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September 2015

Volume 2  Issue 3
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Original Manuscript

Long-term Outcomes of Ruptured Intraperitoneal Hydatid Cysts

Sakcak I*, Erdoğan A, Aydogan I, Ismail E, Doganay M, Akat AZ

Human hydatid disease is generally caused by larval or metacestode forms of the tapeworm Echinococcus granulosus and sometimes Echinococcus multiloculari. Predators such as dogs, foxes, and coyotes are the main hosts, and harbor the adult stage of the parasite while ruminants such as sheep, cattle, and camels are the intermediate hosts. Humans are sometimes unintended hosts. Hydatid cysts develop in liver in 50–75%, and in lungs in 20–30% of infected humans. Nails and hair may also be the sites of infection.

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Letter to Editor

Drug-induced Acute Pancreatitis – ‘Scope for Secondary Prevention’

Savio George Barreto* MBBS, MS, PhD

I read with interest the article by Chang et al. in which the authors adopt a systematic approach (including taking into account binary clinical conditions such as the presence of hypertriglyceridemia, alcohol and / or tobacco use, gallstone, obesity and bilio-pancreatic cancers, estimating dose response effects and performing sensitivity analyses) to tease out the relationship of various anti-diabetic drugs and the risk of Acute pancreatitis (AP).
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Prospective and Controlled Study

Laparoscopic Combined Choledoscopic Cholecystolithotomy verse Laparoscopic Cholecystectomy, A Prospective and Controlled Study

Guoxiang Yao, Aixia Huang, Xueli Zhang, Xiaoping Chen*

Gallstones are a common disease worldwide and occur in around 4-7% of normal population in China, and reaches 10% in Shanghai area, it is often complicated with acute and chronic cholecystitis, pancreatitis, and gallbladder cancer etc. Treatment includes various medical disciplines, but surgical treatment is dominated by cholycystectomy, and is included in Standard of Care around the world. Literatures show that high rate of dyspepsia, bile reflux gastritis and diarrhea occur after cholecystectomy.

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Case Report

Liver Abscess: 16 Recurrences- Cause and Remedy: A Case Report

Pujahari AK MS*

Liver abscess is a common clinical entity. First or second occurrence is not uncommon. But 16 recurrences at the same location, is most uncommon and not yet reported. A 56-year-old lady was having right lobar liver abscess periodically every 8-10 months, 16 times over 12 years. This was following a difficult laparoscopic cholecystectomy possibly with abnormal biliary anatomy requiring a choledochoduodenostomy and simultaneous hepaticojejunostomy. This surgical procedure looked odd but is possible in some situations. The hepaticojejunostomy developed stricture and was the cause of recurrent pyogenic liver abscess, while bile drainage from the distal choledochoduodenostomy was normal. The excision of the atrophied obstructed segments was curative for the patient.


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Original Article

12-Hour SB2-EX Pillcam has Higher Diagnostic Yield Compared to the 8-Hour SB2 Pillcam

R. Sameer Islam MD/MBA, Neal Patel MD, Diana Franco MD, Michael D. Crowell PhD, Lauri A. Rentz RN, Jonathan A. Leighton MD, Shabana F. Pasha MD*

Capsule endoscopy (CE) is a simple, safe, and non-invasive means to study the entire small bowel. The test is well accepted and tolerated by patients and effective in the diagnosis of small bowel disorders. However, incomplete exams due to battery depletion and/or failure to reach the cecum occur in 15- 20% of cases . The second generation CE that is used in clinical practice is the Pillcam SB2, which has a battery life of 8-hours. One of its main limitations is the failure to reach the cecum within the battery recording time. The rate of incomplete examinations can be as high as 50%, with an average rate of 20% in most studies. The risk factors for an incomplete CE examination include hospitalized patients who are not mobile, older patients (age > 50 years), those with diabetes mellitus, hypothyroidism, gastrointestinal dysmotility, and patients on narcotics and other antimotility agents.
                                                     
 
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