Gallbladder Stones: A Silent Warning Sign for Future Heart Attack?
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Dr AvinashTank, is a super-specialist (MCh) Laparoscopic Gastro-intestinal Surgeon,
Achalasia Cardia
Esophageal achalasia is an esophageal movement disorder that affects the smooth muscle layer of the esophagus and the lower esophageal sphincter (LES).
The esophagus is the tube like organ that facilitates food from the mouth to the stomach. The lower esophageal sphincter (LES) is a muscular ring that open after food is swallowed and closes the esophagus from the stomach when empties into stomach. In achalasia, your LES fails to open up during swallowing, which it’s supposed to do. This leads to a backup of food within the esophagus
Risk Factor
In Achalasia, initially nerves of esophagus are damaged due to unknown reason. Later on muscles of the esophagus are also gradually damaged. Most of the time, underlying causes is unknown. But in some cases there may be underlying cancer of esophagus.
Diagnosis
There is no blood test to diagnose esophageal achalasia. Specific test like Barium swallow, manometry & endoscopy are done. In barium swallow X-ray is being taken while drinking special liquid. Esophageal manometry records the movement of esophagus with the act of swallowing. Endoscopy shows dilation of esophagus or underlying cancer.
Symptoms
- The main symptoms of achalasia are difficulty in swallowing (dysphagia), vomiting out (regurgitation) of undigested food and weight loss. Dysphagia tends to become progressively worse over time and to involve both fluids and solids.
- Some people may experience coughing when lying in a horizontal position. Food/liquid/saliva is retained in the esophagus and may be inhaled into the lungs (aspiration).
- The chest pain experienced and non-cardiac chest pain can often be mistaken for a heart attack.
Complications
- Aspiration Pneumonitis
- Cancer
Treatment
There is no treatment to correct the underlying problems of nerves or muscles. Available treatment is directed towards relief of symptoms. Medical treatment is directed to relax the lower esophageal sphincter & fasten the process in food emptying.
- Endoscopic Balloon dilatation
- Endoscopic Botulin injection
- Endoscopic POEM (PerOralEndoscopicMyotomy)
Surgery
- Laparoscopic Heller’s Myotomy
- Esophageal Resection: Definite treatment of achalasia is resection. So resection if esophagus is advised after all simple treatment fails to improve symptoms. Common indications are so much dilated (tortuous esophagus/megaesophagus/sigmoid esophagus) & failure of more than one myotomy, or an undilatable reflux stricture. In addition to definitively treating the end-stage achalasia, esophageal resection also eliminates the risk for carcinoma.
DR. AVINASH TANK
- Super-specialist Liver, Gastro, Obesity & Cancer Surgeon
- Trained from Best Centres of India: SMS Medical College Jaipur (Rajasthan); Sanjay Gandhi Post Graduate Institute of Medical Sciences, Lucknow (UP). Dr Avinash Tank is the best bariatric surgeon in Ahmedabad, India.
- Rewarded Fellowship in
- Laparoscopic Liver Surgery & Liver Transplantation from South Korea
- Advanced Pancreas Surgery from Japan.
- Bariatric Surgery (IAGES), India.
- Recipient of many National & International Awards for clinical research.
- Awards with Photos
- Best Obesity & Gastro Surgeon: Deputy Chief Minister of Gujarat, 2019
- Heroes 2019: Excellence in Gastro & Obesity Surgery.
- Obesity Doctor of Year 2020, at Vyapaar Jagat Convention & Awards, 2020.
- Top Achievements
- Gall stones: We removed 1070 stones of gall-bladder by laparoscopic surgery. This news is covered in Divya Bhaskar newspaper on 1st April 2019.
- Highest Weight Reduction.
- 80 Kg Weight reduction (167 kg to 80kg) within 1 year after surgery
- Diabetes Free Life
- All blood-sugar levels are normal within 48 hrs of surgery
- All diabetes medicines are stopped after surgery
- Cancer Free Life
- 12 years of Cancer Free Life after Stomach & Colon Cancer Surgery.
- Acidity
- 10 year old acidity (Reflux) problem is solved by 2 hours of surgery.
- Intestine Surgery
- 3 Idiots fame Bollywood Writer Abhijat Joshi’s father was operated for intestine blockage.
- Past Designations
- Ex Founder Head of Department of Liver, Gastro, Obesity Surgery at Shalby Hospital (2010 to 2017).
- Ex Visiting Consultant, Civil Hospital, BJ Medical College, Ahmedabad.
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