Virandera Pal Bhalla

Marengo Asia Hospital Gurugram India

Background: Echinococcosis also known as hydatid disease is a zoonotic parasitic disease caused by a tapeworm. It has a worldwide distribution. For long, it was thought to be a problem of the poorly sanitized "third world" and not given the importance it deserved. However, its occurrence in countries like Australia and New Zealand and recently in...

Background: Primary tumors of the jejunum and ileum are rare and this segment of gastrointestinal tract is relatively inaccessible to conventional endoscopy, leading to a delay in diagnosis. Due to its rarity, data of primary jejunoileal tumors is still scarce, especially in India where diagnostic modalities like capsule endoscopy is not widely ava...

Myeloid sarcoma is an extra medullary manifestation of acute myeloid leukemia (AML). Primary involvement of the biliary tract with myeloid sarcoma presenting as obstructive jaundice without evidence of leukemia is very rare. Here we present a case of 72 year old lady, who initially presented with features of biliary obstruction and was clinically c...

Duodenal compression between the aorta and superior mesenteric artery (SMA) is a rare condition. It is traditionally referred to as the superior mesenteric artery syndrome (SMAS) or Wilkie’s syndrome.

Aim To review the current status of Laparoscopic Sleeve Gastrectomy (LSG) as a standalone procedure and its comparison with Laparoscopic roux en Y gastric bypass (LRYGB) for morbid obesity. Background LSG is a commonly performed procedure. It is technically simple to teach and easy to learn. LRYGB on the other hand is a complex operation. LRYGB is...

A patient presenting with massive Lower Gastro Intestinal Haemorrhage (LGIH) in the tropics is most likely to be a young individual commonly bleeding from nonspecific or enteric ulcers. In contrast the western patient with massive LGIH is likely to be an elderly individual bleeding from diverticulosis or angiodysplasia. Recently we managed a patien...

Bariatric surgery is a well-established approach to improve metabolic disease in morbidly obese patients with high cardiovascular risk. The post-operative normalization of lipid metabolism has a central role in the prevention of future cardiovascular events. The aim of the present study therefore was to characterize changes of plasma lipidomic patt...

Lower gastrointestinal bleeding is defined as hemorrhage orginating distal to the ligament of Treitz. Its diagnosis is difficult, often requiring endoscopy, angiography and isotope scans. All patients with massive lower gastrointestinal bleeding seen in three gastroenterology centers of Armed Forces during an 11 year period between 1988 and 1999 we...

Treatment options for Grave's disease include radio-iodine ablation, which is the standard treatment in the USA, antithyroid drug therapy, which is popular in Japan, and surgery, which is commonly employed in Europe and India. There are very few reports about the outcome of surgery in Grave's disease in the Indian setting. Surgery for Grave's disea...

MASSIVE LOWER GASTROINTESTINAL BLEEDING - AN 11 YEARS EXPERIENCE AC ANAND, VP BHALLA, P K PATNAIK, A SAHA, HS PRUTHI. Department of Gastroenterology, Command Hospital (WC), Chandimandir-134107 ABSTRACT Lower gastrointestinal bleeding is defined as hemorrhage originating distal to ligament of Treitz. Its diagnosis is difficult often requiring endo...

THERAPEUTIC BILIARY ENDOSCOPY: FIRST 100 CASES AT A SERVICE HOSPITAL AC Anand, VSM, Balwinder Singh, HS Pruthi, VP Bhalla, Department of Gastroenterology, Command Hospital (WC), Chandimandir-134107 and Department of Medicine, AFMC, Pune. Background: Therapeutic Biliary Endoscopy (TBE) is now a popular mode of treatment for patients with obstructiv...

ABSTRACT Endoscopic sphincterotomy (ES) is becoming a popular mode of treatment for obstructive jaundice patients. This paper highlights the early experience of Armed Forces Gastroenterologists with this therapy. ES was offered as a therapeutic option to 46 patients with obstructive jaundice. The mean age of the patients was 45.5 + 16 years and ma...

A comparative study of early vs delayed cholecystectomy was conducted on 51 patients who presented with acute cholecystitis. Ultrasonography was accurate in diagnosing all cases of acute cholecystitis. Twenty four patients were managed by early surgery performed between 24 and 72 hours of onset of symptoms. Twenty seven were managed by delayed chol...