Changing pattern of laparoscopic internal drainage of pancreatic pseudocyst in the era of endoscopy: Experience from a tertiary centre in South India

Introduction. Pancreatic pseudocysts are a common complication of acute pancreatitis. Pancreatic pseudocyst’s natural history ranges between its spontaneous regression and the settlement of serious complications if untreated, such as splenic complications, hemorrhage, infection, biliary complications, portal hypertension, and rupture. The rupture of a pancreatic pseudocyst to the peritoneal cavity is a dangerous complication leading to severe peritonitis and septic conditions. It requires emergent surgical exploration that is often of great technical difficulty and with important morbidity and mortality.Case Study. We present two cases of spontaneous rupture of pancreatic pseudocysts, managed differently according to the local and systemic conditions.Conclusion. The best surgical choice is the internal drainage of the cyst to the GI tract; however, in some conditions, the external drainage is the only choice available.

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Risk factors for acquisition of scrub typhus in children admitted to a tertiary centre and its surrounding districts in South India: a case control study

BMC Infectious Diseases ◽

10.1186/s12879-019-4299-2 ◽

2019 ◽

Vol 19 (1) ◽

Cited By ~ 1

Author(s):

Winsley Rose ◽

Gagandeep Kang ◽

Valsan Philip Verghese ◽

Sadanandane Candassamy ◽

Prasanna Samuel ◽

...

Keyword(s):

Risk Factors ◽

South India ◽

Case Control Study ◽

Scrub Typhus ◽

Case Control ◽

Tertiary Centre ◽

Control Study

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ERCP in Evaluating The Mode of Therapy in Pancreatic Pseudocyst

HPB Surgery ◽

10.1155/1988/47060 ◽

1988 ◽

Vol 1 (1) ◽

pp. 35-44 ◽

Cited By ~ 7

Author(s):

I. Nordback ◽

O. Auvinen ◽

I. Airo ◽

J. Isolauri ◽

O. Teerenhovi

Keyword(s):

Pancreatic Duct ◽

Endoscopic Retrograde Cholangiopancreatography ◽

Main Pancreatic Duct ◽

Pancreatic Pseudocyst ◽

Treatment Method ◽

Internal Drainage ◽

Endoscopic Retrograde ◽

External Drainage ◽

Computed Tomographic ◽

Pancreatic Resections

Twenty patients with ultrasonographic or computed tomographic diagnosis of pancreatic pseudocyst were referred for endoscopic retrograde cholangiopancreatography (ERCP). Two of these were found at laparotomy not to have pseudocysts and were excluded. Pancreatography was successful in 15 out of 18 cases (83%) and cholangiography in 12 out of 18 cases (67%). Three types of pseudocysts were noticed according to the communication of the pseudocyst to the main pancreatic duct and the presence of pancreatic duct stensosis. Successful treatment included two spontaneous resolutions, two internal drainages and three left pancreatic resections. In the eight percutaneous external drainages four recurrences (50%) occurred, one after closure of temporary pancreatocutaneous fistula. All the recurrences occurred in Type III pseudocysts with communication of the pseudocysts to stenotic main pancreatic duct. In these cases internal drainage would have been the preferable treatment method. We believe that by ERCP one can identify pseudocysts not suitable for external drainage.

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PREVENTION OF PARENT TO CHILD TRANSMISSION OF HIV : A RETROSPECTIVE STUDY OF 5 YEARS IN A TERTIARY CENTRE , GUNTUR, SOUTH INDIA

Journal of Evolution of Medical and Dental Sciences ◽

10.14260/jemds/2015/300 ◽

2015 ◽

Vol 04 (13) ◽

pp. 2087-2092

Author(s):

Potharaju Jayanthi ◽

Raghava Rao P V

Keyword(s):

Retrospective Study ◽

South India ◽

Child Transmission ◽

Tertiary Centre

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A clinical study of Stevens-Johnson syndrome and toxic epidermal necrolysis in a tertiary centre, South India

International Journal of Research in Dermatology ◽

10.18203/issn.2455-4529.intjresdermatol20170802 ◽

2017 ◽

Vol 3 (1) ◽

pp. 134

Author(s):

Rahima S. ◽

Abdul Latheef E. N. ◽

Pavithran K. ◽

Saleem P. M.

Keyword(s):

Toxic Epidermal Necrolysis ◽

South India ◽

Detailed Examination ◽

Stevens Johnson Syndrome ◽

Hiv Positive ◽

Tertiary Centre ◽

Johnson Syndrome ◽

Mucosal Involvement ◽

Common Causes ◽

Eye Involvement

Background: Stevens Johnson syndrome (SJS) and toxic epidermal necrolysis (TEN) are considered as the severest end of spectrum of erythema multiforme. Various etiologies like infections, drugs and malignancies have been proposed. The aim of the present study was to know the incidence, common causes, clinical course of SJS and TEN and to estimate the morbidity and mortality.Methods: A 2 year study of patients presenting with SJS and TEN was carried out. A detailed examination to know the cutaneous and mucosal involvement was done. Biopsy was done in 3 patients.Results: There were fifty patients of SJS-TEN spectrum. Of which 31 were SJS, 3 had SJS-TEN overlap and 16 had TEN. Anticonvulsants were implicated in causing these reactions in 24 patients (48%) with carbamazepine being the most common i.e. in 16 patients (32%). Sparing of pressure areas like the strap area of brassier and waist was noticed in two patients (4%). The most common complication was due to eye involvement seen in 20 patients (40%). 46 patients were treated with steroids and of the remaining, 3 were children and one was HIV positive. Only three patients with TEN (6%) died. Conclusions: To conclude, TEN was less common than SJS, had more sequelae and more mortality compared to SJS.

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