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Diverticular disease in India

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We feel the incidence of diverticular disease is gradually increasing in our country. We have recently seen a number of cases with different presentations. cases with jejunal diverticuli with upper GI bleed. One was detected on push enteroscopy, one suspected on MR enteroclysis and one detected at laparotomy. The last patient had a rare blood group(O negative) and bled continuously, suspected to have colonic diverticulae. He was operated early because of rare blood group and we were able to resect the segment responsible and patient improved. Apart from this we recently saw many patients with sigmoid colonic diverticulae presenting with perforated diverticulae and diverticulitis and colo-vesical fistulae.

Forthcoming meetings

Meetings i am likely to attend are 1. ACRSICON 2010 at Jaipur 24th - 26th Sept'2010 2. IASG 2010 at Hyderabad 7th to 9th Oct'2010 3. ASICON 2010 at Delhi in Dec'2010

Annular Pancreas

This is an interesting patient who presented with recurrent episodes of pancreatitis. He came to us with gastric outlet and biliary obstruction. Whipples' procedure was done. He recovered and is doing well now. We looked at the literature. This is not very common. Patient with annular pancreas presenting at 26 years with symptoms of pancreatitis. Whole procedure and the outcome was interesting