Browsing by Author "Nagral, S"
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Item Biliary pancreatitis secondary to stones from a gall bladder remnant.(2010-07) Hussain, M; Nagral, SItem Bleeding isolated gastric varices: a retrospective analysis.(1999-04-13) Nagral, S; Shah, S; Gandhi, M; Mathur, S KOBJECTIVE: Isolated gastric varices (IGV) are rare and are believed to be associated with left-sided portal hypertension. We studied patients presenting with bleeding from IGV and compared them with those bleeding from both esophageal and gastric varices. METHODS: A retrospective analysis of 14 patients with bleeding from IGV was carried out. Portovenography findings (pattern of collateralization and natural shunts) in these patients were compared with a matched group of 69 patients with both esophageal and gastric varices. RESULTS: Of 14 patients with IGV, 2 had isolated splenic vein thrombosis and 12 had generalized portal hypertension. Portovenograms in 11 of the latter 12 revealed predominantly 'left-sided' collateralization in 8 patients as compared to 17 of 69 (25%) patients with esophageal and gastric varices (p = 0.004); natural shunts were seen in 6 of 11 cases and 15 of 69 (22%) patients in the two groups, respectively (p = 0.05). Abdominal devascularization operation gave good short- and long-term control of bleeding. CONCLUSIONS: Contrary to belief most patients with isolated gastric varices may have generalized portal hypertension rather than splenic vein obstruction as the cause and hence should be treated by a more extensive procedure than just splenectomy. The IGV could be a result of predominant collateralization to the retroperitoneal area (left-sided collateralization and natural shunts) rather than the usual pattern to the azygos system which results in esophageal varices.Item The Consumer Protection Act.(1992-10-01) Nagral, SItem Double primary carcinoma of gall bladder and bile duct.(1993-01-01) Nagral, S; Kothe, S; Khare, A; Joshi, A; Mathur, S KItem Experience with the pectoralis major myocutaneous flap for head and neck reconstruction in a general surgical unit.(1992-07-01) Nagral, S; Sankhe, M; Patel, C VThe pectoralis major myocutaneous (PMMC) flap or its modification was used in 19 cases after resectional surgery for malignancy of the oral cavity with minimal morbidity and no mortality. The resection as well as reconstruction was done by the same team consisting only of general surgeons. The final functional and cosmetic results were satisfactory. The pectoralis major myocutaneous flap is a hardy flap and can be performed with relative ease even by those not specialised in plastic surgery. This makes it an important tool for a general surgeon practicing in a country like India with its high incidence of head and neck malignancy.Item Flushing retained CBD stones: is it charge or pressure that works?(1993-01-01) Nagral, SItem Helicobacter pylori gastritis masquerading as gastric lymphoma.(1995-10-01) Nagral, S; Mohandas, K M; Narawane, N; Joshi, A; Patankar, TA 30-year-old man presented with acute acid-peptic symptoms. Endoscopy and radiological studies revealed generalized thickening of gastric folds with multiple superficial ulcerations and infiltration of the distal stomach simulating gastric neoplasm. Endoscopic biopsies revealed acute gastritis with foveolar hypertrophy with numerous Helicobacter pylori. The symptoms and endoscopy findings resolved completely with combination triple-drug therapy for H pylori.Item Hepatic sickling crisis mimicking recurrent cholangitis.(1999-04-13) Mehta, S; Nagral, A; Sucheta, V K; Nagral, S; Gopal, S; Joshi, A S; Krishnamurthy, SA 22-year-old man with homozygous sickle cell disease presented with recurrent fever, right upper quadrant pain and jaundice. Liver biopsy confirmed the diagnosis of hepatic sickling crisis; the symptoms responded to hydroxyurea therapy. Hepatic vasocclusive crisis can diagnosed on liver biopsy, and need not be a diagnosis of exclusion.Item Liver resection.(1997-10-14) Nagral, S; Doctor, N; Davidson, B RItem Obstructed Morgagni's hernia (a case report).(1991-10-01) Sakalkale, R P; Sankhe, M; Nagral, S; Patel, C VA forty-year-old male patient was admitted with acute intestinal obstruction, plain X-ray abdomen and chest revealing air fluid levels on the right side of chest. A successful operation was carried out and the patient made an uneventful recovery. Obstructed Morgagni's Hernia is an uncommon case and hence the presentation.Item Pseudomyxoma peritoneii.(1997-01-01) Devalia, H; Nagral, S; Khemani, R; Pandit, AA middle aged male patient presented with gradual distension of the abdomen. Imaging modalities showed classical features of pseudomyxoma peritoneii which was confirmed by aspiration cytology. Details of the case are described and relevant literature is reviewed.Item Selection and management of the brain dead donor.(1995-07-01) Nagral, SItem Treatment of symptomatic polycystic liver disease with resection-fenestration.(2002-07-19) Bhandari, M; Shah, S; Nagral, S; Doctor, NPolycystic liver disease with severe symptoms is difficult to treat. We report a 35-year-old man with advanced disease, who had a successful outcome after resection and fenestration.