ABSTRACT
Objective: To determine the frequency of Post Endoscopic Retrograde Cholangiopancreatography Pancreatitis [PEP] in patients who underwent prophylactic pancreatic duct stenting
Study Design: Descriptive case series
Place and Duration of Study: This descriptive case series was conducted at the department of Gastroenterology, Pak Emirates Military Hospital Rawalpindi, from Jul 2017 to Feb 2018
Material and Methods: One hundred and twenty consecutive patients were enrolled after they met inclusion and exclusion criteria. Endoscopic Retrograde Cholangiopancreatography Pancreatitis [ERCP] was performed by Olympus duodeno scope [TJF Q180V] by an endoscopist having at least 3 years experience of performingindependent ERCPs. An additional 4, 6, or 7cm long 5FrGeenen[registration sign] pancreatic plastic stent [Cook Medical] was placed in all cases where pancreatic duct was accidentally cannulated. Primary outcome variable was post ERCP pancreatitis. Data was recorded on a pre-designed proforma and analyzed by SPSS version 21.0
Results: Out of total 120 cases, PEP was found in 4 [3.3 percent] patients. All the 4 patients had mild pancreatitis
Conclusion: PEP is not an uncommon complication following ERCP. The rate of PEP appears to be lower with prophylactic pancreatic duct stenting
ABSTRACT
To assess the outcome of twin pregnancy in booked versus unbooked cases. Design: Comparative study. Place and Duration of Study: This study was conducted in Khyber Teaching Hospital, Gynae A unit, Peshawar, over a period of two years from 1st January 1996 to 31st December 1997. Subjects and A total of 96 patients with twin pregnancy were included. The inclusion criteria were all those patients who had completed twenty-eight weeks of pregnancy with twin gestation. Evaluation was done by a detailed history and data was collected. Antenatal, intrapartum and postnatal complications as well as perinatal mortality and morbidity was noted in the two groups. Out of 96 cases, 65 patients were unbooked and 31 patients were booked cases. Majority of the unbooked cases came from rural areas and belonged to age group of 18 to 38 years. The rate of instrumental deliveries was high in unbooked cases [18.46%] as compared to booked cases [9.67%]. Obstructed labour [9.23%], abruptio placenta [6.15%] and postpartum haemorrhage [21.35%] were common in unbooked cases. Caesarean section was performed in 25 unbooked cases as compared to 4 booked cases. Similarly, the perinatal mortality was high in unbooked cases with 26.93% of cases requiring admission in nursery and 15.3% were stillborn. Twin pregnancy is a high risk pregnancy. Diagnosis before delivery is important. The patient should be provided with sufficient information regarding advantages of regular antenatal visits