Rare Gastro Procedure at DESUN helps a patient avoid Open Surgery
10o’ Clock at night : Purnima Devi, a 69 year old lady was brought to Desun Emergency from a nearby hospital. She was vomiting blood, complaining about stomach ache and was losing consciousness at regular intervals with severe breathlessness.
12 Midnight : Within 2 hours i.e. by midnight the test results and clinical examinations revealed that she was anaemic, had high blood pressure, high blood sugar, hypothyroid and had also suffered a major CHF (Congestive Heart Failure) recently which was revealed in the Superspecialty BNP test (this test is performed only by DESUN in house). As she was anaemic excessive bleeding could have been fatal for her. In the ICU, when put under advanced monitoring, her essential parameters like blood pressure, pulse, oxygen saturation, etc. were extremely unstable. She was put on drugs, so that her bleeding could be controlled.
4o’ clock in the morning : Within 4 hours endoscopy was done which showed that she was suffering from Dieulafoy’s Lesion which is a rare medical problem resulting in gastric haemorrhage (i.e. bleeding inside the food pipe). The usual procedure is to remove the lesion by open surgery. But this method, was not recommended by the Anesthetist and also the Consultant of Internal Medicine as her condition was unstable, if surgery was advised immediately she would not survive the surgery. On the other hand, if surgery is not done, then over a period of time she would drain so much blood that her survival also was only a matter of hours. After discussion with other Consultants the Gastroenterologists at DESUN decided to go for hemoclipping the lesion (The Hemo-clip is a metallic device which in this case was used in endoscopy to seal the bleeding source of lesion, so that blood loss does not occur). This was a very difficult procedure as the visibility of the Lesion through the endoscope was very low due to constant seepage of blood from the Lesion.
10o’ clock in the morning : Within 12 hours of admission the bleeding stopped and she was back in the ICU. After 3 days of medication and support in the ICU she was found to be stable and was shifted to the ward. 2 days later a repeat Endoscopy was performed which showed that there was no bleeding. She was discharged within 7 days of emergency admission.
Corollary : DESUN being a leading acute care hospital had not only diagnosed the problem fast but also took remedial measures even faster i.e. within 12 hours of a very complicated life threatening case. This was possible because of expert in-house Fulltime Consultants who worked as a team and dared to do beyond what was written in the medical text books. DESUN is different from other hospitals as it performs nearly all types of life threatening surgeries and procedures under extreme conditions.