Gall bladder emptyng in diabetics with gall bladder disease

Gallbladder diseases increase 2-3 folds in diabetics than non diabetics, this explained by impairment of Gallbladder motility, at the same time non surgical approaches needs sufficient gallbladder motility, thence we arranged this study to determine the gallbladder emptying in diabetics [group I IDDM group II NIDDM] with gallbladder disease. 80 patients of both types of diabetes with gallbladder diseases as well as 13 healthy persons as a control subjected for estimatims of fasting and residual gallbladder volume and efection fraction by ultrasaugraphy at the end al this study we found a significant increase in the fasting and residual gallbladder volume as well as significant decrease in gallbladder ejection fraction which means that there is impairment in gallbladder motility which may explain the highe incidence of gallbladder diseases in diabetes and we suggest the addition of caspride for diabetes patients to prevent this impairment in gallbladder motility, to facilitate the choice of non surgical approaches to gallbladder diseases

Study of platelet count/ bipolar spleenic diameter ratio in oesophgeal varices and portal hypertensive gastropathy

Cirrhotics have a high mortility and morbility 60-80% of lives cirrhotic have oesophageal varices and bleeding from oesophageal varices secondary. Many American study suggest a routine endoscope for thise patient in order to detect the varices early where the treatment carry a high success -Many areas the endoscope is not avoalde hence we arrange this study to evaluate the platelets count/spleenic bipolar diameter ratio in detecting the oesophageal varices -50 patient with cirrhotic subjected to complete bl. picture especially platelets, L. F tests, upper endoscope and abdominal sonar to determine bipolor spleenic ratio -Conclusion results showd there is a significant decrease platelets count spleenic bipolor diameter ratio in these with oesophageal varices and portal hypertension gastropathy than in these without So I recommend the use of this sample method instenal of endoscpe to detect O. V. and P.H.G early