Successful thoracic surgery for rare tumour of oesophagus at A J Hospital

[email protected] (CD Network)
November 29, 2012

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Mangalore, November 29: A 32-year-old female patient had a history of difficulty in swallowing food since the last 3 years.  She had consulted several doctors in and around Mangalore and later came to Dr. Ashok Hegde, Head of the Department, General Surgery, A.J. Institute of Medical Sciences.

 

On conducting various tests and experiments, she was diagnosed with large fibro-vascular polyp arising from the upper oesophagus occupying the whole of her food pipe.  The patient was severely anaemic and had lost about 10 kilograms of weight since the last 6 months, according to a press release.


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This patient was referred to the Cardiothoracic Surgery team at A.J. Hospital & Research Centre.  Surgical removal usually requires incision in neck, thorax and sometimes, the abdomen with a long hospital stay. The Cardiothoracic team removed the whole tumour with a single small incision in the neck and a small opening in the oesophagus.

 

The surgery was carried out successfully by the team headed by Dr. Jayashankar Marla, Consultant Cardiothoracic Surgeon, Dr. Madhav Kamath, Consultant Cardiothoracic Surgeon, Dr. Gururaj Thantri, Consultant Cardiac Anaesthetist and Dr. Naganand, Cardiac Anaesthetist.

 

The tumour measured 25 x 6 x 2cm.  Post-surgery, the patient was symptom-free, able to swallow food with no difficulty and has since gained weight, said Dr. Prashanth Marla, Medical Director of A.J. Hospital & Research Centre.

 

Benign oesophageal tumours being rare, this was the rarest and one of the largest reported.  First case was reported in 1559 and since then, less than 100 cases have been reported over the world.  The interesting part is that the surgeons were able to remove the giant tumour with a small incision in the neck, he said.

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News Network
April 28,2020

Bengaluru, Apr 28:  Karnataka Chief Minister B S Yediyurappa today launched a Helpline service for Kannadigas residing outside Karnataka.

On April 24, Dakshina Kannada district in-charge Minister Kota Srinivas Poojary in a letter to the Chief Minister requested a helpline for stranded Kannadigas in Mumbai, other States and other countries.

The helpline will help resolve the problem of stranded Kannadigas across the country. After a request is made, local authorities of the caller will be contacted to provide the required help. The helpline will be operated from Bengaluru and staffed with 50 employees in three shifts.

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News Network
July 2,2020

Bengaluru, July 2: Congress leader and seven-time MLA D K Shivakumar today took charge as the president of the Karnataka Pradesh Congress committee in the presence of senior leaders of the party.

The formal was held at the KPCC office in Bengaluru. The ceremony is said to be a first of its kind in the country as 10 lakh people from the remotest corners of the state — 462 blocks and 6,000 gram panchayats and municipalities across 7,800 locations —witnessed it online.

Dinesh Gundu Rao , MLA, and immediate past president, handed over the party flag to Mr. Shivakumar. Senior leaders Siddaramaiah, Mallikarjun Kharge, and other MLAs and MLCs attended the programme.

AICC general secretary in-charge of Karnataka K C Venugopal spoke on the occasion and lashed out at the Modi government for poor handling of economic and health issues in the country.

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coastaldigest.com news network
May 23,2020

Mangaluru, May 23: Criticising the Karnataka government's fresh protocol for management of Covid-19 as expensive, a prominent physician in the city has demanded its withdrawal.

According to Dr B Srinivas Kakkilaya, the protocol released by the Health and Family Welfare Department on May 15 enlists unnecessary and unconfirmed tests and treatments. 

The protocol has classified Covid-19 cases into three categories and has provided for hospitalisation of all three categories of patients, from asymptomatic to the most severely ill.

In a letter to the government, Dr Kakkilaya said: "The protocol suggests several investigations to be done right on the day of admission, including blood counts, liver and renal function tests, chest X Ray, ECG, CT scan of the chest, and other special investigations, all of which, if done, will cost Rs 25,000 per patient."

"In the coming days when lakhs of patients are likely to be infected with SARS CoV2, is it necessary and feasible to hospitalise and test all these patients at Rs 25,000 per person," he questioned.

The treatment options suggested in the protocol are also surprising, he pointed out. "The protocol recommends choloroquine, azithromycin, oseltamivir, zinc and vitamin C for all patients, from asymptomatic to the severely ill, and also anti coagulant injections for many patients. All these would cost at least Rs 5,000 per patient. For severe cases of Covid-19, many unproven and experimental treatments have been suggested, which are very expensive and highly questionable," Dr Kakkilaya notes.

Therefore, this protocol, he asserted was not evidence based and likely to do more harm than good. He said these unnecessarily expensive tests and allowing private companies to conduct trials on Covid-19 patients is likely to be misused by vested interests and must be immediately withdrawn, and instead, a protocol that is evidence-based, simple and avoiding unnecessary expenses, must be developed.

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