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Background: Management of acute cervical cord injury with neurodeficit continues to evoke debate. Glucocorticoid steroid methylprednisolone has been found to be effective in preventing secondary cord injury. Aims: This study [...]

INTRODUCTION Enterogastric reflux is an important factor in the pathogenesis and symptomatology of several upper gastrointestinal tract disorders including gastritis, oesophagitis and gall stone dyspepsia, (l) Not all patients undergoing [...], The present study was conducted prospectively in the department of General Surgery and Nuclear Medicine, SKIMS from April 1999 to March 2000.30 patients with symptoms attributable to ultrasound-documented gallstones were included in the study. 5 mci Tc-99m Mebrofenin was used for scanning the hepatobiliary system on a Siemens Icon-Gamma Camera with predefined computer software. The stomach was localized using Tc-99m sulphur colloid. In the present study 16 patients did not reveal any significant reflux pre and postoperatively. Seven (23.3 per cent) patients who had a significant duodenogastric reflux preoperatively persisted with significant postoperative reflux as well, however, the quantitative difference in reflux was insignificant (p > 0.05). Seven (23.3 per cent) patients who had an insignificant preoperative reflux developed a significant postoperative reflux (p < 0.05). These patients also had post-cholecystectomy symptoms attributable to alkaline gastritis. Tc-99m Mebrofenin hepatobiliary scanning with gastric localization is a useful, non-invasive, reproducible and cost-effective method to evaluate duodenogastric reflux both pre and postoperatively. Most of the drawbacks encountered with other methods, especially those needing gastric intubation, are overcome.

Code Number: is03084 ABSTRACT Background: Spontaneous pneumothorax is classified into primary spontaneous pneumothorax (PSP) and secondary spontaneous pneumothorax (SSP). PSP occurs without any cause, usually as a result of the [...]

KEY WORDS: Renal function, Pyeloplasty, Renal scan. INTRODUCTION Obstruction in the urinary tract affects all renal functional parameters depending on the pressure gradient across the obstructed site which affects the [...], A non-invasive test of renal function, renal scintigraphy using T[c.sup.99m] DTPA was used to assess improvement of renal function in patients of ureteropelvic junction obstruction, after pyeloplasty. The study revealed that improvement in renal function occurred in 26.4 % of the patients while Tmax improved in 85.29 % of patients, revealing the fact that despite improvement in drainage, many kidneys fail to improve in function after pyelopasty.

Worm infestations are still quite common in the whole world and more so prevalent in tropical countries. Ascariasis is one of the most common form of parasitic infections in humans. It is found in any part of the gastrointestinal tract, including hepatobiliary system as well. It can present as a wide range of clinical spectrum ranging from asymptomatic carriers to anemia, bowel obstruction, cholangitis, and obstructive jaundice besides other manifestations. Various diagnostic modalities are used to establish diagnosis of this condition including clinical examination, ultrasonography, CT scan, and magnetic resonance cholangiopancreatography (MRCP). Most of the times, medical management is sufficient; however, many times due to complications associated with these worms, endoscopic or surgical intervention is required. In this review, we will discuss various clinical features, diagnostic modalities, and treatment options of this disease. [ABSTRACT FROM AUTHOR]