Happy to share our original article publication in @GIE_Journal Gastrointestinal Endoscopy !!!
"The Impact of Confocal Endomicroscopy Combined with Standard Diagnostics in Evaluating Large Pancreatic Cystic Lesions: An International Interobserver Study"
Led by Prof @som_krishna ๐๐๐
โญ๏ธ 15 EUS-CLE naive endosonographers participated in a 2 phase diagnostic study !!! ๐ฎ๐ณ๐ฎ๐น๐บ๐ธ
๐กDiagnostic accuracy before and after nCLE review was compared using histopathology as the gold standard
โ 66 cases
โ Accuracy increased - distinguishing mucinous vs non-mucinous cysts (90 to 96%)
โ similar results for sub-type specific cysts as well.
โ nCLE significantly reduced misclassification, lowering mean unnecessary benign resections from 7.2 to 4.1 (p=0.010) and missed neoplastic diagnoses from 4.4 to 0.7 (p=0.001) per observer, enhancing clinical decision-making
Thank you to all co-authors : @Samanta_JayPGI@CrinoStefano@ShubhraMishra91@drnaveenm@DachaSunil@Anand_KumarMD@SumantInamdar and others not on X !!! ๐
Have a nice read โ๏ธ๐
https://t.co/JN9sEjis98
#EUS #CLE #pancreaticcysts
Happy to share that our review "Road to IBD prevention in the Global South: a conceptual framework modelling from NCDs" got published in the Gut _BMJ.
The link for the same is https://t.co/1H9pfe6wK6.
@TheGastrologer@BilalMohammadMD@SultanMahmoodMD@drkeithsiau @Bashar_Qumseya We can control both wheels at a time with the thumb and use the other hand for torquing the shaft. I feel this useful during fundus examination and colonoscopies
You pay income tax
4% health and education cess on your income tax
When NMC improves extra seats, Karnataka state govt them for sale to NRIs for 25 lakhs per year
Merit students are denied of their right to free education
Consequences of Freebies by Karnataka Govt
Over the weekend, my ICU has been filling up steadily with patients coming in blood vomiting, altered behaviour, brain and liver failure and severe infections, all of whom relapsed on alcohol during the ongoing Onam festival.
Kerala recorded 8260 million rupees Onam liquor sales.
Patients/family cry that hospital bills are too high and ask for discounts. And beg doctors not to mention alcohol on the admission sheet and discharge summary so that their insurance claims are not rejected.
But magically, every time, they find money to indulge on alcohol.
Here is a video on it: We Made Medical History Together: Indiaโs First Blood Group-Incompatible Liver Transplant for a Rare Genetic Disorder - Methyl Malonic Acidemia...
...done free of cost to save this child.
@docdhir Sharing my thought sir,
Repeat cholangioscopy and breaking the impacted stones with in the basket to smaller pieces. Basket may get disimpacted with this and further removal of basket by cholangioscopy guidance, may be grasping with biopsy forceps or snare.
1/15
A probiotics company called GoodBug that sells a variety of products containing various strains of bacteria with claims that their products promote weight loss, reduce PCOD symptoms, "cleanse the gut," improve IBS and "balance" hormones. They are lying.
Here is how...