Stomach cancer is the second-most common cancer among men and third-most among females in Asia and worldwide. 1 The symptoms and sign of stomach cancer are often reported late when the disease is already in advanced stages and 5-year survival is less than 30% in developed countries and around 20% in developing countries. 2 Despite of large number of such patients being treated in, there is lack of sufficient publications on the epidemiology of gastric cancer from India. 3 Most of the reported studies on gastric cancer from India are case reports or case series and few are case-control studies and they often deal with few specific risk factors associated with gastric cancer without looking into the entire spectrum of the disease. 4 Hence there is an urgent need for more research is to understand the etiology, develop suitable screening test, to demarcate high-risk population ABSTRACT Background: Gastric cancer in India shows marked regional variation both in incidence and presentation. Highest incidence is seen in the north eastern states of India. Its also common in West Bengal. However data on various clinicopathological characteristics of our gastric cancer patients is limited. The aim of this study was to find out the epidemiological profile of gastric cancer patients attending a tertiary care government hospital in West Bengal. Methods: 50 cases of gastric cancer patients were included in the study. They were admitted from surgical OPD. Patient characteristics were obtained using pretested questionnaire. All relevant investigations like endoscopy, biopsy reports, HPE and operative notes were recorded. Results: Average age of the patients was 51.76 years. There were 41 males and 9 females (4.56:1). There were 35 Hindus and 15 Muslims (2.33:1). 56% of the patients came from rural areas while the rest (44%) resided in urban areas. Weight loss was the commonest symptom followed by dyspepsia and abdominal pain. Majority of them were smokers (76%). Antrum was the commonest site of involvement and most common type of lesion was ulceroproliferative type (50%). Most of the gastric cancers were poorly differentiated adenocarcinomas. Indeterminate type was the commonest histological subtype. 16% of patients deemed operable on preoperative workup had advanced unresectable cancers. Conclusions: Majority of the gastric cancer patients appear to be male and Hindu by religion, mostly with a rural background. The average age at diagnosis was 51 years. Commonest symptoms were weight loss and dyspepsia. A high percentage of the patients were smokers with a long duration of smoking. About half of the patients had poorly differentiated cancers and indeterminate histology. A significant number of cases presented late with advanced disease. There is a need for urgent screening protocol to identify patients at earlier stages of the disease.
Background: The objective of the study was to discuss the appropriate course of action in cases of sigmoid volvulus. It becomes important due to its high morbidity and mortality and its acute emergency presentation.Methods: This is a retrospective study of sigmoid volvulus admitted in the department of surgery at Late SBRKM Government Medical College, Jagdalpur. The study period was from January 2017 to August 2019. A total of 27 cases were under study. On admission, they were examined, investigated and treated surgically and the outcome noted.Results: Out of 27 patients 25 were male and 2 cases were female. The mean age group was 65 years. The co-morbidities consisted of previous abdominal surgeries, diabetes mellitus, hypertension, and renal complications. The common factor was chronic constipation and purgative abuse. All underwent a definitive surgical procedure like sigmoidectomy and colorectal anastamosis or sigmoidectomy and colostomy. In the second group colostomy closure and end to end anastamosis carried on at a later date. We have lost 5 patients in the post-operative period.Conclusions: The sigmoid volvulus presents with the features of intestinal obstruction. The real danger is the gangrene of the bowel, as a consequence of ischaemia. It requires an early surgical intervention for the maximum benefit of the patient.
Background: Perforation is the most serious, the most fatal and one of the commonest complication of all gastric and duodenal ulcers and occurs in about 10 to 15% of all recognized chronic peptic ulcers. Very low mortality and good results but it has not become popular till now. The objective was to correlate (Assess) the prognosis with "Grading scale" and to evaluate the factors affecting the prognosis and also to know the Incidence, Male/ Female sex ratio, and Social distribution. Methods: Study of 118 consecutive cases of peptic perforation, particularly dealing with their clinical manifestations and management. All cases were admitted in the Department of surgery of Hamidia Hospital Bhopal. The Permission from Institutional Ethics Committee was obtained. From each and every patient included in the study, initially informed individual consent was taken. Results: Average duration between onset of perforation and admission was: 38 hours 11 minutes. Average duration between admission and operation was: 7 hours 23 minutes. Average duration between onset of perforation and operation was: 45 hours 34 minutes. Conclusion: Benign ulcer perforations were most common in the age group of 30 -39 years and 40 -49 years. Close follow-up at interval of three months is recommended for every case of perforation treated by simple suture. In case of recurrence of ulcer symptoms failing to respond medical treatment, gastrojejunostomy and truncal vagotomy is recommended.
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