The etiology of colonic strictures in 263 South African black and Indian patients is presented. Nonmalignant lesions accounted for strictures in two-thirds of the patients and included amebiasis (27), tuberculosis (24), nonspecific colitis (30), ulcerative colitis/Crohn's colitis (11) and other lesions (36). Malignant lesions caused strictures in approximately a third of the black and Indian patients, which is higher than in other reported series in blacks. Accurate clinical diagnosis is difficult and early histologic confirmation is mandatory in order to institute rational management. Strictures of the right colon in the black population are more likely to be benign, except in younger patients. Left-sided colonic strictures have an equal chance of being benign or malignant, and early histologic confirmation is essential. The coexistence of an underlying malignant lesion in association with an inflammatory lesion in an endemic area should always be considered, particularly if it fails to respond to empirical therapy within a short period of time.
BACKGROUND AND OBJECTIVES: Duodenal ulcer perforation is one of the acute abdominal emergencies in the surgical field. Duodenal ulcers are often caused due to imbalance between mucosal defences and acid /peptic injury. the cases of duodenal ulcer perforation in surgically treated patients were thoroughly studied with respect to trends in age, distribution of occurance, risk factors, seasonal variation, outcome of operative and non-operative modalities of treatment and factors influencing the prognosis of the disease. The current study summarizes epidemiology, risk factors, Pathophysiology, pathogenesis, clinical features, investigations, modalities of treatment and prognostic determinents of duodenal ulcer perforation in BTGH, Gulbarga.
ABSTRACT:There is no cancer that is common anywhere that is not are somewhere else. This applied to oesophageal carcinoma particularly to its dramatic feature in varying incidence in different parts of the world. The aetiology of this disease is still an enigma, so many factors being responsible for causation of the disease. The epidemiological study in high incidence are like iran, north west china, Afghanistan showed the different factor were responsible for the prevalence of the disease.in our country also, the frequency with it occurs varies in diffent parts. The average life expectancy of untreated patients with carcinoma oesophagus is only a few months to a maximum of 1 year. By the time the patient presents with dysphagia, usually the disease has extended beyond the curable limits. This is particularly due to the close relationship to other vital mediastinal structures. Nevertheless due to the advent of new techniques in radiology early detection of the disease is now possible. There has been a change in treatment modalities also in the form newer surgical techniques, radiotherapy and chemotherapy. There has been an increase in prognostic index in recent years. As this disease is common in this part of the country, an attempt has been made to analyse the various aetiological factors, clinicopathological correlation and various treatment modalities. All these cases were studied carefully, thoroughly investigated and treated appropriately. Relevant literature was reviewed and an attempt of comparative study also has been done. . KEYWORDS: Carcinama Oesophagus, Chemaprophylaxis. INTRODUCTION: AIM OF THE STUDY:Incidence and analysis of certain aetiological factors in the causation of carcinoma of oesophagus among the patient population attending these referral hospital BTGH Gulbarga. To find out the relative incidence of presentation among our patients. To study the incidence of histipathological type of carcinoma in relation to the site of involvement in the oesophagus. To study the diagnostic investigation modalities being preferred by the treating clinicians and assess their relative accurancy. To assess the various treatment modalities being offered at this renowned referrel centre with particular reference to the histopathological type and site of involvement.
A case of Spigelian hernia in a 70-year-old female patient was diagnosed clinically and treated by surgical repair. The patient had an uneventful postoperative recovery. It is being reported and the relevant anatomical and clinical details and current management are being reviewed.
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