::Departments : Super Specialities : Surgical Gastroenterology
Department: Surgical gastro enterology:
   
Short History of the Department
 
The Department of Surgical Gastroenterology and Proctology, the first one in the entire country was started in the year 1978 and the first MCh degree was started in 1984. At present, the department is functioning at present with Two Professors, three Assistant professors and Eighteen M.Ch post graduates ( six PGs every year from 2010 ). With this strength, we conduct the outpatient clinic (now, six days a week , which was originally two days a week), manage the inpatients, perform endoscopies, do ultrasound for our department, perform major surgical procedures – both elective and emergency and also contribute to the academic activities of the department, by presenting at National and International conferences. We also do “Awareness programmes” at regular intervals which are of great use to the society at large and poor people in particular – as prevention is better than cure and it also creates awareness about diseases and clears the myths they have!
 
 Academic activities
 Type of course: Medical
Name of the courses offered:   M.Ch Surgical Gastroenterology
Eligibility: M.S / DNB (General Surgery)
Course duration: 3 years
Sanctioned no of seats: 6
Affiliated university: The Tamil Nadu Dr MGR Medical University.
. Selection Procedure: Postgraduate Entrance Examination-All India & State
University Examination details:
1. Basic Sciences Paper at the end of the Second year
2. Three Papers including Recent Advances at the end of the Third year    
 
 
Periodic academic activities held in the department
Table: Academic Schedule
Monday PG symposium
GI Oncology meet
Audit and Planning
Journal review
Tuesday Operation day
Wednesday Grand rounds – Academic
GI radiology meet
Topic Presentation
Thursday Journal review
Operation day
Friday Clinical case discussion
Operation day
Saturday Operation day
 
Research and Publications ( National and International - for the past 5 years / year wise)
RESEARCH ACTIVITIES CONDUCTED IN THE DEPARTMENT
 
1. Proximal esophageal margins in squamous cell carcinoma of the esophagus
2. Sentinel node detection by submucosal and subserosal injection of marker dyes in gastric cancer
3. Hand sewn Vs Stapled Anastomosis in single Anastomosis of the gastrointestinal tract – TIGER trial, approved by the ethical committee
4.  “The Trigger” for suicide in acid victims
5. QoL assessment after proximal Vs Total gastrectomy for type 2 and 3 GE
Junction tumours.
6. Lymph Node Navigation Surgery In Advanced Gastric Cancer – The New Way To Improve Lymph Node Harvest And Outcome
7. Analysis of Three Gene Signature In Tumors Removed From Stomach Cancer Subjects
8. Neoadjuvant chemoradiation in locally advanced carcinoma esophagus
9. Hand-sewn Vs Stapled pharyngocolic anastomosis for high pharyngeal corrosive stricture
10.Hand-sewn Vs Stapled esophagojejunal anastomosis following total gastrectomy
11.Status of EGFR Mutations in Carcinoma Stomach in India
12.VEGF – Status in Gastric Cancer
13. Pattern of Presentations of GI Problem in retroviral patients
14. Sonic Hedgehog Pathway in Esophageal Carcinogenesis
15. Resection Margin in esophageal cancer
16. QoL study after esophageal reconstruction: Gastric pull up Vs Colon Pull up
17. Study on the outcome of esophageal injuries with specific relevance to the pattern of presentation
18. Analysis of Corrosive Gastric Strictures: A New Working classification
19. Analysis of clinicopathologic factors and outcome of Esophageal fistulas.
20. Revision Neck Strategies in failed cervical anastomosis following pharyngocolic anastomosis in high pharyngeal stricture patients
21. Outcome Analysis of Pancreatic Anastamosis After Whipple’s Operation
22. February 2009 and Ongoing:
Institutional Trial – Complete Mechanical Cervical Anastomosis in Oesophageal Surgery
 
PUBLICATIONS
 
1.Original Article: A Randomized study comparing outcomes of Stapled and Hand sutured Anastomosis in patients undergoing open gastrointestinal surgery; Indian Journal of Surgery, Published Online 26 April 2012
2.Inflammatory pseudotumor of liver secondary to migrated fishbone - a rare cause with an unusual presentation. Annals of Gastroenterology (2012) 25, 1-3
3.Dysphagia for two decades in a 24-year old lady: An unusual cause. Gastroenterology Ms. No. GASTRO-D-12-01676 – Accepted for publication on  25/09/2012
4.Intussuscepting Rectal Lipoma: A Case Report and Review of Literature. The Internet Journal of Gastroenterology; 2012, Volume 11 Number 1.
5.Common Bile Duct Stone with Mirizzi Syndrome: Yet Another exception to Double duct sign and Courvoisier’s Law? The Internet Journal of Surgery 2012, Vol. 28 No.2
6.Tuberculosis Pancreatic Head Mass – A Radiological Dilemma; The Internet Journal of Radiology 2012, Vol. 14, No.1.
7.Successful Management of Chylothorax following transhiatal esophagectomy – The Internet Journal of Surgery.
8.101 Esophageal Injuries – Single Team Experience : Sreekanth D, Tropical Gastroenterology2012; 33(3) Suppl 1
9.Sentinel Lymph Node Navigation Surgery in Advanced Gastric Cancer – A new way to improve lymph node harvest and outcome : C.Kolandasamy, Tropical Gastroenterology2012; 33(3) Suppl 1
10.Assessment of QoL in relation to the type of reconstruction in complex corrosive strictures of upper GI tract : Madhusudhanan J, Tropical Gastroenterology2012; 33(3) Suppl 1
11.New Working Classification which aids in Surgical Decision Making in Isolated Corrosive Gastric Strictures: Ravikumar S, Tropical Gastroenterology2012; 33(3) Suppl 1
12.Analysis of Three Gene Signature In Tumors From Stomach Cancer Subjects: Satheesh Kumar M, Tropical Gastroenterology2012; 33(3) Suppl 1
13.Esophagogastric Foamoma – A new entity : Rajkumar; Tropical Gastroenterology 2012; 33(3) Suppl 1
14.VEGF in cancer stomach: B.Kesavan, Tropical Gastroenterology 2012; 33(3) Suppl 1
15.EGFR  in cancer Stomach: Gnanasekar, Tropical Gastroenterology 2012; 33(3) Suppl 1
16.Yet another exception to Courvoisier’s law – CBD stone with Mirrizi syndrome : Rajasekar; Tropical Gastroenterology 2012; 33(3) Suppl 1
17.Intussuscepting Rectal Lipoma : Madeswaran, Tropical Gastroenterology 2012; 33(3) Suppl 1
18.Gastric conduit pulmonary fistula: Ramesh, Tropical Gastroenterology 2012; 33(3) Suppl 1
19.Esophageal perforation in blunt chest trauma: Successful non-surgical management: Chandrasekar, Tropical Gastroenterology 2012; 33(3) Suppl 1
20.Sump syndrome : A case report – Ramesh N, Tropical Gastroenterology 2012; 33(3) Suppl 1
21.Multivisceral Resection in GI cancer: Our Experience – Rajasekar, Tropical Gastroenterology 2012; 33(3) Suppl 1
22.Acquired Tracheoesophageal Fistula – Madeswaran C, Tropical Gastroenterology 2012; 33(3) Suppl 1
 
INTERNATIONAL & NATIONAL PRESENTATIONS
INTERNATIONAL PRESENTATIONS
AT ISDE 2012, Venice, Italy
1) Poster : 101 Esophageal Injuries – A Single Team Experience
2) Poster: Assessment of QoL in relation to the type of reconstruction in complex corrosive strictures of upper GI tract
3) Video: Giant Esophageal Polyp
 
9th International Gastric Cancer Congress Meeting, Seoul, South Korea: April 2011    
4) Role of Sentinel Node Mapping in Gastric Cancer (Best Paper Award)
5) Impact of Lifestyle in patients with Gastric Cancer in Indian Population (Best Paper Award)
 
World Congress of the International Society for the Diseases of Esophagus at Kagoshima, Japan, September 2010 ( 9 Papers):
6) Totally Stapled Pharyngo-Caecoplasty with colon pull up – A new technique to avoid leak, stenosis and redundancy
7) Factors modifying the outcome in the management of oesophageal injuries – single term experience with 67 cases
8) Malignancy in the corrosive stricture of the esophagus – a single centre experience of 6 cases out of 937 patients of corrosive stricture of the esophagus 
9) Squamous esophageal cancer and the influence of Sonic hedgehog mechanism
10) Proximal extent of spread in Squamous Cell carcinoma esophagus
11) Giant gastric conduit pulmonary fistula due to recurrence after Transhiatal esophagectomy – successful management with covered stent
12) Problem of redundant colon in cologastric Anastomosis in patients undergoing coloplast: Presentation and the new technique to solve the problem
13) Sternotomy and colon advancement after failed pharyngocolic reconstruction due to proximal conduit necrosis – a new technique
14) Successful management with subcutaneous coloplasty after failed jejunal graft for corrosive pharyngeal stricture.
 
62nd Japanese Association of Thoracic Surgeons Conference, Yokohama, Japan, 2010:
15) Complete Mechanical Anastomosis Using Circular Stapler - A Technical Innovation In Colonic Oesophageal Replacement Surgery
16) Arcade Preserving Antrectomy and Gastric Pull Up in Corrosive Oesophageal and Antral Stricture - A Technical                        Innovation
17) Restoration Strategies in Failed Oesophageal Replacements
18) Oesophageal tuberculosis : A review of 24 cases(G-l tract,Travel Grant) Japan Surgical Society – 2009 , Fukuoka, Japan.
19) Total Mechanical Cervical Anastomosis: Is it a solution for anastomotic complications in oesoohageal replacement – ISW, Adelaide 2009
20) Unavialable Colonic Conduit: an Innovative Technique of Gastric Pullup with Corrosive Antral Stricture, ISW Adelaide,2009
21) Anastomotic Failure – Is it anastomtic stenosis or ongoing fibrosis, Strategies in revision, 12th Annual Conference European Integration for Surgical Knowhow – European Surgical Society 2008 Naples Italy
22) Corrosive Antral Stricture – Innovative Technique - 12th Annual Conference European Integration for Surgical Knowhow – European Surgical Society 2008, Naples, Italy
23) Gastrocele due to double stricture following corrosive ingestion, Journal of Japan Surgical Society, , Nagasaki, Japan, 2008
24) Innovative Techniques using stomach as conduit in the management of combined oesophago-gastric caustic stricture, Japan Surgical Society, Nagasaki, Japan, 2008
 
NATIONAL PRESENTATIONS:
IASGCON 2012:
            Current Status of Sentinel Nodes in Upper GI cancer
            Panel Discussion on Cancer Stomach
            Assessment of QoL in relation to the type of reconstruction in complex corrosive strictures of upper GI tract:
           Madhusudhanan J

ASI 2012, Tanjore:
             Innovative Therapeutic Strategies in the Management of Giant Esophageal   Polyps by a Team  Approach
             Yet Another Exception to Double Duct Sign and Courvoisier’s Law – An           Interesting Case Report
             Successful Medical Management of an Unusual Pancreatic Head Mass
             Intersuscepting Rectal Lipoma - A Case Report and Review of Literature
             Prof. Sivanandam Oration – Complex Pharyngoesophageal corrosive strictures
 
Inter Departmental Meet at MMC – August 2012
             Cancer Esophagus
             Surgical management – Madhusudhanan J
             Palliative management – Kolandasamy C
 
Microbiology CME at MMC – Sept 2012
            GI Sepsis – management  - SM Chandramohan
 
Digestive Endoscopy Week 2012
            Debate on Stent vs Surgery for corrosive esophageal strictures - SM    Chandramohan
 
Current Trends in Gastroenterology – organized by Dept of SGE and MGE, MMC on July 15, 2012.
            34 topics presented by SGE and MGE postgraduates
 
Presentations at DDHD, Annanagar, Chennai
            Colonic Lymph cyst – Madhusudhanan J – October 2012
            Whipple Procedure with Portal vein resection - Madhusudhanan J – April      2012
             Hepatolithiasis – Ravikumar S – April 2012
 
Presentation at Clinical Society Meet, Dept of Surgery, MMC.
             Management of Tracheo-esophageal fistula – Dr Kolandasamy
             November 2012
             Whipple Procedure with Portal vein resection - Madhusudhanan J – April      2012
 
Presentation at Liver Club, Global Hospital, Chennai.
             An unusual presentation of Cholangiocarcinoma – Dr Kesavan
             November 2012
Presentation at MGE Meet,MMC
            Surgical management of Cancer Stomach -  Dr.B.Kesavan
            June 2012
            Surgical management of Obstructive Jaundice Dr.B.Kesavan  Sep 2012
 
“Advanced Course in HPB and Liver Transplant surgery for Cancer” jointly conducted by IASG and IASGO. July 14,15, 2012. New Delhi, India:
            Outcome Analysis of Pancreatic Anastamosis After Whipple’s Operation -      Over 3 Years
 
AMASICON in Coimbatore on 20 July 2012
            Invited Lecture on the Status of D2 Gastrectomy
 
CME organised by the Department of General Surgery on 27 June 2012
           Invited Lecture on Management of Enterocutaneous Fistula
 
National Surgical Gastro Enterology UPDATE 2012 at Victoria Hospital, Bangalore, June 2012
            Debate on Esophagectomy without Lymphadenectomy in surgery for             Cancer Esophagus.
 
Presentation at TNSGE Meet, Chennai, April 2012.
            Whipple Procedure with Portal vein resection – Sreekanth D – April 2012
            Giant Esophageal Polyp – Satheesh Kumar
  
Madurai Annual CME Lecture, February 2012:
            Carcinoma Stomach
 
Thanjavur Medical College CME – TAN SUCCESS CME, January 2012:
           Lecture on Obstructive Jaundice
           Panel Discussion on Carcinoma Rectum
 
ASICON Cochin– 27 Dec 2011
             Video lecture on How I do THE
 
Conference Organised by the Toxicology Society, December 2011:
             Management of Acute Corrosive Injury
 
ISG TamilNadu Chapter, Mid Term Conference, Coutraallam
             Case capsule in GI Surgery- September 2011
 National Surgical Gastro EnterologyWorkshop, Bangalore – 08 Jun 2011 -
             Lecture and Panel Discussion on Carcinoma Stomach
           
IASG Midterm conference, Vishakapatnam, 28 March 2011:
             Lecture on Corrosive strictures
  
Government Royapettah Hospital, Chennai – January 2011:
             Guest Lecture – Obstructive Jaundice
 
ISG Tamil Nadu Chapter, December 2010:
             Management of pain in chronic pancreatitis
 
IASG, Hyderabad:
             Live Demonstration: Oesophago-Gastrectomy
             Video lecture on How I do Transhiatal oesophagectomy
 
CME lecture on Do we know how much Lymphadenectomy to be done in carcinoma oesophagus – October 2010

Controversies in the management of oesophageal cancer – October 2010

Bangalore Medical College, Current options in management of oesophageal cancer – July 2010
 
Lecture on Corrosive Stricture Oesophagus, Stanley Medical College, 02 April 2010
 
Faculty, IMA Meeting, Lecture on Common Gastrointestinal problems - 27 March 2010
 
Invited Lecture on Open Vs Minimal Access Surgery in the Management of Oesophageal Cancer 2009: Dr NR Digestive Health Trust and Department of Surgery, Southern Railway Headquarters Hospital, Chennai.2009
 
The Hindu lecture on 31 DEC 2009 – Common GI problems – Awareness Lecture.2009
 
ASICON – Annual Conference of Association of Surgeons of India on Corrosive esophageal Stricture – Problems in Management, 28th and 29th December 2009
 
Invited Lecture – Corrosive Esophageal Stricture as a Speaker – CTCME  organised by the Cardio thoracic Society of India.19 December 2009
 
GE Junction Tumour lecture on 05 December 2009 , CMC Vellore.2009
 
Lecture on Intraabdominal Infections – 11 July 2009 – ZydusCadila.
 
Carcinoma Stomach, Thanjavur on 28th and 29th June 2009
 
Lecture on Oesophageal Cancer – Stanley Medical College – 17 January 2009
 
Invited speaker to speak on “Surgery for Inflammatory Bowel Disorders’ at the Symposium organised by The Tamil NaduDr MGR Medical University, Chennai.2009
 
Invited lecture on Current Trends In the Management of Cancer Oesophagus - Annual Review Course In Surgery organised by The Christian Medical College and Hospital,Vellore.2009
 
Invited lecture on “How I Do It ? Managing Bleeding during Oesophageal Surgery -  Organised by the Indian Association of Surgical Gastroenterology, IASGCON 2009 held at Mumbai.2009
 
Invited lecture on The Status of Telemedicine in Tamil Naduorganised by the Tuberculosis Research center and Apollo Telemedicine Foundation. 2009
 
Invited lecture on The Role of Minimal Access Surgery In Oesophageal Cancer – The Annual Conference of the Society of Endoscopic and Lapaoroscopic Surgeons of India.2009
 
Invited lecture on Management of Benign Corrosive Stricture – Commemoration CME, organised by the Department of Surgical Gastroenterology, Govt. Royapettah Hospital, Institute of Non-communicable diseases, Chennai 2009.
 
Invited Video Lecture – How I Do It ? – Total Gastrectomy, organised by the TN& P Chapter of the Association of Surgeons of India.- NAGASICON2009
 
Invited lecture on “Surgery of Cancer Oesophagus” - organised by the TN& P Chapter of the Association of Surgeons of India.- NAGASICON2009
 
Invited lecture – Carcinoma Stomach – Chennai City Chapter of The Association of Surgeons of India -  Meeting organised by The Department of Surgery, St. Isabel Hospital, Chennai August 2009.
 
Video lecture on How I Do It? TranshiatalOesophagectomyorganised by the Department of Surgery, Global Hospital, Perumbakkam, Chennai under the auspices of The Association of  Minimal Access Surgeons of India March 2009.
 
Invited Lecture on “The Management of GE Junction Cancer” organised by the Gut Club of Govt. Stanley Hospital, Chennai – March 2009.
 
Invited lecture on “Surgery for Cancer Oesophagus” organised by the Department of Surgical Gastroenterolgy, Apollo Hospitals, Chennai February 2009.
 
Invited Lecture – Cancer Stomach – Annual Revision Course – organised by The
Department of Surgery, St Isabel Hospital, Chennai January 2009.
 
Invited Lecture on Cancer Oesophagus - Rapid Revision Course organised by The Sri Ramachandra Medical College and Research Institute, Porur, Chennai. January 2009.
 
Invited lecture on GERD – Tamil Nadu Chapter of Association for Physicians of India – November 2009.
 
Invited lecture on Carcinoma Oesophagus – Association of Surgeons of India, Chennai. November 2009.
 
Invited lecture on carcinoma Stomach – Organised by The Department of Surgical Gastroenterology,
Madurai Medical College, Madurai. November 2009.
 
Debate on Trans-thoracic Vs Transhiatal Oesophagectomy in The National Conference IASGCON 2008 organized by the Indian Association of Surgical Gastronenterology, Chennai – September 2008.
 
Prizes and Award constituted by the Department and Awards won:

INTERNATIONAL RECOGNITION & AWARDS:

1)      Two Best Poster Awards at the International Gastric Cancer Conference (IGCC), Seoul, South Korea, 2011 for
            1. Role of Sentinel Node Mapping in gastric cancer
            2. Impact of Lifestyle in patients with Gastric cancer in Indian                                             population
 
2)      Two International Travel Grants for the Post Graduates working in the Department to attend the International Gastric Cancer Congress, Seoul, South Korea, 2011
 
3)      ISGIO – International Society for Gastrointestinal Oncology Conference 2009, Philadelphia, USA – Educational Travel Grant for the work on Sonic Hedgehog Pathway and its influence on Gli-2 Esophageal cancer, 2009
 
4)      Travel Grant (TWO AWARDS) to attend the 62nd Japanese Association of Thoracic Surgeons conference at Yokohama, Japan for the work on Arcade preserving antrectomy and Gastric Pullup in corrosive esophageal and antral stricture – A Technical Innovation.
 
5)      Three papers recognized as papers of international excellence – Japanese Association of Thoracic Surgeons Conference, Japan, October 2009
 
6)      JSS – Japan Surgical Society Overseas Travel Grant – 2009 for the 110th International Congress held at Fukuoka, Japan for the work on Oesophageal Tuberculosis, 2009.
 
7)      APDW – Asia Pacific Digestive Week, Taipei, Taiwan – 2009, Journal of Gastroenterology and Hepatology – Travel Fellowship for the work on Oesophageal Perforation
8)      ISSF/ISW – International Surgical Society Foundation / International Surgical Week – Adelaide, South Australia 2009 – Travel Scholar Award for the work on Total mechanical cervical anastomosis: Is it a solution for anastomotic complications in oesophageal replacement
 
9)      JSS Overseas Travel Grant (TWO AWARDS) for the 108th International Congress of the Japanese Surgical Society held during April 2008 at Nagasaki, Japan for the work on Innovative Techniques using stomach as conduit in the management of combined oesophago-gastric caustic strictures.
 
NATIONAL RECOGNITION & AWARDS:
1)      Awards  at IASGCON 2012:
a.      Analysis of Three Gene Signature In Tumors Removed From Stomach Cancer Subjects: Satheesh Kumar M
b.      EGFR  in cancer Stomach: Gnanasekar
c.       Intussuscepting Rectal Lipoma: Madeswaran
 
2)      Travel Bursary Award for IASGCON 2012:
a.      Satheesh Kumar M
b.      Madhusudhanan J
c.       Ravikumar S
 
3)      IASGCON 2011, Jaipur – Best Paper Award:
a.      Influence of Lifestyle and Dietary patterns in Gastric Cancer
 
4)      IASGCON 2009, Mumbai – Travel Bursary Award:
a.      Benet Duraisamy. A
b.      Srinivasan. U P
 
CMEs’, Workshops / conferences conducted by the department ( past 5 years / year wise)
 
CMEs, Workshops/Conferences conducted by the Department:
IASGCON 2008
Our Department organized the Annual conference of the Indian Association of Surgical Gastroenterology along with Govt. Stanley Hospital, which was one of the key programs of the surgical gastroenterologists in the country. The meeting was a resounding success and was appreciated well on all counts.
 
International Workshop and Teleconferencing on Diseases of Esophagus 2010
Telelinking with six countries across the globe
Live Surgical Demonstration
                                    MB Orringer : USA
                                    Donald Low : USA
                                    Tony Lerut : Belgium
                                    Dartiville : France
                                    Van Lanshot : Netherlands
                                    Team of Experts: UK
 
GH Gastro Update 2011
An Update of the entire GI Disease management
Renowned faculty from all over India
Overwhelming response from participants so that the registration
has to be closed 2 days in advance.
 
GH Gastro Update 2012
First time in India – A National Video Workshop on GI Surgeries
Specialists from all over the country presented their techniques.
Very successful and widely appreciated conference
 
Services Offered
NO. OF UNITS IN THE DEPARTMENT: 2
 
O.P DAYS AND TIMINGS:
            All days except Sunday; 10 am – 12 noon
I.P UNIT AND ADMISSION DAY (UNIT WISE)
ADMISSION DAYS
UNIT I UNIT II
Monday
Wednesday
Friday
Tuesday
Thursday
Saturday
           
 
 
 
 

BED STRENGTH OF DEPARTMENT: Total – 47 Beds
 
UNIT I UNIT II
Male Female Post Op & Others Male Female Post Op & Others
14 7 3 13 7 3
           
 
AVERAGE O.P / AVERAGE I.P:

TYPE OF SURGERIES PERFORMED:
MAJOR MINOR EMERGENCY BARIATRIC
536 181 132 6
 
 
AVERAGE SURGERIES / MONTH
UPPER G.I HEPATOBILIARY LOWER G.I LAPAROSOPIC EMERGENCY
42 31 33 44 24
 
 
SPECIAL CLINICS CONDUCTED BY THE DEPARTMENT:
            OBESITY CLINIC – EVERY WEDNESDAY BETWEEN 12 & 2 PM
 
LIST OF ENDOSCOPY TESTS PERFORMED:
            Upper GI Endoscopy
             Colonoscopy
             Sigmoidoscopy

AVERAGE ENDOSCOPY TESTS  CONDUCTED / ANNUM:
            Upper GI Endoscopy - 1584
             Colonoscopy - 360
             Sigmoidoscopy - 60
 
 
ORIGINAL INNOVATIVE TECHNIQUES DESCRIBED BY THE DEPARTMENT
1. Surgery for Esophago Pleuro Cutaneous Fistula following Esophageal Perforation
2. Sternotomy and Advancement Coloplasty for Complex Pharyngo-Esophageal Strictures
3. Surgery for Failed Isolated Jejunal Grafts in Complex Pharyngo-Esophageal Strictures
4. Totally Stapled Billroth I Anastomosis following Arcade Preserving Antrectomy in Corrosive Antral Stricture
5. Modified pharyngogastroplasty
6. Gastrocele
7. Gastric pull up in the presence of antral stricture
8. Arcade preserving Antrectomy
9. Totally stapled Billroth | Reconstruction
10.Segmental esophagogastrectomy
11.Revision neck Surgery
12.Self dilatation techniques
13.Trans- anastomotic stenting
14.Modified Coloplasty
15.Totally stapled Pharyngo Caecoplasty
 

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