4.1.07

OP Sharma a 55 years old obese male with a French-cut beard presented with features of intestinal obstruction. Had a laparotomy previously in 1993 (Dr Mahesh Gupta) for abdominal pain at which probably (no records available) adhesiolysis was done and thereafter the patient was started on ATT (antitubercular therapy) initially for 6 months and then again for one and half years. The symptoms persisted. Dr Pramod, the gastroenterologist, then got a BMFT done.  This revealed strictures in the small intestine.

At laparotomy now, dense adhesions were encountered in the RIF. These were lysed. A band obstructing the midileum was divided. And then 3 strictures in the proximal ileum in a segment of 6 inches were resected  and an EEA done.