### Rare Disease Treated Without Surgery in Udaipur – 3-Year-Long Illness Cured at GMCH
A 39-year-old woman, suffering from chronic cough for over 3 years, has been successfully treated without surgery at Geetanjali Medical College & Hospital, Udaipur. Initially, the patient was treated for Pulmonary Tuberculosis (TB) — a treatment that usually lasts six months. However, despite the completion of TB treatment, her coughing continued, severely affecting her quality of life.
To identify the root cause of the persistent cough, Dr. Gaurav Chhabra, a TB and Chest Diseases Specialist at Geetanjali, referred the patient to Dr. Pankaj Gupta, a Gastroenterologist. After detailed investigations and endoscopic examination, it was discovered that the patient had developed a Tracheo-esophageal Fistula (TEF) — a rare and serious condition where a hole forms between the trachea (windpipe) and the esophagus (food pipe). This condition is mostly associated with cancers, but in this case, it had developed as a rare complication of previous TB infection.
Faced with a challenging case, the medical team considered two treatment options: open surgery or closure of the fistula using endoscopic clipping technology. After discussing both options with the patient and her family, the non-surgical, endoscopic approach was chosen.
In a procedure lasting just 10 minutes, Dr. Pankaj Gupta and his team successfully sealed the fistula using advanced endoscopic clips. The patient was kept under observation for just 48 hours and was discharged in a healthy condition. She is now fully recovered and on regular follow-up.
This case showcases how Geetanjali Hospital in Udaipur is capable of handling rare and complex diseases with world-class medical technology, expert doctors, and cutting-edge infrastructure. It also highlights that advanced treatments are no longer confined to metropolitan cities like Delhi or Mumbai.
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