Pranav Balakrishnan

Despite entering the quick commerce space in 2022, Tata-owned BigBasket refused to go all-in on the ultra-hot segment for the past two years. Now, the company finally appears to be morphing into a full-fledged quick commerce player and has a few tricks up its sleeve to make up for lost time.

While quick commerce appears to be the flavour of the season, customers are noticing a drop in service standards. From delayed delivery timelines to platforms pausing orders due to being unable to service them, are we going from quick commerce to quick-enough commerce?

We present a case of a woman in her 60s, with a history of a gastric sleeve resection, over 50% excess body weight loss, and subsequent severe gastroesophageal reflux disease refractory to maximal medical therapy, who underwent a conversion of a sleeve gastrectomy to a Roux-en-Y gastric bypass with hiatal hernia repair. On postoperative day five, she was evaluated at our emergency department for vomiting and inability to tolerate oral intake. Imaging revealed a large retrocardiac hiatal hernia and extraluminal contrast extravasation.She was taken to the operating room after resuscitation, where the gastric pouch and roux limb were found to have significant edema with recurrence of the hernia. This was able to be reduced and a frank perforation was found at the posterior aspect of the anastomosis. A covered metal stent was placed by the gastroenterologist and drains were left in place.In the ICU, nasojejunal feeds were stopped given suspicion of backflow with persistent leak. A decision was made to remove the stent and place an endoluminal vacuum (endoscopic vacuum-assisted wound closure [EVAC]). After three subsequent vacuum-sponge changes, the perforation was found to have healed. Patient was tolerating a diet on discharge.This case is an example of a complication where a multidisciplinary approach to a difficult leak resulted in recovery with the use of EVAC. We believe this is a valuable tool to have in our armamentarium for difficult-to-manage leaks.

SoftBank-backed FirstCry's draft IPO prospectus places significant emphasis on offline stores and sees opportunity in the proliferation of nuclear families. Ultimately, though, it is a nod to how tough the Indian e-commerce market has become.

Outgoing Ola CEO Hemant Bakshi was meant to scale the platform's fledgling e-bike taxi business. According to industry executives, though, Ola's e-bike taxi ambitions have hit multiple speedbumps, even as Ola continues to lose market share to young, hungry competitors such as Rapido and Namma Yatri.

With quick commerce players struggling to move towards profitability, selling advertising has emerged as a critical lever to drive both revenue and margins. Platforms, though, remain divided about whether to build these capabilities in-house or rely on third-party tools

Amid the ongoing heatwave across the country, the issue of cab drivers' refusing to use ACs has come to the fore once more. With new entrant Namma Yatri dividing its cab service into AC and non-AC cabs, is it time for Uber and Ola to follow suit?

The latest senior-level exit from The Good Glamm Group is Good Creator Company CEO Sachin Bhatia. This comes at a time when shareholders of Good Creator Co subsidiary Winkl have sent a legal notice to the company over delays in payments. Bhatia's departure isn't the only CXO-level exit either.

Pranav Balakrishnan As Swiggy gears up for its IPO, it faces the challenge of balancing the imperative for better unit economics with maintaining its relationships with restaurant partners

Pseudoachalasia is a known complication following a gastric band placement that is reversible with band removal. However, the development of a sigmoid esophagus is uncommon. Sigmoid esophagus is considered late-stage achalasia and is associated with worse outcomes with myotomy compared to earlier-stage achalasia. A 53-year-old male with a laparoscopic adjustable gastric band (LAGB) placed 15 years ago presented to the clinic with persistent dysphagia after the band was deflated for symptoms of dysphagia. The upper gastrointestinal series showed a 6.6-cm-diameter, tortuous, sigmoid-shaped esophagus. Esophagogastroduodenoscopy confirmed a diagnosis of sigmoid esophagus proven via the presence of inflamed mucosa, tortuous esophagus, and high lower esophagus sphincter pressure consistent with pseudoachalasia, all secondary to LAGB. The patient then underwent band removal, resulting in rapid resolution of his symptoms. The postoperative barium study showed improvement in dilatation. At the three-month postoperative follow-up, manometry demonstrated normal motility, indicating resolution of the pseudoachalasia and sigmoid esophagus. This case demonstrated band removal as an effective treatment option despite late-stage pseudoachalasia with a sigmoid esophagus.