Zeeshan Ahmed

Asian Institute of Gastroenterology | AIG · Surgical Gastroenterologist

Backgrounds/Aims This trial evaluated whether anti-inflammatory agents hydrocortisone (H) and indomethacin (I) could reduce major complications after pancreatoduodenectomy (PD). Methods Between June 2018 and June 2020, 105 patients undergoing PD with > 40% of acini on the intraoperative frozen section were randomized into three groups (35 patients...

Background: In this study, we aimed to determine the association between postoperative hyperamylasemia (POH) and clinically relevant postoperative pancreatic fistula (CR-POPF) after pancreatoduodenectomy (PD). Methodology: A prospective observational study of 140 consecutive PDs between March 2020 and March 2022 was conducted. POH was defined as a...

Objective: Indocyanine green (ICG) dye guided near infrared fluorescence (NIR) imaging is a promising tool for mapping lymphatics. The aim of this study was to evaluate the role of ICG guided SLN biopsy in Indian colon cancer patients. Material and Methods: Forty-eight patients of clinically staged T1-T3 node negative colon cancer underwent laparos...

Objective: Methylation status of Septin9 (SEPT9) and vimentin (VIM) genes in circulating tumor DNA of colorectal cancer (CRC) patients is a promising bio-marker for the early detection of CRC. The aim of the present study was to identify the methylation status in promoter regions of the SEPT9 and VIM genes in a cohort of Indian patients with biopsy...

Background: Infectious complications are a major source of morbidity in Hepatopancreatobiliary surgery. We audited Intra-operative bile culture reports to determine their significance in perioperative management. Methods: Intraoperative bile cultures of 91 patients were audited from September, 2019 till Nov, 2020 based on which we changed our antib...

Subjective visual assessment (SVA) of colour, pulsations and bleeding from cut edges is unreliable in predicting conduit perfusion during colon pull-up surgery for corrosive oesophageal strictures. This prospective study evaluated whether Indocyanine green fluorescence imaging (ICG-FI) had any additive role to routine subjective visual assessment o...

Background: Infectious complications are a major source of morbidity in Hepatopancreatobiliary surgery. We audited Intra-operative bile culture reports to determine their significance in perioperative management. Methods: Intraoperative bile cultures of 91 patients were audited from September, 2019 till Nov, 2020 based on which we changed our antib...

Introduction: Situs inversus is a rare autosomal recessive condition associated with complete transposition of abdominal+/- thoracic organs. Surgical diagnosis and surgical procedures in patients with situs inversus is tricky because of the mirror image anatomy of intra-abdominal organs. Materials and methods: A retrospective analysis of 2152 an...

Meckel's diverticular perforation is a rare cause of acute abdomen during pregnancy. We report the case of a 24-year-old woman at 24 weeks of gestation who presented with abdominal pain for 4 days accompanied with abdominal distension, tenderness and guarding in right lower quadrant. Ultrasonography was inconclusive. The patient underwent explorato...

Introduction: Hydatid disease is caused by the larval stage of Echinococcus granulosus. It most commonly affects the liver and lung. Pancreatic hydatid cyst (PHC) is very rare with incidence of 0.14%-2%. Presentation of case: A 40year old lady presented with epigastric pain for last 3 months. A 5×5cm abdominal lump occupying the epigastric and l...

Introduction: Gallstone disease has been considered an uncommon entity in children and infants, but its incidence is reportedly increasing which may be attributed to widespread use of diagnostic imaging (ultrasonography). Presentation of case: An apparently healthy 2 year old male child presented to our Outpatient department with chief complaint...

Introduction: Subcutaneous emphysema is a common complication of tube thoracostomy. Though self-limiting, it should be treated when it causes palpebral closure, dyspnea, dysphagia or undue disfigurement resulting in anxiety and distress to the patient. Presentation of case: A 72year old man who was a known case of COPD on bronchodilators develop...

Aims: choledocholithiasis is most common cause of obstructive jaundice. Laparoscopic choledocholithotomy has evolved as an alternative procedure to ErcP/ stenting in the management of choledocholithiasis. this study was aimed to compare the outcomes of laparoscopic cbD exploration with cholecystectomy (group 1) as compared to the conventional two s...

Primary spermatic cord malignant mesothelioma is an extremely rare tumour with only 12 cases reported so far. It is an aggressive tumour with a high recurrence rate. A 45-year-old man presented with a slow growing right inguinal swelling for the past 1 year. Physical examination revealed a well-circumscribed, hard, non-reducible swelling palpable a...