Highly selective vagotomy in the treatment of chronic duodenal ulcer

A presentation of nineteen cases of D.U. treated by HSV is made. Its advantages and long term sequelae are discussed. The initial safety record of this procedure has continued unblemished and it remains the safest operation in treating duodenal ulcer disease. With proper selection of cases, approximately 10-15 per cent of our D.U. cases are treatable by this method.

Adenomyomatous polyp of left hepatic duct

A case report of adenomyomatous polyp originating from the left hepatic duct causing surgical jaundice is made. Adenomyomatous polyp originating from the left hepatic duct is histologically similar to adenomyomatous hyperplasiaof the gall bladder as shown in the references above. In various journals available here, this type of polyp with its origin from hepatic duct has not been mentioned. Another important point is that it can be mistaken radiologically & clinically as cholangio carcinoma causing obstructive jaundice.

Highly selective vagotomy (Among patients with chronic duodenal ulcer admitted to a surgical unit of R.G.H.

From December 1979 to December 1980, 112 patients suffering from uncomplicated or complicated chronic duodenal ulceration were admitted towards 7 & 8 of Rangoon General Hospital, out of which 8 patients underwent Highly Selective Vagotomy. The technique of Highly Selective Vagotomy is described in detail. The rate of feasibility of Highly Selective Vagotomy among patients with chronic duodenal ulcer admitted to a surgical unit of RGH was found to be 7.14 per cent.

The development and policies on the National Tuberculosis Control Programme, Burma

The development of the tuberculosis services in Burma has been traced from the earliest studies of the TB problem in the country by Dr.A. Lancaster in 1916, through the first scientifically designed tuberculin survey and autopsy studies made by Professor S. Lyle Cummins in 1938 to the establishment in 1951 of the Government of the Union of Burma WHO/UNICEF TB Training and Demonstration Centre at RangoonThe evolvement of a felt-need-orientated programme based on the current epidemiological trend of tuberculosis as estimated from findings of Random Tuberculin survey and x-ray and sputum-bacteriology studies has been presented; and the launching of the National TB control programme as a corollarry therato has discussed, (by microscopy of sputum from chest-symptomatics) and Treatment (by supervised intermittent streptomycin/isoniazid chemotherapy) as well as of (b) the training of personnel to be involved in the implementation of the programme and the phased-out expansion of the programme throughout the country.