Suture-Button Versus Syndesmotic Screw Fixation of Ankle Fractures: A Comparative Retrospective Review Over One Year.

Background Syndesmotic fixation is essential in the management of unstable ankle fractures with syndesmotic disruption. It can be achieved either by rigid fixation with screws or dynamic fixation with suture-button devices. Syndesmosis screws are considered the gold standard for the stabilisation and fixation of distal tibiofibular syndesmotic injuries.

Effect of band ligation on portal hypertensive gastropathy and development of fundal varices.

Background: Use of endoscopic therapies for esophageal varices has resulted in increased prevalence of fundal varices and severe portal hypertensive gastropathy. This study was meant to compare the effect of band ligation and sclerotherapy on development of fundal varices and portal hypertensive gastropathy.

Methods: Patients with esophageal varices presenting in the endoscopy unit of Shiakh Zayed Hospital, with at least one previous endoscopy were included.

Predictors of fatal outcome in fulminant hepatic failure.

Objective: To determine prognostic indicators for morbidity and mortality in patients with fulminant hepatic failure.

Design: Observational study.

Place And Duration Of Study: Department of Gastroenterology and Hepatology, Shaikh Zayed Postgraduate Medical Institute, Lahore, from April 2003 to June 2005.

Bedside diagnosis of spontaneous bacterial peritonitis using reagent strips.

Objective: To determine the efficacy of reagent strip for bedside diagnosis of spontaneous bacterial peritonitis (SBP).

Design: Cross-sectional analytical study.

Place And Duration Of Study: Shaikh Zayed Postgraduate Medical Institute from November 2003 to August 2004.

Non-endoscopic prediction of presence of esophageal varices in cirrhosis.

Objective: To identify hematological, biochemical and ultrasonographic predictors of esophageal varices in patients of cirrhosis.

Design: Cross-sectional, analytical study.

Place And Duration Of Study: Department of Gastroenterology, Shaikh Zayed Postgraduate Medical Institute, Lahore, from September 2003 to March 2004.

Ectopic intestinal varices as a rare cause of lower gastrointestinal haemorrhage.

Ectopic intestinal varices are rarely responsible for lower gastrointestinal (GI) haemorrhage. A case of 55 years old male with recurrent melena is being presented, who was found to have scattered varices on small as well as large intestine. Selective review of literature regarding presentation, diagnosis and management of these cases is also part of presentation.