Shafiq Ahmad Chughtai

Upper GI Surgeon

P3480 - Spontaneous Omental Bleed Causing Acute Abdomen in Child: A Case Report and Review of Literature

Background Para-aortic lymph node (PALN) involvement is staged as metastatic disease but the literature is conflicting with no consensus on management. Aim: To investigate the prognostic significance of PALN metastases on the oncological outcomes after resection for PDAC. Methods A retrospective cohort study of prospectively maintained data of pan...

Background: Para-aortic lymph nodes (PALN) are found in the aortocaval groove and they are staged as metastatic disease if involved by pancreatic ductal adenocarcinoma (PDAC). The data in the literature is conflicting with some studies having associated PALN involvement with poor prognosis, while others not sharing the same results. PALN resection...

Prognosis of pancreatic cancer remain poor. An important predictor for DFS and OS is resection margin. We present our experience of impact of Portal vein resection margin on OS and DFS in patients with PDAC.

Background Para-aortic lymph nodes (PALN) are staged as metastatic by AJCC when positive in pancreatic ductal adenocarcinoma (PDAC). PALN sampling during pancreatectomy is recommended by NCCN for accurate staging and prognosis. The incidence of unexpected PALN involvement is 20-25% in the literature, highlighting the limitation of current preoperat...

Peri-operative SARS-CoV-2 infection increases postoperative mortality. The aim of this study was to determine the optimal duration of planned delay before surgery in patients who have had SARS-CoV-2 infection. This international, multicentre, prospective cohort study included patients undergoing elective or emergency surgery during October 2020. Su...

Background: Preoperative SARS-CoV-2 vaccination could support safer elective surgery. Vaccine numbers are limited so this study aimed to inform their prioritization by modelling.

Up to a quarter of suspected malignant biliary strictures are benign on final histology. Diagnosis is challenging due to fear of needle track seeding, small sample size and nonspecific histological features. A large number of patients undergo major surgery for benign conditions, while others develop metastasis on surveillance. As differentiation b...

Since first successful kidney transplantation by Murray and colleagues in 1954, our understanding of kidney transplantation has evolved considerably. However, the long-term graft survival remains an enigma. Current Immunosuppressive therapy is a double edge sword, preventing rejection but contributing to multiple side effects including chronic graf...

Management of Renal Allograft Trauma

Management of Parvo virus induced Anemia in Kidney transplant Recipient Avaliable from https://tts.guide/webapp/lecture/1433

The impact of obesity on graft function in renal transplant recipients (RTR) is still controversial. Many centres set an upper limit on recipient body mass index (BMI) when considering patients suitable for transplantation, however the optimal cut-off BMI is yet to be established. The aim of this study was to compare the outcomes between obese and...

Calcineurin-inhibitors (CNI) have a narrow therapeutic window and warrant close therapeutic dose monitoring (TDM). CNI metabolism and consequently its serum trough concentrations (C0) depend on multiple factors, one of which is ethnicity. This prompted us to study the Tacrolimus trough levels in our patients from different ethnic background using a...

Disturbed sleep causes depression and poor health related quality of life (HRQoL). Poor sleep quality is an independent predictor of mortality in patients with end stage renal disease (ESRD). To compare the effect of kidney transplantation (KT) on sleep quality, we did a prospective study comparing patients on haemodialysis (HD) with kidney transpl...

According to NHS Blood and Transplant, UK has the lowest rate of transplant consent in Europe. “Taking Organ Transplantation to 2020” states that UK will never have a world class donation and transplantation service if more than 4 out of every 10 families decline donation. At present, 43% families decline donation.This prompted us to conduct a surv...

ESRD is associated with poor quality sleep. We did a single centre retrospective cross sectional study to assess sleep in patients with in 6 months of kidney transplantation and on HD. Better sleep quality was seen in transplant recipients.

The Royal college of Physicians of England (RCoP) acute medical task force recommends NEWS as a surveillance system for all patients in hospital for tracking clinical condition, alerting the doctors to any medical deterioration and triggering a timely response (1). It is an established fact that renal failure is associated with high cardiovascular...

We present the case of a 70-year-old gentleman who received a cadaveric transplant six years ago. His immunosuppression involved prednisolone, mycophenolate and tacrolimus for a year following which he was switched to sirolimus. He had undergone an ultrasound of his transplant kidney which raised the suspicion of a solid lesion and this was confirm...

CMV infection is one of the most common viral infection post transplantation. It is associated with multiple morbidities and mortality. Hence most centres give CMV prophylaxis post transplantation. However, the prophylaxis course length varies between three to six months among different units. The study aim is to assess CMV infection incidence in o...

Urological complications after renal transplantation cause significant patient morbidity. The incidence of these complications varies from 2.5% to 30% in various studies. The aim of this study is to analyse the incidence of major urological complications, their treatment modalities and the 5 year outcomes in our institution.

Objective: Objective of this study was to compare primary and delayed primary wound closure for dirty abdominal wounds in terms of frequency of surgical site infection. Study Design: Randomized Controlled Trial. Place and Duration of Study: Combined Military Hospital, Multan. From 16 Sep 2010 to 15 Mar 2011. Patients and Methods: A total of 110 pat...

Umbilicus is the central abdominal scar and the thinnest part of the anterior abdominal wall. Umbilical discharge is the hallmark of underlying umbilical pathology. Few of the causes of umbilical discharge include infection, granuloma, dermatitis, calculus, pilonidal sinus and umbilical fistula. Umbilical fistula can be acquired or congenital. A sl...