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Doctors Team Up To Perform Challenging Surgery At Manipal Hospital
EHM News Bureau - Bangalore
Amith (name changed) consumed acid in a fit of anger that
caused extensive corrosive burns (grade 3) affecting his airway, food pipe and
stomach. This 27-year-old man was rushed to Manipal Hospital in a state where
he could neither eat nor drink anything. He was treated at the Medical ICU in
Manipal Hospital, during which he underwent tracheostomy (insertion of tube
into the airway) and feeding jejunostomy (feeding tube placed into the small
intestine). He was fed through a feeding intestinal tube during the next three
months. “During follow-up evaluation with endoscopy, we found severe narrowing
of the food pipe and stomach, which was unsuitable for endoscopic treatment.
The only way to rectify his problem was to create an alternative route for passage
of food from his throat to the intestine”, said Dr G Srikanth, Consultant
Surgical Gastroenterologist at Manipal Hospital.
In view of his poor general and physical conditions the surgery
had to be done in stages. “Initially, the patient underwent removal of
stomach and the placement of the feeding tube into the small intestine called
as ‘feeding jejunostomy’. Three months later, after his general condition
and nutritional status were optimised, he underwent reconstructive surgery”,
explained Dr Srikanth. A portion of the large intestine was passed through a
tunnel that was created beneath the breast bone of the patient. This was used
to connect the pharynx (throat) to the small intestine. This was achieved by
a team of surgeons from the department of surgical gastroenterology comprising
Dr G Srikanth and Dr Sameer Baliga, as well as the department of plastic surgery
who provided the neck cover with myocutaneous flap. The patient has now recovered
from surgery without any complications and is able to eat food normally.
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