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Biomedical subjects

H C Gupta

Publications and source records attributed to H C Gupta.

23 records · Page 2Linked to original sources
PubMedDate not supplied

Typhoid bowel perforation: a review of 264 cases.

Two-hundred and sixty-four patients with typhoid perforation of the bowel, who were admitted to our department during a five-year period (1978 to 1982) were reviewed. Most of the patients presented with advanced peritonitis, severe dehydration, toxemia and gross malnutrition. History and clinical examinations were sufficient for the diagnosis of these patients. Operative management was found to be far better than conservative treatment which was associated with a very high mortality. The best morbidity and mortality levels were obtained in patients who received thorough peritoneal lavage, intravenous Metronidazole, hyperalimentation and blood transfusion. The single layer suture technique was found more effective in reducing the incidence of postoperative fecal fistula than the double layer technique.

Adolescent↗
PubMedDate not supplied

Double layer versus single layer intestinal anastomosis: a clinical trial.

One hundred and seventy two cases requiring bowel resection for various intestinal conditions were randomly selected for use of the double or single layer technique, for the end-to-end anastomosis. It was observed that the return of bowel function was quicker in the single layer group than in the double layer group, and the incidence of anastomotic leakage was lower in the former group.

Adult↗
PubMedDate not supplied

Volvulus of the small intestine.

A series of seventy-five cases of volvulus of the small intestine are reviewed. There is a 14.2% incidence of this condition among cases of acute intestinal obstruction. It is more common than cecal volvulus but less common than sigmoid volvulus. The patients are usually healthy, poor, adult villagers whose diet is heavy and vegetarian with a high roughage content; they mainly do hard manual work. It is difficult to make a correct preoperative diagnosis. In this series, the percentage of primary volvulus is 73.33% and of secondary is 26.66%. The etiology, incidence, symptomatology and mortality are studied.

Adolescent↗