In a first, GMC Srinagar carries out EUS guided biliary drainage in Kmr

SRINAGAR: In a first, the Government Medical College (GMC) Srinagar performed Endoscopic ultrasound (EUS) guided biliary drainage on a patient on Wednesday.
(EUS)-guided biliary drainage has been introduced as an alternative for patients who had failed Endoscopic Retrograde Cholangiopancreatography (ERCP).
Dr Showkat Ahmad Kadla, Professor and Head of Department, Gastroenterology, Super Specialty Hospital GMC Srinagar told TNN that a 72 years old patient was admitted in Medical Gastroenterology ward at Super Specialty Hospital Srinagar with obstructive jaundice.
“The patient on evaluation was found to have periampullary growth with liver metastases. ERCP was tried for palliative drainage but was not possible as the growth had occupied whole the lumen of duodenum”, Dr Showkat said.
After going through the whole process we brought accessories from New Delhi which was donated by the doctors of Medical Gastroenterology Super Specialty Srinagar and I was personally monitoring the patient from last two weeks. There was whole Department of Gastroenterology and Hepatology involved in the process under leadership of Prof. Dr.Rukhsana in presence of Medical Superintendent Dr. Jahangir Bakhshi, Dr Showkat said.
“I must say that the patient was extremely supportive as well. He agreed to carry out the process and backed the doctors at every step which was a positive sign”, Dr Showkat added. “After the said process EUS guided biliary drainage (choledocho-duodenostomy) was performed on the patient that was done first time in Kashmir”, he added.
Dr Showkat further said that earlier patients would have to go outside Jammu and Kashmir for the same which could cost around Rs 2 to 3 Lac. Now we have done the same at the zero cost at stent which was used in the process was brought under golden card, which too has been a gigantic step taken by the Jammu and Kashmir government.
The patient is doing well and is planned to be discharged tomorrow, Dr Showkat said. Adding that he said, “The process took 15 minutes and if having everything goes as planned we will continue to carry out such performances in the near future as well”.
“At the same time I would say that I was planning to do so in the past well, however, due to Covid-19, the said process could not done. But now, it has been done we are very much proud of doctors at Department of Gastroenterology and Hepatology and other staff at Government Medical College, Srinagar, Dr Showkat said.