ABSTRACT
Though the prevalence of Diabetes is increasing worldwide, a thorough knowledge of the prevalence of undiagnosed Diabetes a pre-diabetes is lacking. This study from India is to evaluate the prevalence of asymptomatic diabetes among adults with comorbidities and without any history of Diabetes. Prevalence of asymptomatic individuals with Diabetes and impaired glucose tolerancewas 3% and 15%, respectively. The high prevalence found in the study raises concern over the health care indices and the need for urgent public health action to control the pandemic. Regular screening for Diabetes in adults is required to prevent complications of long-term diabetes
ABSTRACT
Background: The objective of the study was to find out incidence of long term complications in congenital diaphragmatic hernia (CDH) survivors in a developing nation with limited facilities.Methods: A retrospective study was done on patients who underwent CDH repair at our institution from 2012 to 2019. 71 patients were identified of these 55 patients operated in neonatal age were considered. After applying exclusion criteria 42 patients included in the study were then divided in 2 groups. Group 1 (26 patients): neonates requiring ventilation within 6 hrs of birth and group 2 (16 patients): not requiring ventilation or intubated after 6hrs of birth. Data from medical records were supplemented by a questionnaire regarding perceived physical function and medical follow up till date. Respiratory, central nervous, musculoskeletal and gastrointestinal systems were concentrated upon and questionnaire set. These were then compared with respect to their long term outcomes. Also, overall incidence of these in the two groups combined was noted compared with other studies.Results: On comparing these 2 groups incidence of long term complications was found more in group 1; however on statistical analysis difference was not significant. As also incidence of individual long term complications in all patients together were identical or lower than in other published series. Mortality in our study was 8 of 49 neonates which was 17% of all patients presenting with CDH or born at our centre.Conclusions: Despite the growing population of CDH survivors the morbidity is not very significant and most patients lead a normal average active life.
ABSTRACT
Cholecystolithiasis is one of the long-term complications after bariatric surgery, of which the exact cause is still unclear. Based on the recent domestic and international literature, the contributing factors for new onset cholecystolithiasis after bariatric surgery and countermeasures are reviewed in this article.
ABSTRACT
Cholecystohthiasis is one of the long-term complications after bariatric surgery,of which the exact cause is still unclear.Based on the recent domestic and international literature,the contributing factors for new onset cholecystolithiasis after bariatric surgery and countermeasures are reviewed in this article.
ABSTRACT
A clinical observation with particular attention to long-term complications was made on 29 patients with BPH who underwent prostatatic stent insertion. The mean time of prostatic stent indwelling was 11.1 months and the major long-term complications were encrustation with phosphatic deposits and granulomatous mucosal growing into the lumen of stents. These complications were usually necessary to remove the stents in order to deal with the problem satisfactorily. A prostatic stent seems to be of value in the treatment of BPH in patients unfit for surgery, but to be a definite management superior to TURP or open surgery its material and structural improvement should be taken place.