ABSTRACT
Background: Endoscopic retrograde cholangiopancreatography (ERCP) is a complex procedure which is commonly performed at various centres. It causes considerable amount of pain and discomfort to patients, and various centres have their own protocols regarding its management. Authors aim to study the efficacy of intravenous diclofenac as a premedication to reduce the pain and discomfort during and after ERCP.Methods: This was a randomized placebo-controlled trial evaluating 40 patients. The pain and degree of discomfort was investigated using a 4- point ordinal scale questionnaire.Results: The use of intravenous diclofenac as premedication for ERCP significantly reduces pain and discomfort during and after the procedure.Conclusions: Intravenous diclofenac should be used as a premedication for ERCP procedure as it significantly reduces the pain and discomfort during and after the procedure.
Subject(s)
Abdominal Injuries/psychology , Adult , Female , Humans , Self Mutilation/etiology , Wounds, Stab/psychologySubject(s)
Adolescent , Humans , Infarction/complications , Liver/blood supply , Male , Multiple Organ Failure , Shock/etiologyABSTRACT
A 62-year-old man with recurrent inflammatory pseudotumor of the small bowel mesentery presented with perforative peritonitis; such a presentation has not been reported. The mass was excised successfully.
Subject(s)
Granuloma, Plasma Cell/complications , Humans , Ileal Diseases/complications , Jejunal Diseases/complications , Male , Middle Aged , Peritonitis/etiology , RecurrenceABSTRACT
Self-inflicted stab wounds are seldom very grave. We report a 25-year-old man who inflicted stab wounds with a glass piece under the influence of alcohol. This led to evisceration and later degloving injury to the small bowel. He recovered following surgery.