कब और क्यों करवाना चाहिए Gall Bladder Removal Surgery? | Dr. Piyush Ranjan

In this video, we dive into the key reasons for undergoing this procedure, signs that indicate it's time, and the benefits of having your gall bladder removed. Learn how this surgery can improve your health and what to expect before, during, and after the operation.
To Book an Appointment :
www.drpiyushra...
📞: [phone]
~~~~~~~~~~~~~~~~~~~~~
About Dr. Piyush Ranjan
Dr. Piyush Ranjan, a distinguished Gastroenterologist at Sir Ganga Ram Hospital, New Delhi has done his medical schooling from Maulana Azad Medical College New Delhi and subsequent training in Gastroenterology from SGPGI, Lucknow in 2003. He is a liver specialist with a keen interest in therapeutic endoscopy and ERCP. He specializes in the treatment of gastrointestinal problems and liver diseases and is an expert in procedures such as colonoscopy, endoscopy, ERCP, sigmoidoscopy, end ultrasound, capsule endoscopy.
~~~~~~~~~~~~~~~~~~~~~
Best Gastro And Liver Clinic In Delhi
Gastro and Liver Clinic is an Out-Patient Clinic established by Dr Piyush, with services including all kinds of Gastro, Intestinal, Liver, Gall Bladder and Pancreatic related diseases. You can consult him for Indigestion, Bloating, Constipation, Pain in the abdomen, Diarrhea, Jaundice or difficult problems like Blood in the vomiting or stools, Liver failure, Cirrhosis, Ascites, Bile duct stones, Cancers of Gall bladder, Pancreas, Food pipe, Stomach or Intestine etc.
The Centre has the facility of doing Endoscopy, Colonoscopy and Sigmoidoscopy. Advanced procedures such as ERCP, EUS, POEMS can be done at Sir Ganga Ram Hospital.
Services Offered :
✅ Pancreatic Cancer
✅ Gall Stone
✅ Diarrhoea
✅ Capsule Endoscopy
✅ Manometry and pH Studies
✅ Endoscopic Ultrasound
✅ POEM
✅ ESD
✅ Endoscopic banding
~~~~~~~~~~~~~~~~~~~~~
Address for clinic 📍
First floor, Plot no. - 67, Block A, Sector 12, Dwarka,
Delhi, 110078
Timing: 6pm to 8pm
📧: [e-mail]
📞: [phone]
Other searched terms:
dr piyush ranjan,dr piyush,piyush ranjan,कब और क्यों करवाना चाहिए Gall Bladder Removal Surgery,gall bladder removal surgery,gall bladder removal,gallbladder surgery,gall bladder stone surgery,gallbladder removal surgery,gallbladder stone surgery,gall bladder stone removal,gall bladder surgery,gall bladder stone,gallbladder removal,gall bladder,gallbladder removal surgery tips,gallbladder removal surgery after,gallbladder removal surgery recovery
To Visit at Sir Ganga Ram Hospital :
sgrh.com/depar...
========================

[@rishabhjain1987]

Sir, My mother is 66 years of age and has many gall stones hence required a gall bladder removal surgery(Lap Cholecystectomy). As she had a cardiac history of PTCA(Angioplasty) 5 years back so Surgeon suggested to get cardiac clearance first. When we met Cardiology doctor, he again found blockage in another artery of heart during Angiography and performed Angioplasty last month(15th July 2024). After 2 days of PTCA, she again had severe stomach pain and MRCP reflected that few stones have slipped to bile duct. Gastro doctor mentioned that PTCA has been performed 2 days back only so no surgery can be performed so he did not clear stones from bile duct and only placed a stent into CBD--Bilary Stenting. But next day Pancreatitis happened post ERCP and her Lipase and Amylase values shoot up. Lipase, Amaylase value's started coming down after 2 days and we got discharge after 2 weeks on 29th July 2024 with bearable stomach pain and slightly high values of Lipase and Amylase. Gastro doctor mentioned that these tests(Lipase, Amylase, LFT) will improve in upcoming 2 weeks and pain will also subsidize.
Now, my mother again has severe stomach pain since 6 days along with fever and vomiting. PAIN KILLER injections are given since 2 days and that only works for 5-6 hours but pain re-occurs.
Gastro doctor and surgeon says we need cardiac clearance before performing any surgery as patient is on dual anti-platelets(Ecospirin-75 and Ticaspan-90) and Ticaspan-90 needs to be stopped pre and post 5 days of surgery. Cardiac doctor says that no surgery should be performed before 6 months because if we stop any anti-platelet(Ticaspan-90) then heart stent can get blocked. He says that stopping Ticaspan-90(anti-platelet) and putting the patient on Clexane injection(anticoagulant) for 10 days also does not fully cover heart stent blockage.
.
We need your expertise to suggest:--
(1) When can we get the surgeries performed(Gall bladder removal and ERCP(removing stent from bile duct and clearing bile duct)) as last PTCA is done one month back(15th July 2024)
(2) Ultracet, MEFTAL Spas tablet, is not able to control pain so she has to take injections which subsidize pain for few hours but it re-occurs.
(3) If surgeries can't be done in near future, how can we manage pain till then?
Note: (i) Alkaline Phosphate, Lipase, Amylase are high.
(ii) MRCP and USG whole abdomen performed today observations are as below:-
OBSERVATIONS:-
Gall bladder :- Over distended. Sludge is seen in the lumen with multiple tiny calculi. Diffuse edematous
gallbladder wall thickening is seen, measuring upto 6.8mm with slight pericholecystic fat stranding. (USG
correlation is suggested). Cystic duct:- Dilated. A calculus measuring 7mm is seen in distal part of cystic duct causing mild mass
effect on adjacent part of CHD.
IHBR:- Central IHBR are mildly dilated. Hepatic duct confluence is patent.
CBD: Mildly dilated, measuring upto 7.4mm in diameter. Stent is seen in CBD. No definite CBD calculus is seen on present scan.
Pancreas and main pancreatic duct :- Pancreas is bulky with slight peripancreatic fat stranding in head and tail region. MPD is not dilated.
Other findings: Prominent periportal lymphnodes are seen.
Comparison with previous MRCP dated 19.07.2024:- Stent is seen in CBD and mild acute pancreatitis.
IMPRESSION- Acute cholecystitic with cholelithiasis. - Calculus in distal part of cystic duct causing mild mass effect on adjacent part of CHD.
Mild acute pancreatitis.
- Mildly dilated CBD with stent in it. No definite CBD calculus seen on present scan. Clinical and lab. data correlation is suggested.

[@a.k47education91]

Salam hai sir aap ko salute 🫡🫡🫡🫡🫡🫡🫡🫡🫡🫡🫡🫡🫡🫡🫡🫡🫡🫡🫡🫡🫡🫡🫡🫡🫡🫡🫡🫡🫡🫡🫡🫡🫡🫡🫡🫡🫡🫡🫡🫡🫡🫡🫡🫡🫡🫡🫡🫡🫡🫡🫡🫡🫡🫡🫡🫡🫡🫡🫡🫡🫡🫡🫡🫡🫡 sir me bhi aar rha hu aap ke pass hepatitis ke lea chronic hipotatis hai mujhe kya yea theek ho shakta hai 😊

[@ShobhaKumari-ir3bc]

Sir mai bihar se sanjay yadav

[@luckygirl8975]

Hello sir ,mere husband ko gallbladder mai stone hai ,aur CBD stricture bhi hai ,jismai plastic stunt insert Kiya Gaya hai , permanent treatment kya hai pls suggest kariye

[@GulshanSingh-si3mj]

🙏

[@ManashKhatuaManash]

Hello sir namaskar sir meri behen ki mirgi rog thi current month main ek din main 2,4 bar mirig aati thi uske baad meri behen ka halat toda unhealth hogeyi hum ne kal najdik ka hospital main dekhai doctor ne parasitamla dablet dei thi meri behen ko ek dabelet khaneke baad meri behen ki blood vomiting suru hogei ek ghante ki baad uski mout hogei, sir main jane chahata hun kya ek goli se mrei behen ko mout ho saktihe😂 please sir boyati sir