Role of magnetic resonance cholangiopancreatography in diagnosing pancreatobiliary pathologies: a prospective study

Background: Non-invasive techniques such as ultrasound and CT scan (abdomen and pelvis) are widely used in investigations of pancreaticobiliary disease, though easily available and cheap, have limitations in term of sensitivity. Invasive procedures like ERCP, though considered gold standard for diagnosis of pancreaticobiliary disease, requires highly skilled team of supporting doctors. MR Cholangio Pancreatography (MRCP) is evolving as an effective non-invasive imaging technique for examining patients with pancreatic or biliary diseases. The purpose is to illustrate the findings of MRCP in various abnormalities affecting the pancreaticobiliary diseases. Objective was to study the role of MRCP as non-invasive imaging modality for diagnosis of pancreatobiliary diseases, in diagnosing lower biliary tract pathologies, pancreatic duct pathologies, determining treatment modality in pancreatobiliary diseases, surgical or endoscopicMethods: This is a prospective study conducted in Dr. D. Y. Patil Medical College and Hospital, Pimpri, Pune for a period of two years from July 2015 to September 2017. 60 patients were enrolled in the study, their MRCP was performed following ultrasonography.Results: The MRCP diagnosed the following pathologies- cholelithiasis, choledocholithiasis, CBD stricture, chronic pancreatitis, choledochal cyst, cholangiocarcinoma, pseudocyst of pancreas, sclerosing cholangitis and GB perforation. Out of 60, 32 underwent surgical procedure and 20 underwent endoscopic procedure and 8 were treated medically.Conclusions: MRCP is very accurate in diagnosing CBD and pancreatic duct pathologies. Its helps in deciding the treatment modality for the same. It decides whether the patient requires ERCP and thus cuts down the rate of ‘negative’ ERCP.

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A Prospective study of Role of Magnetic Resonance Cholangiopancreatography for Prediction of Difficult Cholecystectomy

New Indian Journal of Surgery ◽

10.21088/nijs.0976.4747.9118.3 ◽

2018 ◽

Vol 9 (1) ◽

pp. 16-21

Author(s):

Abdulhamid Khorajiya ◽

◽

Rajan Somani ◽

Samir M. Shah ◽

Smit Mehta ◽

...

Keyword(s):

Magnetic Resonance ◽

Prospective Study ◽

Magnetic Resonance Cholangiopancreatography ◽

Difficult Cholecystectomy ◽

A Prospective Study

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Prognostic impact of coronary microcirculation abnormalities in systemic sclerosis: a prospective study to evaluate the role of non-invasive tests

Arthritis Research & Therapy ◽

10.1186/ar4136 ◽

2013 ◽

Vol 15 (1) ◽

pp. R8 ◽

Cited By ~ 16

Author(s):

Alessandra Vacca ◽

Roberta Montisci ◽

Pietro Garau ◽

Paolo Siotto ◽

Matteo Piga ◽

...

Keyword(s):

Systemic Sclerosis ◽

Prospective Study ◽

Coronary Microcirculation ◽

Prognostic Impact ◽

Non Invasive ◽

A Prospective Study

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Role of Intravenous Dexmedetomidine as an Adjuvant in Labour Analgesia in Pre-eclampsia: A Prospective Study

Academia Anesthesiologica International ◽

10.21276/aan.2020.5.1.11 ◽

2020 ◽

Vol 5 (1) ◽

pp. 57-60

Author(s):

Jyothsna C ◽

Roopa Kotha

Keyword(s):

Prospective Study ◽

Pregnant Women ◽

Test Group ◽

Labour Analgesia ◽

Control Group ◽

Medical College ◽

A Prospective Study ◽

Age Range ◽

And Control

Background: Dexmedetomidine is a highly selective α-2 adrenergic receptor agonist with several diverse actions like sedation, anxiolysis, sympatholysis, analgesia, and decreased intraoperative anesthetic requirements (narcotic, inhalational). Intravenous (IV) dexmedetomidine can be used as an adjuvant in labour analgesia in preeclampsia patients as onset is faster and duration of analgesia is longer. Aim of the study: The aim of the study was to determine the role of intravenous Dexmedetomidine as an adjuvant in Labour analgesia in PIH.Subjects and Methods:This was a prospective study and was done in the department of Anaesthesia at Maheshwara Medical College. Our study included 60 full term pregnant women with preeclampsia, within 25 to 45 years age range. They were divided into two groups, as Test group and Control group of 30 patients each. Test group received IV Dexmedetomidine and Control group received IV Fentanyl.Results:Maximum number of cases 15/30 (50%) were in the age group 31-35 years, Majority were primigravida ie, 60% ( 36/60). Onset of analgesia was faster, duration of analgesia was longer and uterine contraction was greater with IV Dexmedetomidine as compared to IV fentanyl.Conclusion:From the present study we conclude that IV Dexmedetomidine can be used for labour analgesia in pregnant women with preecampsia and observed that onset and duration of analgesia are better and also it gives stable maternal parameters of maternal heart rate and mean blood pressure.

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ROLE OF INTERLEUKIN-8 IN PREDICTING ENDOMETRIOSIS IN PATIENTS WITH CHRONIC PELVIC PAIN & INFERTILITY

Era s journal of medical research ◽

10.24041/ejmr2020.30 ◽

2020 ◽

Vol 7 (2) ◽

pp. 176-180

Author(s):

Amrita Singh ◽

Kiran Pandey ◽

Sangeeta Arya ◽

Ayesha Ahmad ◽

Fareha Khatoon

Keyword(s):

Prospective Study ◽

Pelvic Pain ◽

Peritoneal Fluid ◽

Chronic Pelvic Pain ◽

Diagnostic Laparoscopy ◽

Fluid Level ◽

Blood Samples ◽

Non Invasive ◽

A Prospective Study

To find out the levels of IL-8 in patients of chronic pelvic pain & infertility & assess its role in predicting endometriosis. It was a prospective study conducted over 50 patients of chronic pelvic pain & infertility undergoing diagnostic laparoscopy. During this procedure peritoneal fluid &blood samples were collected & prepared for ELISA, IL-8 estimation. Serum IL-8 levels of >22.16 pg/ml& peritoneal fluid level of >7.98 pg/ml were found to be 100% sensitive & specific .Thus they can be taken as cut-off value for predicting endometriosis. IL-8 was significantly elevated in the serum & peritoneal fluid in the patients of endometriosis diagnosed by diagnostic laparoscopy. Our study indicates that serum & peritoneal fluid IL-8 levels can discriminate patients with& without endometriosis and could serve as one of the non-invasive ideal markers to cut short the delay in the diagnosis & management of infertility and also lays down a foundation for further research in correlating IL-8 levels with disease severity

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Assessment of acute pancreatitis using the CT severity index and modified CT severity index

Tropical Journal of Radiology and Imaging ◽

10.17511/tjri.2020.i02.01 ◽

2020 ◽

Vol 2 (4) ◽

pp. 42-47

Author(s):

Dr. MD Atik Ahmed ◽

◽

Dr. MD Toufik Ahemad ◽

Dr. MD Mustak Ahmed ◽

◽

...

Keyword(s):

Computed Tomography ◽

Acute Pancreatitis ◽

Prospective Study ◽

Imaging Modality ◽

Disease Process ◽

Severity Index ◽

Chief Complaint ◽

Medical College ◽

Severity Grading ◽

A Prospective Study

Background: To assess the severity of acute pancreatitis (AP) using computed tomography (CT)severity index (CTSI) and modified CT severity index (MCTSI), to correlate with clinical outcomemeasures, and to assess concordance with severity grading, as per the revised Atlanta classification(RAC). Material and Methods: This is a prospective study, conducted from August 2019 to July2020, in the Department of Radiology, Al Ameen Medical College. A total of 70 patients referred fromthe Department of Medicine and Department of Surgery, presented with the chief complaint ofepigastric pain, nausea and vomiting and CECT abdomen were suggestive of acute pancreatitis wereincluded in this study. Assessment of severity of acute pancreatitis was done in all cases byBalthazar CTSI scoring and Mortele Modified CTSI scoring. Results: In the present study total 70cases of acute pancreatitis cases were included in the study. These patients underwent CT abdomenand pelvis, later images were reviewed by the radiologist. The maximum patients were in the agegroup of 21 to 40 years [n=33 (47.1%)]. Majority of the cases were categorized as mild pancreatitisaccording to Balthazar CTSI score. Majority of the cases were categorized as severe pancreatitisusing the Modified Mortele CTS score. Whereas, organ failure, moderate and severe category inmodified Mortele CTSI, mild, moderate, severe category in Balthazar CTSI. Conclusion: Inconclusion CECT was found to be an excellent imaging modality for diagnosis, establishing theextent of the disease process and in grading its severity.

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Dacrocystography: a pre requisite to endoscopic dacrocystorhinostomy

International Journal of Otorhinolaryngology and Head and Neck Surgery ◽

10.18203/issn.2454-5929.ijohns20201278 ◽

2020 ◽

Vol 6 (4) ◽

pp. 661

Author(s):

Manish Munjal ◽

Amanjot Kaur ◽

G. S. Bajwa ◽

Hitant Vohra ◽

Akashdeep Sohi ◽

...

Keyword(s):

Prospective Study ◽

Contrast Medium ◽

Surgical Intervention ◽

Cost Effective ◽

Water Soluble ◽

Complete Obstruction ◽

Medical College ◽

Lacrimal System ◽

A Prospective Study

Background: Dacryocystography is a simple radiological procedure in which a radiographic water-soluble dye like iohexal or neohydriol is injected into the lacrimal system and free flow of dye is noted from the eyes into the nose and any restriction in the flow of indicates obstruction and site of the same.Methods: This is a prospective study of role of dacryocystography in 31 cases of dacrocystitis who presented to the ENT outpatient clinic of Dayanand Medical College and Hospital over a period of 1.5 years i.e. from June 2016 to December 2017 who were planned for dacrocystorhinostomy. Patient was placed in dorsal decubitus position and local anaesthesia was administered. No. 15 catheter was connected to a syringe containing contrast medium and its ends are introduced into both lacrimal puncta. Head of the patient is fixed and the contrast medium was administered through both the puncta simultaneously and serial radiographs were obtainedResults: The role of dye study, prior to endoscopic dacrocystorhinostomy dacrocystography was studied in 31 subjects. Of the 22 subjects who underwent surgical intervention, 18 (81.8%) had a complete obstruction while 4 (18.2%) had a partial block.Conclusions: Dacryocystography is a useful and cost-effective investigation to delineate the obstruction in the nasolacrimal system. It aids in confirmation of clinical diagnosis as well as making a diagnosis in doubtful cases.

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