- Post-radiotherapy Esophageal stricture dilatation
- Endoscopic Ultrasound staging for carcinoma esophagus
- Treatment of Common bile duct stone
- Endoscopic ultrasound of pancreatico-biliary system for chronic recurrent pancreatitis with jaundice
- Endoscopic excision of gastric submucosal polyp
- Endoscopic resection of giant esophageal tumor
Dr. Vipuroy Rathod demonstrated how to perform the above procedures while avoiding the possible complications of perforations & bleeding. The participants came from 40 centres across India including both Government and Private Hospital doctors, each center having almost 40 to 50 doctors glued to their laptops and mobiles. There was live interaction between Gastroenterologist from USA, UK, Middle East and our neighboring countries. Besides, Gastroenterologists, Endoscopists, Surgeons, MD Physicians and DM/DNB fellows who attended the Webinar there were also Gynecologists who had addressed their doubts about the management of pancreatitis and cholecystitis in pregnancy. During the Live Surgery, the participants found the approach of Dr. Rathod very insightful.
Dr. Vipulroy Rathod’s Guidelines for the case:
- During the Esophageal balloon dilatation there may be the perforation during the procedure so dilatation should be the gradual and during the dilatation put an eye on the pulse rate.
- EUS staging is the standard for all the esophageal cancer for planning treatment strategy
- For all biliary pathology prior to ERCP, EUS must be done to predict the possible complications during the procedure. Sphinchterotomy should be meticulously controlled. Prior preparation for control of possible bleeding like saline-adrenaline injections should be ready. Post ERCP complication rate in our setup is less than 1% , where as the complication rate in all the other leading centres in India and abroad range from 10-15%.
- EUS is performed in all cases of pancreatitis to determine the current status and its etiology and plan further management. Unlike other imaging studies, EUS gives information regarding both the ductal and parenchymal pathology.
- Prior EUS determines the exact location and vascularity of the lesion that help to plan the procedure. Loop ligation of the polypoidal lesion strangulates the lesion and obviates the chance of bleeding from the stump.
There were various doubts and questions raised by the participating doctors which Dr. Rathod answered at length like the preferred position for ERCP, what should be the length of CBD stent, how to manage a condition where pancreatic duct stent migrated to spleen and then to pleural cavity, etc.
The Webinar ended with gratitude from the participants. Dr. Hemant Sant and Baroda Surgeons Association found the webinar as an excellent flawless demonstration of an endoscopic procedure and heartily congratulated Dr. Rathod. Dr. Siddesh made it a point to regularly attend the webinars conducted by Dr. Rathod.
The Live webinar proved pivotal in addressing the issues related to practicing efficient Endoscopy procedures across the globe. It was an important milestone in creating awareness and spreading quality healthcare practices within the society.
