Journal of the College of Physicians and Surgeons--Pakistan : JCPSP
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J Coll Physicians Surg Pak · Dec 2019
Randomized Controlled TrialThe Use of Probiotic with ORS and ORS Only in Children with Acute Diarrhea.
To compare the mean number of stools per day in children treated with combination of probiotic (lactobacillus rhamnosus) with ORS and ORS only in acute diarrhea. ⋯ Probiotics are found to be significantly more effective in reducing the stool frequency in acute diarrhea.
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J Coll Physicians Surg Pak · Dec 2019
Multicenter StudyAmino Acid Mutations in NS5B Protein among Treatment-naive Genotype 3A Infected Patients.
To determine the frequency of mutations at specific amino acid positions in full length NS5B gene among chronic HCV genotype 3a infected patients of Peshawar, who had not taken any previous treatment. ⋯ This study reports mutations based on complete NS5B protein of HCV 3a genome that could help predict treatment response among the chronically infected with HCV genotype 3a patients of Peshawar.
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We report a case of a mature cystic teratoma of urinary bladder in a 17-year female, which is extremely rare. The patient presented with pain in suprapubic region for one year. ⋯ Resection of the lesion was done with wide margin by transurethral resection of bladder tumor (TURBT). Histopathological examination showed fragments of skin, sebaceous glands, fat and muscle cells, confirming mature cystic teratoma.
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J Coll Physicians Surg Pak · Dec 2019
Case ReportsDeep-seated Hibernoma of Thigh: A Rare Benign Adipocytic Tumor.
Hibernoma is a rare benign soft tissue adipocytic tumor. Mostly found in adults, it is usually located in the limbs, and is deepseated or intramuscular. ⋯ Radiological investigation and incisional biopsy were done to diagnose and define the surgical roadmap to completely excise it. We describe our technique to precisely control feeding vessels and meticulous dissection to preserve thigh muscles to retain function.
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J Coll Physicians Surg Pak · Dec 2019
Case ReportsSelf-expanding Metallic Stent Placement in Malignant Terminal Ileal Stricture.
Malignancies of gastro-intestinal tract cause stricture formation that leads to intestinal obstruction. In such cases, either surgery or placement of self-expanding metallic stents (SEMS) are options of palliation. For left sided colorectal obstruction, SEMS have been widely used and reported. ⋯ SEMS placement, particularly in the ileocecal region, is technically difficult. Few studies on SEMS deployment in right sided colon have been reported till now. We report a case of metastatic signet ring cell carcinoma of rectosigmoid junction with malignant terminal ileal stricture palliation done with placement of SEMS.