Jothinathan Muniandy

5 Questions 3 Answers 0 Followers

Questions related from Jothinathan Muniandy

Would oncologist initiate Imitanib for GIST without a positive biopsy?

Rectal GIST is relatively rare, and no endoscopy image and CT/MRI shows suspicion for GIST rather than particular characteristic. We have performed an EUS biopsy, but it doesn't yield a...

01 January 2023 4,471 4 View

Any advice on Distal Enterostomy Feed?

35 years old lady presented with mesenteric ischemia, resection of small bowel and double barrel stoma matured, 10cm from DJ and distal stoma (~100cm small bowel left behind with intact ileocaecal...

21 July 2015 1,015 4 View

Dislodged Naso Gastric Jejunal (NGJ) tube re-placement in traumatic D2 injury with T-tube? Alternative measure without scope?

We managed a traumatic D2 injury patient with incredible difficulty. We finally managed with T-tube and NGJ tube placement during laparotomy. Recently NGJ tube dislodged. Is there any way to place...

01 January 1970 8,480 5 View

What is your choice of surgical option for Synchronous right & left sided tumour?

I often face dilemma and on choice of surgical treatment when you face with syncronous right & left sided tumour. I personally prefer total colectomy with 1 anastomosis rather than 2...

01 January 1970 7,839 0 View

Resect or rebiopsy suspicious Polypoidal Rectal lesion which yield high grade dysplasia?

How do you approach circumferential suspicious Polypoidal mid Rectal lesion which yield high grade dysplasia by 2 different senior endoscopist?

01 January 1970 6,771 3 View