Multi-center prospective survey of hepatocellular carcinoma in Kerala: More than 1,200 cases.

Background: Hepatocellular carcinoma (HCC) is considered uncommon in India. The aim of this study was to document the demographic characteristics and clinical aspects of HCC in Kerala, India.

Methods: A survey of HCC in Kerala was performed.

Correlation between insulin resistance and liver histology in patients with nonalcoholic steatohepatitis with and without obesity.

Introduction: Insulin resistance (IR) plays a central role in pathogenesis of nonalcoholic steatohepatitis (NASH). The aim of this study was to correlate histopathological grading and IR in overweight/obese patients with NASH as compared with lean NASH.

Methods: Patients with NASH who underwent liver biopsy between January 2012 and December 2012 were included.

Impact of calcifications on diagnostic yield of endoscopic ultrasound-guided fine-needle aspiration for pancreatic ductal adenocarcinoma.

Introduction: Chronic calcific pancreatitis (CCP) is a major risk factor for pancreatic ductal adenocarcinoma (PDAC) and is common in southern India. Endoscopic ultrasound fine-needle aspiration (EUS-FNA) is useful for tissue acquisition in patients with solid pancreatic lesions. Multiple factors may affect the diagnostic yield of FNA samples.

A prospective cross sectional study of detection of toxin in patients with antibiotic associated diarrhoea.

Background And Objectives: infections (CDI) include self-limiting antibiotic associated diarrhoea (AAD), antibiotic-associated colitis, and pseudomembranous colitis. The present study aimed at detecting toxin in stool samples of patients with AAD and analyzing the antibiotic use and presence of other risk factors in these patients.

Materials And Methods: In this study, which was conducted on 660 samples, a 2- step strategy was used.

Multi-center prospective survey of inflammatory bowel diseases in Kerala: More than 2000 cases.

Background: Inflammatory bowel disease (IBD) is considered uncommon in Asia. The aim of this study was to document the demographic characteristics and clinical aspects of ulcerative colitis (UC) and Crohn's disease (CD) in Kerala, India.

Methods: A survey of IBD in Kerala was performed.

Percutaneous endoscopic gastrostomy (PEG) site infections: a clinical and microbiological study from university teaching hospital, India.

Background: Percutaneous endoscopic gastrostomy (PEG) is used to provide enteral access in patients who are unable to swallow. Infection of the stoma is an important complication and there is little data from India on this problem, which can be used to inform infection prevention and prophylactic strategies.

Aim: The objective was to assess the prevalence and the role of contributory factors in PEG site infections.

Endoscopic transpapillary drainage for external fistulas developing after surgical or radiological pancreatic interventions.

Background And Aims: External pancreatic fistulas (EPFs) are a therapeutic challenge. The present study was conducted to evaluate the efficacy of endoscopic transpapillary nasopancreatic drainage (NPD) in patients with EPF.

Methods: Over 12 years, 23 patients (19 males) with EPF underwent attempted endoscopic transpapillary NPD.

Agenesis of the dorsal pancreas with chronic calcific pancreatitis. case report, review of the literature and genetic basis.

Context: Agenesis of the dorsal pancreas is a rare developmental anomaly. This anomaly may be complicated by recurrent acute and chronic pancreatitis.

Case Report: We report the case of a 28-year-old female with agenesis of the dorsal pancreas and chronic calcific pancreatitis.

Endoscopic transpapillary nasopancreatic drainage alone to treat pancreatic ascites and pleural effusion.

Background: Pancreatic ascites and pleural effusion are uncommon sequelae of pancreatitis and are associated with significant morbidity and mortality. Endoscopic decompression of the pancreatic duct through transpapillary stent or nasopancreatic drain (NPD) has shown encouraging results but the experience is limited. The aim of the present study was to evaluate the efficacy of endoscopic transpapillary nasopancreatic drainage in patients with pancreatic ascites and pleural effusion.