Gajanan D Wagholikar

Deenanath Mangeshkar Hospital and Research Center

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Sadiq S. Sikora

Australia and New Zealand Banking Group

Vinay K. Kapoor

Gandhi Medical College & Hospital

Rajan Saxena

Sanjay Gandhi Post Graduate Institute of Medical Sciences

Mohammad Ibrarullah

Apollo Hospitals

Ashok Kumar

Sanjay Gandhi Post Graduate Institute of Medical Sciences

Narendra Krishnani

Sanjay Gandhi Post Graduate Institute of Medical Sciences

Anu Behari

Sanjay Gandhi Post Graduate Institute of Medical Sciences

K Sambasivaiah

Tata Memorial Hospital

V K Kapoor

Augusta University

Kai-Chah Tan

Gleneagles Hospital

Cooperative Institutions

Deenanath Mangeshkar Hospital and Research Center

Sanjay Gandhi Post Graduate Institute of Medical Sciences

Institute of Medical Sciences

Sri Venkateswara Institute of Medical Sciences

Inserm

Aditya Birla Memorial Hospital

Tata Memorial Hospital

Assistance Publique – Hôpitaux de Paris

Université Paris Cité

Grant Medical College and Sir Jamshedjee Jeejeebhoy Group of Hospitals

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Morphological changes in bile ducts following preoperative biliary stenting.

PubMed (2003)

Gajanan D Wagholikar Sadiq S. Sikora Rakesh Kumar Pandey Kaushal K Prasad Ashok Kumar

Intrahepatic bile ducts

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Citations (14)

Retrograde trans-gastric vacuum therapy for treatment of Post-POEM Boerhaave syndrome

Endoscopy (2023)

Amol Bapaye A. Bale M. Borkar J. Ansari Rohan Yewale

Abstract Text 36-y-Male-POEM for Achalasia.POD1-Contrast swallow-No leak.POD2–Discharged-soft diet.POD-7-vomiting f/bchest pain.-CECT Thorax-Defect in the right posterolateral aspect of esophagus with contrast leak.Contained collection in right peri-esophageal region.EGD-wide open incision site s/o Post-Poem Boerhaave syndrome.Narrow tunnel leading to cavity. Tunnel laid open till mouth of cavity. 24Fr-PEG placed. Custom-made EndoVac Sponge prepared.Sponge placed per orally in esophagus at level of cavity. External continuous suction-120mm Hg.Endovac replaced-scope through the PEG tract in a retrograde approach as antegrade placement was cumbersome and risk of extension of mucosal defect. Endovac replaced every 4-5 days for 5 sessions

10.1055/s-0043-1765976

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Spontaneous perforation--a rare complication of choledochal cyst.

PubMed (2004)

Gajanan D Wagholikar Kamal Chetri Surinder K Yachha Sadiq S. Sikora

Choledochal Cysts

Perforation

Jejunostomy

Presentation (obstetrics)

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Citations (12)

Early Gallbladder Cancer

Journal of the American College of Surgeons (2002)

Gajanan D Wagholikar Anu Behari Narendra Krishnani Ashok Kumar Sadiq S. Sikora

Gallbladder Cancer

10.1016/s1072-7515(02)01214-0

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Citations (11)

Internal drainage of liver hydatid - concerns and solutions

Gajanan D Wagholikar Sadiq S. Sikora Ashok Kumar Rajan Saxena Vinay K. Kapoor

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Catheter outflow obstruction due to an aspergilloma.

PubMed (2011)

Tarun Jeloka S Shrividya Gajanan D Wagholikar

Aspergilloma

Outflow

10.3747/pdi.2010.00099

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Citations (20)

Per rectal endoscopic myotomy for the treatment of adult Hirschsprung's disease: First human case (with video)

Digestive Endoscopy (2016)

Amol Bapaye Gajanan D Wagholikar Sameer Jog Aditi Kothurkar Shefali Purandare

Hirschsprung's disease (HD) is a congenital disorder characterized by the absence of intrinsic ganglion cells in submucosal and myenteric plexuses of the hindgut; and presents with constipation, intestinal obstruction and/or megacolon. HD commonly involves the rectosigmoid region (short segment HD), although shorter and longer variants of the disease are described. Standard treatment involves pull-through surgery for short segment HD or posterior anorectal myotomy in selected ultrashort segment candidates. Third space endoscopy has evolved during the past few years. Per oral endoscopic myotomy and per oral pyloromyotomy are described for treatment of achalasia cardia and refractory gastroparesis, respectively. Using the same philosophy of muscle/sphincter disruption for spastic bowel segments, per rectal endoscopic myotomy could be considered as a treatment option for short segment HD. A 24-year-old male patient presented with refractory constipation since childhood, and habituated to high-dose laxative combinations. Diagnosis was confirmed as adult short segment HD by barium enema, colonoscopic deep suction mucosal biopsies and anorectal manometry. Histopathology confirmed aganglionosis in the distal 15 cm. By implementing principles of third space endoscopy, per rectal endoscopic myotomy 20 cm in length was successfully carried out. At 24-week follow up, the patient reported significant relief of constipation and associated symptoms. Sigmoidoscopy, anorectal manometry and barium enema confirm improved rectal distensibility and reduced rectal pressures. The present case report describes the first human experience of per rectal endoscopic myotomy for successful treatment of adult short segment HD.

Anorectal manometry

Barium enema

Megacolon

10.1111/den.12689

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Citations (37)

Laparoscopic management of intra-hepatic gallbladder perforation

Journal of Minimal Access Surgery (2019)

Tejas Nikumbh Ajay Bhandarwar Shubhangi Sanap Gajanan D Wagholikar

Intra-hepatic perforation of the gallbladder (GB) leading to hepatic abscess is a serious and rare complication of cholecystitis, with very few sporadically reported cases in the literature. Hence, there is no standard approach to treat it. A thorough radiological evaluation with computed tomography and endoscopic retrograde cholangiopancreatography is necessary before proceeding with surgery in such cases. An early laparoscopic intervention to perform a sub-total cholecystectomy with drain placement is enough to treat both cholecystitis and liver abscess in a definitive manner. While previous reports have advocated an open surgery, our series demonstrates that early laparoscopic management is a safe and suitable approach in such cases.

Perforation

10.4103/jmas.jmas_267_18

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Citations (5)

Retrograde jejuno-jejunal intussusception.

PubMed (2003)

Gajanan D Wagholikar Mohammad Ibrarullah Narayan Hegde N. Vijay

Jejunum

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Cronkhite Canada syndrome complicated by pulmonary embolism—A case report

International Journal of Surgery Case Reports (2016)

Neha L. Nemade Urvi Shukla Gajanan D Wagholikar

Cronkhite Canada Syndrome (CCS) is a rare syndrome, described in 1955 by Americans, Leonard Wolsey Cronkhite and Wilma Jeanne Canada in the New England Journal of Medicine [1]. About 450 cases have been reported. Complications, like malignant transformation, unprovoked thromboembolism is known. Since there is wide variability in medical presentation, no definitive diagnostic and treatment protocol s have been set. The mortality remains at 55%.We report a case of a 50 year old male patient presenting with diarrhea, weight loss, abdominal pain, ectodermal features. His upper (UGI) and lower Gastrointestinal (LGI) endoscopy showed multiple polypoidal and carpet like lesions in fundus, body and antrum of stomach. Videocolonoscopy showed multiple sessile and pedunculated polyps. Multiple biopsies were taken, proving malignancy. Because of poor nutrition, total parenteral nutrition was given for four weeks. After nutritional optimization, he underwent laparoscopic assisted subtotal colectomy. His post-operative course was complicated by the occurrence of pulmonary embolism and anastomotic leak.CCS is an ailment of unknown pathophysiology. Considering what is known so far, patients suffering from CCS are at highest risk of thromboembolic episodes. This seems to be irrespective of surgical intervention. Patients of CCS should have thromboembolic prophylaxis started as soon as a diagnosis is made. They should have thrombophilia profile, fibrinogen level and Factor 8 tested before any intervention is planned.If CCS presents with a surgical indication, namely malignancy, the patient should be categorized as highest risk for thromboembolic complications and both mechanical and pharmacological prophylaxis be instituted.

Gastrointestinal bleeding

10.1016/j.ijscr.2016.11.020

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Citations (5)