RESUMEN
Duodenal tuberculosis is an uncommon disease. It may be either extrinsic or intrinsic or both. In the extrinsic type there can either be primary duodenal involvement or compression due to enlarged paraduodenal lymph nodes. The clinical presentation can be dyspeptic or obstructive symptoms. The dyspeptic symptoms include epigastric pain, nausea, and occasional vomiting and obstructive symptoms include bilious vomiting frequently after meals, epigastric pain, and generalized abdominal pain. This report describes a young lady presenting with gastric outlet obstruction symptoms due to tuberculous adhesion involving the proximal duodenum
RESUMEN
This study was carried out from January 2002 to August 2002 to evaluate the efficacy of glyceryl trinitrate [GTN] 0.2% in healing of fissure in ano Sixteen consecutive patients were recruited with proven fissure in ano of more than 6 week duration. Treatment with topical GTN 0.2% was instituted. Patients were assessed at 1, 3, 6, 12 and 26 weeks. Resolution of symptoms, time taken to heal and occurrence of side effects were recorded. Success rate was 7986 at 12 weeks, reduced to 64% at 26 weeks. Two patients had recurrence of fissure; one was successfully treated with a further treatment with topical GTN while the other opted for lateral internal sphincterotomy
Asunto(s)
Humanos , Masculino , Femenino , Nitroglicerina/administración & dosificación , Nitroglicerina , Administración Tópica , Fisura Anal/cirugía , Resultado del TratamientoRESUMEN
Day surgery is being increasingly carried out throughout the world. In our country the concept of day surgery is still in its infancy. In order to practice day surgery safely, we need to have guidelines as to the nature of procedures to be carried out, patient selection, discharge criteria instructions to the patients. We tested our locally devised guidelines on 203 patients admitted as day surgery patients between June 2000 and May 2002. We conclude that day surgery is a safe option with a very high patient satisfaction rate. It should be developed further and for its full utilization we need to have proper guidelines and protocols. Ideally there should be Day Surgery Units in all major hospitals