Objectives: The objective of this study is: To determine frequency of persistent postoperative incontinence in closed lateral internal sphincterotomy for chronic anal fissure. Study design: Descriptive study (Case series). Place and duration: The study was undertaken at the department of the General Surgery, Nishtar Hospital Multan from Nov5,2008 to May 5, 2009. Material and methods: One hundre...

Aim: To investigate the rectal and anal sphincter factors that might contribute to the development of fecal incontinence (FI) after anal fissure and rectal prolapse surgery. Methods: Fourteen patients with FI after sphincterotomy (n = 8) and rectal prolapse surgery (n = 6) were studied [clinical assessment, rectosigmoidoscopy, anorectal manometry, including rectoanal inhibitory reflex (RAIR) me...

Background—Endoscopicretrogradecholangiopancreatography sphincterotomy is increasingly performed in younger patients undergoing laparoscopic cholecystectomy. However, the safety of endoscopic sphincterotomy in this age group, relative to that in older patients, is unknown. Aim—To determine whether the development of short term complications following endoscopic sphincterotomy is age related. Pa...

A consensus development approach was used to assess the extent to which doctors in the UK agreed about the appropriate indications for cholecystectomy. Two panels, one composed entirely of surgeons and one containing a mix of relevant specialists, were asked to rate a series of possible indications. A consensus was achieved for 61% (surgical panel) and 67% (mixed panel) of indications considere...

Background: Anal fissure is one of the most common ano-rectal diseases and 10% of patients ultimately receive surgery. Lateral internal sphincterotomy is highly effective and is the surgical treatment of choice for curing chronic anal fissure with hypertonicity after failure of conservative measures. LIS has a high success rate, but can have complications as bleeding and incontinence. There can...

background medical sphincterotomy has gained popularity as a treatment for anal fissure. calcium channel blockers in topical forms could also be appropriate with low adverse effects. objectives this was a prospective randomized controlled trial to compare topical and oral nifedipine in the treatment of chronic anal fissure. patients and methods a prospective randomized controlled trial was cond...

hydatid cyst is an infectious parasitic disease often caused by echinococcus granulosus, or to a lesser extent by echinococcus alveolaris. the liver is the organ most frequently involved. we report a case with hydatid cyst of the liver and lung that many years after surgery developed bronchobiliary fistula and biloptysis. the patient had been operated 2 times previously but yet the problem was ...

OBJECTIVE To determine the frequency of factors leading to post endoscopic retrograde cholangiopancreatography (ERCP) pancreatitis. STUDY DESIGN Case series. PLACE AND DURATION OF STUDY Department of Gastroenterology, Liaquat National Hospital, Karachi, from November 2007 to October 2008. METHODOLOGY Fifty (50) patients of diagnosed cases of post-ERCP pancreatitis were included in this st...