IntroductionAs we proceed towards more and more day care surgeries we always need to choose patients and procedures within a great deal of safety margin. Anti reflux surgeries are gaining more popularity and awareness and Laparoscopic Nissen Rosetti fundoplication is a safe and effective method of performing them.Methods and observationsOur case series of 25 patients who underwent day care Laparoscopic Nissen Rossetti fundoplication done over a period of 3 years suggests the feasibility and safety of performing day care anti reflux surgeries with no complications.DiscussionSurgical outcomes of procedure are unaffected and the main challenge faced remains pain relief and which can be effectively tackled by local blocks or plain NSAIDs.ResultsLaparoscopic Nissen Rossetti fundoplication is a safe procedure to be offered as day care anti-reflux surgery. We encourage more studies in this regards with appropriate blinding to enforce its possibility as day care surgery and help patients with early recovery and decreasing cost of surgeries.
Background and Objectives: Gastric cancer remains one of the most common and deadly cancers worldwide. Based on GLOBOCAN 2018 data, stomach cancer is the 5th most common neoplasm and the 3rd most deadly cancer, with an estimated 783,000 deaths in 2018. Gastric cancer incidence and mortality are highly variable by region and highly dependent on diet and Helicobacter pylori infection. Hence the aim of this study was to analyze the benefits of upper gastrointestinal endoscopy (UGI Scopy) among patients with Gastro Esophageal Reflux Disease symptoms (GERD) and analyze the results of the same, in an attempt to find and diagnose patients with early stage gastric cancer.
Materials and Methods: A cross-sectional study of all patients attending general surgical outpatient department for dyspepsia, GERD and associated symptoms during the year 2019-2020. After institutional ethical clearance, patients written informed consent was obtained after explaining the procedure to them. A through history and examination was done and following this UGI scopy was performed and the findings recorded.
Results: there were a total of 2038 cases. Among these patients 95.78% of them had significant findings. Reflux esophagitis was found in 13.7%, Antral gastritis in 26.4% and Pangastritis in 39.6%, Duodenitis was found in 10.69%, esophageal varices in 4.31% and esophageal candidiasis was 3.72%. 7.2% of the patients were diagnosed with malignancies.
Conclusion: Upper GI endoscopy is therefore an effective tool to facilitate earlier diagnosis and treatment in patients with GERD like symptoms.
Accessory Breasts can occur anywhere along the milk line extending from the axilla to the groin. In view of cosmetic reasons, accessory breasts are removed. We present three cases of accessory breasts with intra-cystic papillary carcinoma in them. Intra-cystic papillary carcinoma is a rare carcinoma that has finger like projections. It has a good prognosis and hence a simple excision biopsy is enough for these patients.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.