scholarly journals Study of use of saphenoperitoneal shunts in intractable ascites

2019 ◽  
Vol 6 (6) ◽  
pp. 2114
Author(s):  
Rajeshwar Yadav ◽  
Satyajeet Verma ◽  
Sujeet Rai
Keyword(s):  
Liver Disease ◽  
Chronic Liver Disease ◽  
Symptomatic Relief ◽  
Chronic Liver ◽  
Prosthetic Material ◽  
Medical College ◽  
Intractable Ascites ◽  
Surgical Ward ◽  
Effective Doses ◽  
A Prospective Study

Background: Ascites is a common complication in patients with chronic liver disease. Ascites usually complicates chronic liver disease, and some patients with ascites are refractory to medical treatment. Recently, saphenoperitoneal shunt was described to treat this condition. This procedure avoids the insertion of a foreign expensive shunt into the circulation. Describe the experience with this procedure with some changes in the technique.Methods: A prospective study was performed on 8 patients with intractable ascites admitted to the surgical ward of Maharani Laxmi Bai Medical College during the period from November 1999 to April 2001. Eight patients with chronic liver disease and diuretic-resistant ascites underwent this procedure. The patients were classified by severity of liver disease as estimated from serum bilirubin and albumin values. Observations were present in tables, number and percentage using Microsoft excel.Results: Procedure performed in 8 patients and was successful 6 patients. Effective doses of diuretics required were decreased to one eighth of the preoperative dose over a median 3 months post- operative period. No patient with successful shunt needed postoperative paracentesis or re-hospitalization in a median follow-up of 8 month. No other complication was found except ascitic leakage.Conclusions: All patients, who had a successful shunt had symptomatic relief from ascites. Therefore the saphenoperitoneal shunt potentially offers all the benefits of peritoneovenous shunting without the disadvantage of using prosthetic material.

Association of Adverse Outcomes in Patients with Cirrhosis Presented with COVID-19

2021 ◽  
Vol 15 (5) ◽  
pp. 1134-1135
Author(s):  
M. A. Chhutto ◽  
A. H. Mugheri ◽  
A. H. Phulpoto ◽  
I. A. Ansari ◽  
A. Shaikh ◽  
...  
Keyword(s):  
Liver Disease ◽  
Chronic Liver Disease ◽  
Adverse Outcomes ◽  
Chronic Liver ◽  
P Value ◽  
College Hospital ◽  
Medical College ◽  
Group A ◽  
Group B ◽  
Disease Study

Objective: To determine the association of adverse outcomes in term of mortality in patients with cirrhosis presented with coronavirus disease. Study Design: Retrospective/observational study Place and Duration of Study: Department of Medicine, Chandka Medical College Hospital, Larkana from 1st March 2019 to 31st December 2020. Methodology: Two hundred and twenty covid-19 patients of both genders with or without chronic liver disease were enrolled in this study. Patients were categorized in to two groups. Group A (with cirrhosis 60 patients) and group B (without cirrhosis 60 patients). Outcomes in term of mortality between both groups were examined. Results: There were 38 (63.33%) males and 22 (36.67%) were females with mean age 46.14±8.44 years in group A while in group B, 40 (66.67%) and 20 (33.33%) patients were males and females with mean age 45.26±9.34 years. Patients with cirrhosis had high mortality rate as compared to patients without cirrhosis (33.33% Vs 13.33%) with p-value 0.0001. Conclusion: A significant association of adverse outcomes was found in cirrhotic patients with coronavirus disease. Keywords: Chronic Liver Disease, Corvid-19, Mortality

Past HBV Viral Load as Predictor of Mortality and Morbidity from HCC and Chronic Liver Disease in a Prospective Study

2006 ◽  
Vol 101 (8) ◽  
pp. 1797-1803 ◽  
Author(s):  
Gang Chen ◽  
Wenyao Lin ◽  
Fumin Shen ◽  
Uchenna H. Iloeje ◽  
W. Thomas London ◽  
...  
Keyword(s):  
Viral Load ◽  
Liver Disease ◽  
Prospective Study ◽  
Chronic Liver Disease ◽  
Chronic Liver ◽  
Mortality And Morbidity ◽  
A Prospective Study

Liver stiffness accurately predicts portal hypertension related complications in patients with chronic liver disease: A prospective study

2011 ◽  
Vol 55 (5) ◽  
pp. 1017-1024 ◽  
Author(s):  
Marie Angèle Robic ◽  
Bogdan Procopet ◽  
Sophie Métivier ◽  
Jean Marie Péron ◽  
Janick Selves ◽  
...  
Keyword(s):  
Portal Hypertension ◽  
Liver Disease ◽  
Prospective Study ◽  
Chronic Liver Disease ◽  
Liver Stiffness ◽  
Chronic Liver ◽  
A Prospective Study

scholarly journals Clinicopathological correlation of liver biopsy- study of 50 cases

2015 ◽  
Vol 22 (2) ◽  
pp. 120-124
Author(s):  
Mohammad Murad Hossain ◽  
Md Abul Kashem Khandaker ◽  
Khan Abul Kalam Azad ◽  
Md Hafiz Sardar ◽  
Shudip Ranjan Deb ◽  
...  
Keyword(s):  
Hepatocellular Carcinoma ◽  
Weight Loss ◽  
Liver Disease ◽  
Liver Biopsy ◽  
Chronic Liver Disease ◽  
Clinical Features ◽  
Liver Diseases ◽  
Statistical Significance ◽  
Chronic Liver ◽  
Medical College

Background: The liver biopsy is considered by many experts to be the most specific diagnostic tool used to assess the nature and severity of liver diseases such as hepatitis C. Liver biopsies are important for many reasons, such as accurate diagnosis or ruling out any coexisting liver diseases, staging and grading the severity of liver disease, treatment decisions, patient and provider reassurance, and as a benchmark for gauging future progression. Methods: In this observational study, 50 patients were recruited from different Medicine units of Dhaka Medical College Hospital, Dhaka, from May, 2008 to June, 2009. After preliminary selection of patients, a specific protocol was followed which include patients’ particulars, clinical features and clinical diagnosis, biochemical parameters, radiological and other investigative procedures and finally percutaneous needle biopsy of liver was done. The objective of the study was to establish the correlation of clinical presentation of chronic parenchymal liver disease with histopathological findings and establish liver biopsy as a tool for diagnosis. SPSS version 16.0 was used to analyze the data. Quantitative data were presented in the form of tables and figures. Chi-square test and student t test was done to find out the statistical significance. Results: Histopathologically chronic liver disease (CLD) was found to be the commonest lesion (pd”0.05), which was 24 (48%) followed by hepatocellular carcinoma 13(26%) and secondary deposit 02(4%). Eleven cases consist of other findings including normal. CLD commonly presented with loss of appetite (82%), Jaundice (74%), Weight loss (68%), hepatic facies (54%).Hepatocellular carcinoma commonly presented with hepatomegaly (100%), jaundice (61.84%), weight loss (76.92%), and ascites (53.85%). Hepatomegaly was constant feature (100%) of all secondary metastasis. Among two cases of secondary carcinoma one (50%) was adenocarcinoma and another one (50%) was anaplastic type. Out of 29 cases of clinically diagnosed chronic liver disease 24 cases were confirmed histopathologically which was statistically significant (pd”0.05). Conclusion: For the establishment of diagnosis and treatment it is mandatory to have a good correlation between clinical features and histopathological finding. Histopathology could detect diseases which were not considered clinically and specific management could only be done depending on histopathology. Therefore, if there is no contraindication, for confirmation of diagnosis liver biopsy still remains the corner stone modality. DOI: http://dx.doi.org/10.3329/jdmc.v22i2.21520 J Dhaka Medical College, Vol. 22, No.2, October, 2013, Page 120-124

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