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Biomedical subjects

C K Chahar

Publications and source records attributed to C K Chahar.

10 recordsLinked to original sources

Endoscopic variceal ligation using multiband ligator.

Esophageal variceal bleed in children is treated with endoscopic sclerotherapy (EST), which is associated with significant complications. Endoscopic variceal ligation (EVL) was found to be more effective and safe in adults. Use of EVL in children has not been studied much. Thirteen consecutive children (mean age 9.4 years) with variceal bleed were subjected to EVL by multi band ligator. Varices were eradicated in 2.8 sessions (range 2-4) and one patient had bleed during procedure. No other complications were noted. EVL could not be performed in 2 children less than 3 years of age.

Adolescent↗

Quantitation of proteinuria by use of single random spot urine collection.

Measurements of protein to creatinine ratios in single voided urine samples were compared with 24 hour urinary protein excretion for quantification of proteinuria in 20 healthy control and 30 patients of various renal diseases. The range of proteinuria in study group was 1.46-6.0 g/day and renal function was stable in all the cases. An excellent correlation was found between the results obtained by this method and those from the standard 24 hours urine collection method in healthy controls (r = 0.99) and in patients with renal disease (r = 0.98). In our study urinary protein-creatinine ratio in control group was less than 0.2 in all cases and in study group was more than 3.0 except in one. The results of the present study indicate that the random urine protein-creatinine ratio is highly reliable test for quantification of proteinuria in children and has obvious advantage in term of time, cost and patients convenience.

Adolescent↗