:

A change in your bowel habits, such as diarrhoea or constipation, or a change in the consistency of your stool, that persists.
Blood in your stool or rectal bleeding.
Consistent stomach pain, such as cramps or gas.
Unexplained weight loss
Weakness or exhaustion.

Q. What is incarcerated hernia?

A section of the intestine or abdominal tissue that becomes trapped in the sac of a hernia—the bulge of soft tissue that pushes through a weak place in the abdominal wall—is known as an incarcerated hernia. Stool may not be able to pass through the intestine if a section of it is trapped.

Incarcerated inguinal hernias usually cause swelling in the groin region, and some may show redness. If bowel obstruction has occurred, some additional symptoms may include sudden onset of pain, lack of appetite, irritability, and nausea or vomiting.

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. What are the preventive measures to avoid hernia?

Avoid straining at stool and urine, maintain good health, avoid heavy weight lifting.

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.