INTRODUCTION Situs Viscerum Inversus totalis (SIT) is a rare anomaly with genetic predisposition, in which organs are translated, completely or partially, on the opposite side of the body. Generally there are no organic dysfunctions. Situs Inversus can cause difficulties in the diagnostic and therapeutic management of abdominal diseases because of the mirror-like anatomy. On a clinical point of...

IntrOductIOn Cholelithiasis is the most common biliary pathology. The incidence of choledocholithiasis in patients with cholelithiasis varies between 5 to 15 percent, out of which 5% are asymptomatic [1]. Although common bile duct (CBD) stones may be silent, the development of complications such as cholangitis and acute pancreatitis is associated with major morbidity and mortality. Therefore, t...

On completion of this chapter, the learner will be able to: 1. Compare approaches to management of cholelithiasis. 2. Use the nursing process as a framework for care of patients with cholelithiasis and those undergoing laparoscopic or open cholecystectomy. 3. Differentiate between acute and chronic pancreatitis. 4. Use the nursing process as a framework for care of patients with acute pancreati...

To the Editor, The Indian Medical Gazette. Sib,?In this country where surgical operations are unpopular and often fraught with great danger it is most useful to have in hand medicinal measures for the treatment of what is usually a surgical case. A Russian physician recommended to me the " Chologen treatment" for cholelithiasis. This treatment is carried out in Germany very frequently. I have t...

OBJECTIVE Cholecystectomy, mostly due to cholelithiasis is one of the most common surgical procedures utilizing a significant amount of healthcare resources. As there are a huge number of cases, for example approximately 300 cases per year in our region, outlines this commonly encountered lesion should be recorded. Also, in an attempt to delineate the outline of the pattern, age and sex distrib...

BACKGROUND Cholelithiasis is a common problem in west as well as in developing nations and its incidence is continuously rising. It has become routine to order LFT's in every patient undergoing cholecystectomy for symptomatic cholelithiasis. OBJECTIVE To evaluate the usefulness of routine Liver Function Tests (LFT's) in patients with symptomatic cholelithiasis. METHODS This prospective desc...

The association between insulin resistance, lipoproteins and leptin was evaluated in cholelithiasis. The study group included 55 women (68.8%) and 25 men (31.3%) with a mean age and SD of 50.56 +/- 14.28 yrs. The control group included 25 women (62.5%) and 15 men (37.5%) with a mean age of 50.93 +/- 11.73 yrs. Serum leptin levels were measured by the enzyme immunoassay method. HOMA-IR was deter...

BACKGROUND Hereditary spherocytosis (HS) is an inherited hemolytic anemia that is caused by deficiency or dysfunction of erythrocyte cytoskeletal proteins. AIM The aim of this study was to describe the clinical course of hereditary spherocytosis in patients treated in the Pediatric Hematology Unit, Hospital das Clínicas, Universidade Federal de Minas Gerais. METHODS Sixty-three under 16-yea...

BACKGROUND Cholelithiasis is prevalent surgical disease, with approximately 60,000 admissions per year in the Unified Health System in Brazil. Is often asymptomatic or oligosymptomatic and major complications arise from the migration of calculi to low biliary tract. Despite these complications are severe and life threatening, some patients refuse surgical treatment. AIM To understand why indi...