STATE TIMES NEWS
KATRA: Some succumb to the circumstances, others battle all odds and continue with their mission. Such was the case with the Gastrointestinal & GI Oncology department of Shri Mata Vaishno Devi Narayana Superspeciality Hospital. The department had not only kept their service doors open, they had successfully performed more than 70 GI related surgeries including 11 GI cancer surgeries in the last 4 months.Speaking about the efforts by the gastrointestinal cancer department, Dr Suhail Khuroo, Consultant GI Surgeon at Shri Mata Vaishno Devi Narayana Superspeciality Hospital, said, “I feel privileged to have such a patient dedicated team. Be it the GI Surgeons, Medical and Radiation Oncologist, Nuclear Medicine, Radiology and dedicated Anesthesia & ICU teams they all have been working at forefront to serve the people. Despite the odds, the team had performed many a surgeries from minor to complex gastrointestinal onco surgeries and saved many a patients. They had also offered patients with a comprehensive pre and postoperative non-surgical therapies. In fact, I am very proud of our team.”Gastrointestinal cancer is one of the common cancers worldwide. It is also one of the few cancers that can be completely cured with timely intervention. It is also a condition that can lead to far stretching casualties if delayed. One of the recent cases the team had saved was 55 year female patient, who was suffering from cancer of the esophagus (food pipe). The patients had residual disease on her follow up PET scan and Endoscopy. Despite COVID, the team of doctors under the aegis of Dr Suhail Khuroo & Dr Ajaz Wani alongwith Dr Sumit Modi (CTVS Surgery) preformed radical esophagectomy with gastric conduit wherein esophagus (food pipe) is removed and replaced with a tube formed from residual stomach.The patient had a smooth uneventful recovery and was discharged on 10th day after her surgery.Similarly, another 55 year lady suffering from anal canal cancer was also cured by the gastrointestinal cancer. She had persistent disease after her chemo radiation. Post discussion with the tumour board, the team decided to perform an extensive surgery involving many surgical specialities. The Urology team consisting of Dr Rajan Gupta and Dr Shiv Kumarperformed the bilateral ureteric access catherterisation. The staging laparoscopy with abdominoperineal resection with VAC closure of perineal wound was done by the GI Oncology team consisting of Dr Suhail Khuroo and Dr Ajaz Wani and the repair of vaginal wall by Dr Renu Sharma, Consultant Gynaecology. The postoperative care, especially in the ICU was led by Dr Vanilla Chopra and Dr Mujeeb Showkat and team.70 year old diagnosed with a large ampullary cancer was also a patient successfully treated by the GI oncosurgery team. Though the patient had done CBD stenting and chemotherapy at a different centre, the gastrointestinal onco team at Shri Mata Vaishno Devi Narayana Superspeciality Hospital suggested pancreaticoduodenectomy (Whipples) surgery, a complex operation wherein a part of pancreas along with duodenum (intestine) and CBD/gallbladder is removed. The removal is followed by complex anastomoses to maintain continuity of gastrointestinal tract. The gastrointestinal onco surgery team along with the anesthesia and ICU team provided the much needed care to the patient and helped him recover fast.In the midst of Covid-19 upsurge in region, 2 Covid positive patients presented with surgical emergency. A 66 year gentleman with bleeding gastric tumor required surgical intervention in view of active bleeding. Despite covid positive status the patient was taken up for upfront surgery after tumor board meeting in view of his cardiac condition. Another covid positive patient, a 55 year male with intestinal obstruction following cancer surgery for Urinary bladder cancer was managed by GI Oncology team. Both patients were managed in Covid ICU after surgery.Apart from the above cases the team has saved many patients with gastrointestinal cancer. Since its inception the gastrointestinal oncosurgery department has performed more than 150 successful gastrointestinal onco surgeries making it a leading hospital in the region for gastrointestinal cancer.
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