Evaluation of cervical cerclage for sonographically incompetent cervix in at high risk patients

To determine the impact of Cervical Cerclage [CC] for prolongation of pregnancy, maternal and foetal outcome. This Descriptive cross-sectional study was conducted over a period of 2 years patients with history of two or more recurrent midtrimester abortions/preterm deliveries were included. Those with abnormal foetus, vaginal bleeding and choreoamneonitis were excluded. All patients were subjected to transvaginal sonography. Those having sonographic evidence of cervical shortening/dilatation/cone formation were subjected to McDonald suture. Age, parity, period of gestation and aetiological factors were determined. Results were evaluated on the basis of pregnancy prolongation, 14-28 weeks [7.5%], 28-36 weeks [18.7%], 35-37 weeks [73.7%],vaginal delivery in [70%], instrumental [13.05%], Caesarean section [17.5%],miscarriage [7.5%], prematurity [18.7%], term delivery [73.7%], prenatal death [13.7%], foetal survival rate [85.1%]. No intraoperative complication found. During pregnancy premature rupture of membrane [3.7%], abruption [2.5%], severe pre-eclampsia [3.7%]. During labour cervical dystocia was found in [2.5%], foetal distress [8.7%], mal-presentations [6.2%], cervical trauma [3.7%]. We determined a high success rate of cervical cerclage on properly selected patients with sonographic evidence of cervical changes. Cervical sonography can be a valuable adjunct to clinical evaluation of these patients

Role of barium meal examination in diagnosis of peptic ulcer

Peptic ulcer is a sore in the protective lining [mucosal lining] of the gastrointestinal tract and develops when the lining is damaged. The objectives of this Descriptive Validational study were to determine the validity of Barium Meal examination in the diagnosis of peptic ulcer disease in comparison to the gold standard, i.e., endoscopic evaluation in peptic ulcer disease. The study was conducted at Radiology Department Khyber Teaching Hospital Peshawar from November 2000 to March 2004. A total of 115 patients with signs and symptoms of peptic ulcer disease were selected for this study and were subjected for this diagnostic modality. The diagnosis of benign/malignant peptic ulcer was made by barium meal examinations. In all these patients the diagnosis was later on confirmed by endoscopy and or surgery. Of the 115 patients, 80 were male and 35 were female patients. Their ages ranged from 27-75 years with mean age of 49 years. Fifty two patients had duodenal ulcer, 30 patients gastric ulcer, and 33 patients had normal radiological findings. In 6 out of 30 patients with gastric ulcer had radiological evidence of malignant gastric ulcer. Efficiency of Barium meal examination in diagnosis of peptic ulcer is good and most of peptic ulcers can be diagnosed by this method