Nihar Ranjan Dash

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Leak from cervical esophagogastric anastomosis (CEGA) following esophagectomy is associated with morbidity and poor functional outcome. To address this issue, we conducted a randomized trial comparing “hand-sewn” with “stapled side-to-side” CEGA. Of 174 patients who underwent esophageal resection and CEGA between 2004 and 2010, 87 each were randomized to(More)
OBJECTIVE To analyze the short- and long-term outcomes following surgical treatment for corrosive stricture of the esophagus. BACKGROUND Surgery is a well-established treatment for corrosive strictures of the esophagus and involves either resection or bypass of the damaged esophagus and replacement by a conduit. The need for resection and the choice of(More)
To study the effect of antecolic vs. retrocolic reconstruction on delayed gastric emptying (DGE) after pancreaticoduodenectomy (PD) and to analyze factors which may be associated with post-PD DGE. DGE is a troublesome complication occurring in 30–40% of patients undergoing PD leading to increased postoperative morbidity. Many factors have been implicated in(More)
BACKGROUND Infected pancreatic necrosis (IPN) is a dreaded adverse event of acute pancreatitis (AP). Most patients with IPN require drainage and necrosectomy, preferably by a minimally invasive method. OBJECTIVE To study the success and safety of an alternative form of minimally invasive necrosectomy for IPN. DESIGN Observational study. SETTING(More)
PURPOSE To report a case of spontaneous rupture of the esophagus and its anesthetic management. CLINICAL FEATURES A 52-yr-old male presented with a seven day history of chest pain, respiratory distress, and swelling in the neck following forceful vomiting. Examination revealed hypotension, decreased air entry in the right lower lung field with(More)
The aim of palliation in patients with inoperable esophageal cancer is to relieve dysphagia with minimal morbidity and mortality, and thus improve quality of life (QOL). The use of a self-expanding metal stent (SEMS) is a well-established modality for palliation of dysphagia in such patients. We assessed the QOL after palliative stenting in patients with(More)
BACKGROUND Percutaneous biliary drainage is an accepted palliative treatment for malignant biliary obstruction. PURPOSE To assess the effect on quality of life (QOL) and bilirubin level reduction in patients with inoperable malignant biliary obstruction treated by unilobar or bilobar percutaneous transhepatic biliary drainage (PTBD). MATERIALS AND(More)
BACKGROUND A majority of patients with esophageal cancer present with inoperable disease and require rapid and long-lasting palliation of dysphagia. STUDY AIM To compare the duration of relief of dysphagia in patients with inoperable esophageal cancer treated with esophageal stenting alone or a combination of esophageal stenting and external beam(More)