Patient Profile
Patient Name
Mr. Anjaneya Naidu
Age / Gender
64 Years / Male
Diagnosis
Infected Walled-Off Pancreatic Necrosis (WOPN)
Hospital
Fortis Hospitals Limited, Mulund, Mumbai
Consultant
Dr. Vipulroy Dayanand Rathod
Past History
Hypertension · Diabetes Mellitus · Chronic Pancreatitis · Multiple endoscopic necrosectomy sessions, February 2026
Patient Background
Anjaneya Naidu, a 64-year-old from Mulund, Mumbai, arrived at Fortis Hospital Mulund with a complex and layered medical history: chronic pancreatitis, Diabetes Mellitus, and hypertension. His condition had progressed to infected walled-off pancreatic necrosis, and he had already undergone multiple endoscopic necrosectomy sessions in February 2026. With a prior culture-positive Klebsiella infection on record and a high-risk profile for open surgery, his family sought the best Gastroenterologist in Mumbai for definitive management. Dr. Vipulroy Rathod, Director of Gastroenterology at Fortis Mulund and pioneer of advanced endoscopic procedures in South Asia, took charge of his care.
Disease Diagnosed
Mr. Naidu was diagnosed with infected walled-off pancreatic necrosis (WOPN), a serious complication of chronic pancreatitis where dead pancreatic tissue becomes encapsulated and infected. With a prior Klebsiella infection, Diabetes Mellitus, and hypertension, open surgery carried significant risk for this patient. Dr. Rathod determined that an endoscopic approach was the safest and most effective path to definitive treatment.
Risks if Left Untreated:
Uncontrolled sepsis from active infection
Extension of necrosis to surrounding structures
Elevated surgical mortality in diabetic and hypertensive patients
Treatment Plan
Dr. Vipulroy Rathod completed definitive management in a single session across four procedures on 04 March 2026.
Why Endoscopic Necrosectomy Was Chosen Over Open Surgery
01 - No Surgical Incision
Entire intervention performed through the endoscope. No abdominal opening, no surgical wound to heal.
02 - Safer for High-Risk Patients
For a 64-year-old with Diabetes and Hypertension, endoscopic management eliminates surgical and anaesthetic risk entirely.
03 - Step-Up Approach
Multiple focused sessions across February and March progressively cleared the necrosis, achieving surgical-equivalent outcomes without a single incision.
04 - Proven Outcome
Near-complete necrosectomy, infection control, and stable discharge, all achieved endoscopically.
How the Procedure Was Performed
- OGD with Narrow Band Imaging (NBI) — high-definition endoscopic assessment of the necrotic cavity prior to intervention.
- Direct Endoscopic Necrosectomy — remaining necrotic material removed and pus pockets drained through the endoscope. Near-complete necrosectomy successfully achieved.
- SEMS Removal — the Self-Expanding Metal Stent placed during February sessions was removed in the same session.
- Double-Pigtail Plastic Stent Placement — a drainage stent placed to maintain the cavity drainage channel during healing, to be removed at 1-month follow-up.
Procedure Summary
- Procedures: OGD+NBI · Direct Endoscopic Necrosectomy · SEMS Removal · Double-Pigtail Plastic Stent Placement
- Hospital Course: IV antibiotics and IV fluids initiated · Prior culture-positive Klebsiella infection treated accordingly · Clinical improvement observed during hospital stay
- Discharge Status: Haemodynamically stable · Symptomatically improved · Discharged on oral medications
“Mr. Naidu’s case is a clear example of what the endoscopic step-up approach achieves, even in a 64-year-old with diabetes, hypertension, chronic pancreatitis, and a Klebsiella infection. The question I always ask is: can we do what surgery would do, without the risks surgery carries for this specific patient? In his case, the answer was yes, and the result speaks for itself.” — Dr. Vipulroy Rathod, FASGE | Gastroenterologist in Mumbai | Director, Gastroenterology and Hepatobiliary Sciences, Fortis Hospital Mulund
Post-Procedure Guidelines
Small, frequent meals to ease load on the recovering pancreas
1-month follow-up with Dr. Vipulroy Rathod with MRCP imaging
Follow-up with treating physician with investigation reports
Regular blood sugar monitoring with insulin sliding scale
Blood tests at follow-up: CBC, CRP, Creatinine
Outcome
Timepoint | Result |
During Session | Near-complete necrosectomy achieved. Necrotic material removed, pus pockets drained |
Same Session | SEMS removed · Double-pigtail plastic stent placed for ongoing drainage |
Hospital Stay | IV antibiotics and IV fluids · Clinical improvement noted |
At Discharge | Haemodynamically stable · Symptomatically improved |
Discharge Medication | Oral medications only |
1 Month | MRCP follow-up scheduled · CBC, CRP, Creatinine review with physician |
Long-Term Expectations
With dietary modification, blood sugar control, and regular follow-up, Mr. Naidu’s recovery outlook is positive. The double-pigtail stent will be reviewed and removed at the 1-month MRCP appointment once healing is confirmed. Ongoing management of chronic pancreatitis, hypertension, and diabetes will remain central to his long-term care.
Patient Feedback
“At 64 with my BP and diabetes, I was scared when they said I needed another procedure. Dr. Rathod personally explained everything, what he would do, why, and what to expect. I went home the same week feeling genuinely better, without any surgery. I would recommend Dr. Rathod to anyone dealing with pancreatic problems in Mumbai.” Anjaneya Naidu, 64 | Mulund, Mumbai
“Our family was very worried about my father. What gave us confidence was how calmly Dr. Rathod explained the plan. After the procedure, Papa was discharged stable and we could finally breathe. Thank you from our whole family.” Savitha Naidu, Patient’s Daughter | Mumbai, Maharashtr