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RISS 인기검색어
- 검색키워드
- 저자 : Zulfiqur Rahman Khan (검색결과 3 건)
- 무료
- 기관 내 무료
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Surgical Treatment of Hepatolithiasis: Our Experience in Bangabandhu Sheikh Mujib Medical University
( Bidhan Chandra Das ),( Zulfiqur Rahman Khan ) 대한간학회 2018 춘·추계 학술대회 (KASL) Vol.2018 No.1
Aims: Recurrent cholangitis and sepsis are common compli cations after surgical treatment for hepatolithiasis as total clearance is not always possible. The present study is designed to see the effect of our treatment for hepatolithiasis on stone clearance and post operative complications. Methods: We have treated 60 patients with hepatolithiasis surgically between 2010 to 2016 in the Department of Surgery, BSMMU, Dhaka. Various operative procedures were applied on the basis of location of stones. Choledocoscopic examination was performed during surgery for checking and cleaning of intrahepat ic duct. Regular follow up was given and outcome was assessed. Results: Lobectomy or segmentectomy is the best option for hepatolithiasis if the stones are limited to a lobe or segment. Excision of CBD-hepatolithotomy with hepaticojejunostomy is better than extended choledocholithotomy- hepatolithotomy for bilateral hepatolithiasis.
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Effect of Early and Delay Starting of Enteral Feeding in Post-Pancreatoduodenectomy Patients
( Bidhan Chandra Das ),( Mozammel Haque ),( Noor-e- Elashi ),( Zulfiqur Rahman Khan ) 대한간학회 2018 춘·추계 학술대회 (KASL) Vol.2018 No.1
Aims: This study is undertaken to see the effect of early start ing of enteral feeding after pancreatoduodenectomy (PD). Methods: Thirty patients who underwent PD in the Depart ment of Surgery, Bangabandhu Sheikh Mujib Medical Universi ty, Dhaka from January 2016 to December 2016 was included in the study. They were divided into two groups; Group I (n=15): Enteral feeding was started from 2nd POD through nasojejunal feeding tube along with parenteral partial nutrition support. Group II (n=15): No enteral feeding was given up to 7-8 PODs except partial perenteral feeding. Post-operatively, serum albu min levels, total lymphocyte count, total bilirubin levels, serum alkaline phosphate levels were measured for 2 weeks postop eratively in all patients for assessing nutritional, immunological and cholestasis. Mortality, morbidity and lengths of post-opera tive hospital stay were also recorded. Results: Both groups matched the same status pre- and per-op eratively. Postoperatively serum albumin level and lymphocyte count decreased from preoperative level on 3rd POD and grad ually increased from 7th POD onward in both groups but they remained persistently higher in Group I than Group II. Total bil irubin and alkaline phosphatase decreased to normal within 7 POD in Group I, but they remained still higher than normal level on POD 14 Group II. Morbidity and hospital stay is significantly lower in group I than group II. Conclusions: Early enteral feeding should be considered af ter PD. It will improve nutritional, immunological status and cholestasis. Thus it reduces morbidity and shortens the hospital stay.
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Effect of early and delay starting of enteral feeding in post-pancreaticoduodenectomy patients
Bidhan C. Das,Mozammel Haque,Mohammad Saief Uddin,Md. Nur-E-Elahi,Zulfiqur Rahman Khan 한국간담췌외과학회 2019 Annals of hepato-biliary-pancreatic surgery Vol.23 No.1
E Backgrounds/Aims: This study was undertaken to see the effect of early starting of enteral feeding after pancreatoduodenectomy (PD). The results were compared with existing nutritional practice in which enteral feeding started, usually after 7 to 8 postoperative day (PODs) in our institute. Methods: Thirty patients whome underwent a PD from January 2016 to December 2016 were included in the study. They were divided into two groups, I and II. In group I (n=15), enteral feeding was started from the 2<SUP>nd</SUP> POD through the nasojejunal feeding tube along with parenteral partial nutrition support. In group II (n=15), no enteral feeding was given up to seventh and eighth PODs, except the perenteral feeding. Post-operatively, serum albumin levels, total lymphocyte count, total bilirubin levels, serum alkaline phosphate levels were measured for two weeks postoperatively in all the patients for assessing nutritional, immunological and cholestasis status. The mortality, morbidity and lengths of post-operative hospital stay were also recorded. Results: Postoperatively, the serum albumin level and lymphocyte count decreased from the pre-operative level on the third POD and it gradually increased from the seventh POD onwards in both groups. However, they remained persistently higher in group I than group II. The total bilirubin and alkaline phosphatase decreased to normal levels within the seventh POD in Group I. However, they remained higher than normal levels on POD 14 in Group II. The morbidity and hospital stay was significantly lower in group I than group II. Conclusions: Early enteral feeding should be considered after PD. This is because it will improve nutritional, immunological status and cholestasis. Therefore, it reduces morbidity and shortens the hospital stay.
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