Government Medical College (GMC) Srinagar has set up a new benchmark by performing a successfully maiden Choledochoduodenostomy of a 72-year-old patient who is now performing well.
An official told a local news agency, Kashmir News Observer (KNO), that a 72-year-old patient was admitted to the Medical Gastroenterology ward at Super Speciality Hospital Srinagar with obstructive jaundice.
He said that on evaluation the patient was found to have periampullary growth with liver metastases.
ERCP was tried for palliative drainage but was not possible as the growth had occupied whole the lumen of the duodenum, he said, adding that EUS guided biliary drainage (Choledochoduodenostomy) which is first time is done in Kashmir under the eminent leadership of Dr. Showkat Ahmad Kadla and Anaesthesia team under the leadership of Dr. Rukhsana in the presence of superintendent Dr. Jahangir Bakhshi. of Medical
The patient is doing well and is planned to be discharged on 22 September, he said.
The procedure is the first of its kind in the valley. Previously, these patients had to go to New Delhi for the same which would cost them 2-3 lac rupees, he said.
However, here the cost was zero, as the stent was placed under a golden card and accessories were donated by the doctors of Medical Gastroenterology Superspeciality Srinagar, he added.
Dr. Showkat Ahmad Kadla, Professor and HOD, Gastroenterology, Super Speciality Hospital, GMC Srinagar while talking to KNO said that Choledochoduodenostomy has been first done in while J-K and Himachal Pradesh.
“Choledochoduodenostomy, choledochojejunostomy, or sphincteroplasty are used in the treatment of selected patients with retained, recurrent, and impacted bile duct stones; strictures of the bile ducts; stenosis of the sphincter of Oddi; pancreatitis associated with the biliary disease; choledochal cysts; fistulas of the bile duct; and biliary obstruction, either benign or malignant,” he said.
He said that patient is a stage-4 tumor patient and we punctured his duodenum and this procedure is done in just a few parts of India.
He said that all accessories were provided to patients free of cost and we just wanted to start it here so that patients won’t have to go to Delhi for this procedure which is very costly.
It is a very rare and difficult procedure and around 30 people were engaged with this procedure, he said, adding that he hasn’t slept for the last three nights as actually it took time to convince the patient and attendants.
As it is a risky procedure but the patient himself being a well-educated person happily decided to go for it so that it can give him some relief, he said, the patient is alright and has got very much relief. “Tomorrow, he will be discharged,” he said on Wednesday.