Sher i Kashmir Institute of Medical science Srinagar Kashmir

Srinagar, India

Sher i Kashmir Institute of Medical science Srinagar Kashmir

Srinagar, India

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PubMed | Senior resident CVTS SKIMS Soura Srinagar 190010. and Sher i Kashmir Institute of Medical science Srinagar Kashmir
Type: Journal Article | Journal: Oman medical journal | Year: 2014

The aim of this study was to evaluate the trans-axillary surgical approach in patients with thoracic outlet syndrome.This retrospective study is comprised of data acquired from January 1998 until Oct 2008. Case histories of all the patients were reviewed from the Medical Records Department of Sher-i-Kashmir Institute. Relevant information and follow-up of the patients was carried out by examining the relevant clinical notes available by telephone interviews and personal contact whenever possible. All data was compiled and analyzed statistically.There were a total of 139 patients. The female: male ratio was about 6:1. Pain was the most common presenting symptom followed by weakness and parasthesia. Nerve conduction velocity was abnormal in 111 patients. Twenty-eight patients had abnormal Doppler study of subclavian vessels. Preoperative symptoms persisted in 13 patients. Overall, 126 patients showed improvement in symptoms and no recurrence or persistence of symptoms on follow-up examination.Trans-axillary approach provides a good exposure and cosmesis in patients with thoracic outlet syndrome. It should be considered as the gold standard in the management of thoracic outlet syndrome.


Malik A.A.,Sher i Kashmir Institute of Medical science Srinagar Kashmir | Wani M.L.,Sher i Kashmir Institute of Medical science Srinagar Kashmir | Malik R.A.,Sher i Kashmir Institute of Medical science Srinagar Kashmir | Irshad I.,Sher i Kashmir Institute of Medical science Srinagar Kashmir
Turkish Journal of Gastroenterology | Year: 2011

A case of Brunner's gland hyperplasia presenting as gastrointestinal bleeding is reported herein. A 40-year-old male presented to our hospital with features of upper gastrointestinal bleeding. The patient had a history of passing black tarry stools for the last two days. Upper gastrointestinal endoscopy was done, which showed a pedunculated polypoid lesion in the second part of the duodenum with active bleeding at the base of the polyp. Adrenaline was injected around the bleeding site; however, the patient continued to bleed. He was taken for surgery. A laparotomy was done, and the duodenum was mobilized and opened. A large pedunculated polyp measuring approximately 2 cm was found with bleeding at the base. Polypectomy was done. Histopathological examination of the specimen showed mature Brunner's gland with normal duodenal mucosa at the surface. Diagnosis of Brunner's gland hyperplasia was made. The patient is under follow-up and is symptom-free.


PubMed | Sher i Kashmir Institute Of Medical science Srinagar Kashmir
Type: Case Reports | Journal: The Turkish journal of gastroenterology : the official journal of Turkish Society of Gastroenterology | Year: 2011

A case of Brunners gland hyperplasia presenting as gastrointestinal bleeding is reported herein. A 40-year-old male presented to our hospital with features of upper gastrointestinal bleeding. The patient had a history of passing black tarry stools for the last two days. Upper gastrointestinal endoscopy was done, which showed a pedunculated polypoid lesion in the second part of the duodenum with active bleeding at the base of the polyp. Adrenaline was injected around the bleeding site; however, the patient continued to bleed. He was taken for surgery. A laparotomy was done, and the duodenum was mobilized and opened. A large pedunculated polyp measuring approximately 2 cm was found with bleeding at the base. Polypectomy was done. Histopathological examination of the specimen showed mature Brunners gland with normal duodenal mucosa at the surface. Diagnosis of Brunners gland hyperplasia was made. The patient is under follow-up and is symptom-free.

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