Loading...

Skip Navigation Links

Ask An Expert

Asked by : rajesh60 on Thu, 25 Mar 2010
Asked in :Pancreatitis
Comments (0)    No Of Views (1404)   

Member SignIn

Please login to rate
 
Email
Password
     
Forgot Password?
Sign up now
0 rating

My relative who is a female child aged 15 years, suffered from pancreatis about 5 years back. She was admitted to hospital for 10 days where doctors managed her pain only. Now she has some pain in abdomen, it is diagnosed she has choledochal cyst Type IVA. Doctors suggest she should be operated upon and her INtrahepatic, UBD and Common bile Duct including gall bladder should be removed. As it is a major operation, I want to know who is best surgeon in Delhi or in India for this kind of surgery. Moreover I want to know if DUCTS are removed then surgically from small intestine a piece would be removed and surgically another DUCT will be created and put between Liver and DOUDENUM and how pancreas duct will be joined with this surgically created duct or it will be straight connected to DUODENUM. Nature has given us Ampulla and sphincter which open when DUCT sends bile and enzyem into doudenum and then it closes preventing back flow of DUODENUM content into BILE. After surgery how such back flow will be prevented and what precautions surgeon take that BILE does not leak?
Even if best surgeons are avaialble abroad, their names and hospitals details may please be provided.
If someone has already experienced this situation, his experience will be of great value.


Answered by : DrPradeepsaxena on Wed, 14 Apr 2010

Hi Mr Rajesh, Choledochal cyst is an uncommon congenital anomaly that requires surgical treatment. Type IVa choledochal cyst is dilation of the extrahepatic and intrahepatic biliary tree.
Severe hepatobiliary complications may result from long-standing biliary cysts if left untreated. The incidence of biliary carcinoma in the choledochal cyst ranges from 2.5% to 26%. The goals of management are to relieve symptoms and prevent long-term complications of biliary cysts such as infections, pressure upon the portal vein, liver failure, and potential cancer in the bile ducts. Resection of the extrahepatic cyst is recommended for type IV cysts. If the intrahepatic cysts are confined to one side of the liver a concomitant liver resection may also be required.
Management involves complete assessment of the disease, surgical resection and surveillance for development of carcinoma.
You can contact Dr Vinay Kumaran, Liver Transplant and Gastrointestinal Surgeon at Sir Ganga Ram Hospital, New Delhi. Their team, infrastructure and interdisciplinary interaction for management of Hepatobiliary diseases are the available best in this subcontinent.
Phone: 9910852626
Email: kumaranvinay@yahoo.com
Website: http://vkumaran.net/


Join our Panel of Experts

Post Your Comments

This is an open forum for the public. Please follow our Community Guidelines when posting any material. You are welcome to be critical or controversial, but avoid getting personal, abusive or offensive and try to keep your postings brief. All postings are being constantly reviewed for spam and irrelevant material (such as product advertisement or personal advertisements). Any posting that does not conform to our policy and 'Terms of Use' are deleted.
Remember threads are for only feedback and discussion. We will not use this material for publishing papers or advertisements.
You need to be registered with Medwonders to post any item. If you are a New User please register. You will be re-directed back to this page.


0 Comment(s)
Be the first to comment

Member SignIn

Please login to post your comment.
 
Email
 
Password
 
     
Forgot Password?
Sign up now

Member Sign In

Remember me
Forgot Password?
Sign up now
Answered By :

Dr. Pradeep Saxena

General Surgery

 

Total Answered : ( 3 )

Providing regular services in Gastrointestinal surgery, Hepato-biliary and Pancreatic Surgery, Cancer Surgery, Endocrine & breast surgery, Laparoscopic surgery besides General Surgery
Read More

Support Groups Q-A
 View All »
 Allergies & Immunity (13) »
    • Allergy (6)
    • Common Cold (6)
    • Shingles / Herpes Zoster / Post Herpetic Neuralgia / Chicken pox shingles (1)
 Alternative Medicine (8) »
    • Ayurveda (2)
    • Homeopathy (2)
    • Yoga and Lifestyle (4)
 Brain & nervous system (31) »
    • Alzheimer's Disease (1)
    • Bell's Palsy (1)
    • Dyslexia (2)
    • Febrile Fits / Febrile Convulsions (3)
    • Fits/Epilepsy/Convulsions (11)
    • Headache / Cephalgia (5)
    • Leprosy (1)
    • Migraine (3)
    • Others (4)
 Cancers (19) »
    • Acute Lymphoblastic Leukemia (1)
    • Acute Myeloid Leukemia (2)
    • Bone Marrow Biopsy (1)
    • Breast Biopsy (1)
    • Colo-rectal Cancer - Management (1)
    • Cysts and Tumours (1)
    • Endometrial Cancer (1)
    • Gastric Cancer / Cancer Of The Stomach (5)
    • Leukemia (1)
    • Liver Biopsy (1)
    • Liver Cancer (1)
    • Others (1)
    • Ovarian Cancer / Cancer of Ovary (1)
    • Polycystic Ovarian Syndrome / Polycystic ovary disease (1)
 Children’s health & parenting (10) »
    • Others (10)
 Dental Health (4) »
    • Others (1)
    • Tongue Abnormalities / Developmental Disturbances of the Tongue (1)
    • Tooth Decay (1)
    • Tooth Discoloration (1)
 Diet & nutrition (49) »
    • Calcium and Vitamin Supplements (2)
    • Diabetic Diet / Torture or Not (4)
    • Diet and High Blood Pressure (1)
    • Diet Pills (22)
    • Diet, Lifestyle and Heart Disease (5)
    • Ideal Body Weight - A Massive Issue (9)
    • Others (3)
    • Vitamin Supplements (2)
    • Why Do We Eat - Nutrition Facts (1)
 Ear, Nose & Mouth (10) »
    • Cold Sores/ Fever Blisters / Recurrent Herpes Labialis (1)
    • Mouth Ulcers (2)
    • Nose Bleed / Epistaxis (1)
    • Others (5)
    • Vertigo (1)
 Endocrine System (26) »
    • Diabetes - Essentials (18)
    • Diabetes - Self-Monitoring of Blood Glucose (SMBG) (2)
    • Hyperthyroidism / Thyroiditis / Graves Disease (1)
    • Hypothyroidism / Myxoedema (5)
 Gastrointestinal System (72) »
    • Alcoholic Liver Disease (1)
    • Appendicitis (1)
    • Constipation (5)
    • GERD (2)
    • Hiatus Hernia (1)
    • Others (38)
    • Pancreatitis (3)
    • Piles / Hemorrhoids (16)
    • Ulcerative Colitis (5)
 Genetic & Metabolic (21) »
    • Attention Deficit Hyperactivity Disorder (ADHD) (2)
    • Down syndrome / Birth Defects - Genetic (12)
    • Genetic Counseling (1)
    • Klinefelter's Syndrome (1)
    • Muscular Dystrophy / Duchenne Muscular Dystrophy (3)
    • Psoriasis (2)
 Healthcare Industry & Policy (10) »
    • Health Insurance (7)
    • Medical Job (2)
    • Medico Legal (1)
 Heart, Blood & Circulatory System (44) »
    • Anemia / Low Haemoglobin (2)
    • Blood Donation (1)
    • Blood Group (5)
    • Cardiac Catheterization / Coronary Angiogram (1)
    • Congenital Heart Disease – Septal Defects (2)
    • Heart Attack (1)
    • High Cholesterol / Hypercholesterolemia (3)
    • Hypertension / High Blood Pressure (21)
    • Mitral Valve Stenosis And Mitral Valve Replacement (1)
    • Others (3)
    • Palpitations And Arrhythmias (3)
    • Thalassemia (1)
 Infectious Diseases (19) »
    • Amoebic Dysentery / Amoebiasis (1)
    • Chikungunya (5)
    • Chronic Fatigue Syndrome (1)
    • Dengue / Dengue Hemorrhagic Fever / Dengue Shock Syndrome (5)
    • Filaria (3)
    • Hepatitis B (1)
    • Malaria (2)
    • Typhoid and Paratyphoid Enteric Fevers (1)
 Kidney & bladder (9) »
    • Bedwetting / Enuresis (1)
    • Gallstones (1)
    • Kidney Stones/Renal Stones (2)
    • Kidney Transplantation (1)
    • Others (4)
 Lungs & Respiration (20) »
    • Health Hazards of Smoking Cigarettes (1)
    • Lung Cancer (2)
    • Others (3)
    • Respiratory Diseases (2)
    • Smoking And Tobacco (4)
    • Tuberculosis / Pulmonary Tuberculosis / Lung Tuberculosis / TB (8)
 Men’s health (108) »
    • Andropause / Male Menopause (1)
    • Drugs In Impotence (1)
    • Hair Loss (18)
    • Hydrocele (2)
    • Impotence / Erectile Dysfunction (27)
    • Others (39)
    • Phimosis/Circumcision (1)
    • Premature Ejaculation / PE (17)
    • Priapism (2)
 Mental health & addiction (104) »
    • Adolescent Depression (1)
    • Alcohol abuse / Alcohol dependence / Alcoholism (2)
    • Anorexia Nervosa (1)
    • Anxiety Disorder (3)
    • Binge Eating : The Pleasure and Pain (1)
    • Depression (6)
    • Hypersomnia / Excessive Sleepiness Disorder / Idiopathic Hypersomnia (2)
    • Others (5)
    • Phobias (1)
    • Psychoactive Substances/ Substance Abuse / Drug Abuse (1)
    • Psychological Changes In Pregnancy (1)
    • Schizophrenia (3)
    • Sexual Deviance (66)
    • Sleep Disorder (6)
    • Sleep Disorder: Insomnia (1)
    • Sleep Disorder: Narcolepsy (1)
    • Stress Incontinence - Management (2)
    • Suicide (1)
 Miscellaneous (72) »
    • General (72)
 Muscles & Bones (11) »
    • Back Pain (4)
    • Lifestyle And Osteoporosis (1)
    • Osteoarthritis / Osteoarthrosis / Degenerative Disease (1)
    • Others (4)
    • Spondylosis (1)
 Relationships & Sexuality (5) »
    • AIDS/HIV - Common Opportunistic Infections (1)
    • AIDS/HIV - Prevention And Transmission (2)
    • Others (2)
 Senior health (25) »
    • Obesity (25)
 Skin & Hair (38) »
    • Acne / Pimples / Zits (17)
    • Heat Stroke (1)
    • Others (2)
    • Skin Cancer (1)
    • Skin Disease or Dermatology - Overview (14)
    • Skin Disorder / Dry Skin / Xerosis (3)
 Teens (36) »
    • AIDS/HIV (17)
    • AIDS/HIV - Lab Tests and FAQs (1)
    • Oral Health: The First Reflector of AIDS (1)
    • Sex Education For Teens (17)
 Trauma & Injuries (3) »
    • Accident and Trauma Care (3)
 Vision Center (19) »
    • Amblyopia / Lazy Eye (2)
    • Astigmatism (1)
    • Conjunctivitis / Pink Eye (2)
    • Corneal Ulcer (1)
    • Diabetic Retinopathy (1)
    • Lasik Eye Surgery (1)
    • Myopia/Short Sightedness (2)
    • Others (9)
 Women’s health (76) »
    • Birth Control Pills (6)
    • Breast Feeding and Problems (6)
    • Dysmenorrhea / Painful Menstruation / Menstrual Pain (1)
    • Ectopic Pregnancy (1)
    • Endometriosis (3)
    • Female Sexual Dysfunction (2)
    • Gestational Diabetes (1)
    • Gonorrhea / Clap (1)
    • Hot Flash (2)
    • Infertility (3)
    • Labor and Delivery / Pregnancy Labor (1)
    • Menopause (1)
    • Others (12)
    • Ovulation (4)
    • Pregnancy (23)
    • Pregnancy - Exercises and Massages (1)
    • Pregnancy and Complications / Complications of Pregnancy (4)
    • Pregnancy And Diet / Diet During Pregnancy (1)
    • Urinary Tract Infection (1)
    • Vaginitis / Vaginal Infections (2)


Medwonders has 234166 Members and 444 Groups.
Last Updated - May 29, 2020 - Designed & Content Managed by Medindia4u.com Pvt. Ltd.
Copyright © 2020 Medindia4u.com Pvt. Ltd. All rights reserved.