Is endoscopist-directed sedation for endoscopic retrograde cholangiopancreatography with balanced propofol solution (BPS) practical and safe? A prospective study from a tertiary care centre in India.

Introduction: Endoscopist-directed, nurse-administered sedation using propofol, midazolam, and fentanyl for endoscopic retrograde cholangiopancreatography (ERCP) is being utilized worldwide. However, this is not usually employed in India by endoscopists.

Aim: To assess the efficacy, acceptability, and safety of this sedation in low to moderate risk patients undergoing ERCP.

Recurrent episodes of hypoglycemia induced by moxifloxacin.

An elderly diabetic male with pneumonia presented with multiorgan failure. He developed hypoglycemic episodes with moxifloxacin that responded only to withdrawal of moxifloxacin.

Recurrent amebic liver abscess.

Recurrence of amebic liver abscess is uncommon. We report a 62-year-old man presenting with amebic liver abscess thrice in last 5 years.