Prevalence of Gastric Cancers among Patients Undergoing Upper Gastrointestinal Endoscopies in a Tertiary Care Hospital in Nepal: A Descriptive Cross-sectional Study

Bhattarai, Subash; Gyawali, Merina; Regmi, Sudeep

doi:10.31729/jnma.5657

Cited by 1 publication

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“…Regarding the site of the gastric carcinoma in our study, the antrum (43.3%) was the commonest site of gastric lesion, followed by the body (20.0%), diffuse (16.7%) and pylorus (13.3%). Our findings were found to be similar with studies done by Thapa et al, 5 Bhattarai et al 8 and Ghosh et al 10 where antrum was the most common site of gastric cancer accounting for 48.0%, 70.0% and 72.5% cases respectively.…”

Section: Discussionsupporting

confidence: 93%

Clinicopathological Study of Helicobactor Pylori Infection and Gastric Carcinoma at a Tertiary Care Hospital in Kathmandu

Pathak,

Pudasaini,

Basnet

2024

Nep. Med. Coll. J.

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Urinary calculi are important problem in urology field. Ureteral stones can cause obstructive uropathy and subsequent deterioration of renal function. The minimal invasive approaches become the major source of treatment modalities with the development of lithotripsy technology. A prospective cross sectional hospital study was conducted in the Urology Department of a tertiary care hospital in Kathmandu for a period of one year (September 2022 to August 2023). A total of 118 patients attending Urology OPD and undergoing laser lithotripsy were included in the study. Ureteroscopic procedure was done using a 6.5 Fr (Wolf Inc., Germany) semirigid ureteroscope under direct endoscopic vision and once the stone was visible, fragmentation was done using Ho-YAG laser. The mean age of the patients was 35.36 ± 11.65 years with male preponderance (58.5%). The common presenting symptom was flank pain and ureteric calculus was more common in the left side (49.2%). Upper ureteric calculus (60.2%) and single stone (83.9%) were more common. Stone size <10 mm (54.2%) and density more than 1000 HU (87.3%) were more common. Stone retropulsion was seen in 16.1% cases and 78% had no post operative complications. SFR in Xray KUB was 94.9% and in USG was 78.8%. The association of SFR in Xray KUB and USG among different variables - male and female patients, patients with stone size < and ≥ 10 mm, stone density < and ≥ 1000 HU and sites (upper, middle and lower) was statistically not significant. The laser lithotripsy technique was found to be effective and safe for ureteric calculus with high SFR.

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Section: Discussionsupporting

confidence: 93%