Abdominal Imaging and Endoscopy

Biography:

Dr.Vikas Leelavati BalaSaheb Jadhav has completed PostGraduation in Radiology in 1994. He has a 23 Years of experience in the field of Gastro-Intestinal Tract Ultrasound & Diagnostic as well Therapeutic Interventional Sonography. He is the Pioneer of Gastro-Intestinal Tract Sonography, especially Gastro-Duodenal Sonography. He has delivered many Guest Lectures in Indian as well International Conferences in nearly 27 countries as an Invited Guest Faculty, since March 2000. He is a Consultant Radiologist & the Specialist in Conventional as well Unconventional Gastro-Intestinal Tract Ultrasound & Diagnostic as well Therapeutic Interventional Sonologist in Pune, India.

Abstract:

TransAbdominal Sonography of the Gall Bladder can reveal Hepatic & ExtraHepatic & Peritoneal Perforations of the Gall Bladder, whether it is impending perforations, frank perforations, sealed perforations, concealed perforations & its complications. It can also demonstrate adhesions in the Gall Bladder Fossa at the Right Upper Quadrant. All these cases are compared & proved with gold standards like Laparoscopic & Open surgery & endoscopy.

Some extra efforts taken during all routine or emergent ultrasonography examinations can be an effective non-invasive method to diagnose primarily hitherto unsuspected Gall Bladder impending perforations, frank perforations, sealed perforations, concealed perforations & its complications, so should be the investigation of choice.

Biography:

Dr. Salah EL RAI currently serves as senior consultant radiologist and head of radiology department at Sheikh Khalifa General Hospital Ministry of Presidential Affairs (SKGH-MOPA), Umm Al Quwain, UAE. Dr. Salah completed his radiology degree in France and had more than 13 years of clinical radiology experience in France and UAE.

Dr. Salah is an active member of the European Society of radiology (ESR), the Radiological Society of North America (RSNA), French Society of Radiology (SFR) and the Cardiovascular and Interventional Radiological Society of Europe (CIRSE). He is also, a reviewer of the American journal of radiology and member of the RSNA regional committee of Middle East and Africa.

He has published over 60 international publications, papers and presentations at multiple conferences. He has special interests in body imaging and imaging quality assurance.

 

Abstract:

DWI is integrated increasingly in liver MR protocols given the recent technologic advances in image quality. Liver DWI adds useful qualitative and quantitative information to conventional imaging sequences. It plays also a role in the assessment of focal and diffuse liver diseases due to its high contrast resolution. It is fast non-contrast technique not requiring considerations for patients having contrast media allergy or renal impairment. International consensus on DWI recommends the use for focal liver lesion detection and characterization particularly in patients who cannot receive intravenous Gadolinium based contrast agents. Advanced diffusion methods have potential for staging and evaluation of the progression of liver fibrosis. DWI increases significantly the conspicuity of intra and extra hepatic lesions however; it stills a not robust technique with many pitfalls.

 

For the GI specialist, oncologist, radiologist and radiographer who are using liver DWI technique in their clinical practice, it is important to understand a few key principles of diffusion imaging in order to understand the image and the inherent artefacts. This lecture will try to simplify the physics of water diffusion and will provide a practical approach in acquisition and interpretation of liver DWI.

Biography:

Abstract:

Following abdominal wall surgery, incisions are commonly sutured, stapled or glued together by primary intention. Developments within the field of tissue engineering have led to the use of prosthetic meshes with over 20 million meshes implanted each year worldwide. The function of the mesh is to hold together abdominal wall incisions and repair abdominal hernias. This has been demonstrated to be highly effective in some individuals however some experience postoperative complications including; dehiscence with further abdominal herniation (viscera protruding through the abdominal wall). Little is currently known about why these complications occur in a subset of patients and there are currently no existing reviews for the use of prosthetic mesh implants in abdominal wall repairs. Therefore, this literature review examined existing studies on six electronic databases. A total of 463 studies were identified, of which 20 were included in this review. The purpose of this literature review was to evaluate the success rate outcomes of abdominal hernia repairs with prosthetic mesh implantation versus non-prosthetic mesh to determine the success rate of repair, long-term use and potential reason of mesh rejections. The results identified that prosthetic mesh is highly successful in a large proportion of patients however the prosthetic mesh has long-term complications with rejection being observed in a subset of patients. The reason as to why the prosthetic is being rejected is still largely unknown, therefore further investigation needs to be done into this aspect

Biography:

Margaretha Lundin has her expertise in social work and passion in improving the health and wellbeing. She has built this patient education together with her team which includes a doctor, a registered nurse, an urotherapist, a dietician, a dental hygienist, a hospital librarian, an occupational therapist, an enrolled nurse, a physical therapist and a speech therapist. During the process, a group of COPD patients, their relatives and The Swedish Heart and Lung Association were also involved in the process.

Abstract:

Statement of the problem: The primary cause of Chronic Obstructive Pulmonary Disease (COPD) is tobacco smoking. Who predicts that COPD will become the third leading cause of death worldwide by the year of 2030.

Pulmonary rehabilitation based on self-management is an evidence-based, multidisciplinary and cost-effective intervention that leads to improved health in patients with COPD. However, in Sweden only 42 % of all COPD patients in specialist care participate in self-management education initiatives.

Purpose/Methods: This project aims to help more COPD patients to improve their self-management capabilities. We invite patients and their relatives to iterative and interactive training sessions supported by digital tools. The content and process of the education including the digitalized tools have been co-designed by patients in collaboration with a cross-professional COPD-team.

Conclusions: The prevalence of COPD is continuously increasing thus putting more pressure on health care delivery. Self-management is an underused but powerful approach for improved care of the disease.

Using COPD education together with new technology we provide COPD patients and their relatives with tools for improved self-managed care thus empowering patients even more. Previous experiences have shown that knowledgeable patients make better choices that also promote health

Biography:

Dr.Vikas Leelavati BalaSaheb Jadhav has completed PostGraduation in Radiology in 1994. He has a 23 Years of experience in the field of Gastro-Intestinal Tract Ultrasound & Diagnostic as well Therapeutic Interventional Sonography. He is the Pioneer of Gastro-Intestinal Tract Sonography, especially Gastro-Duodenal Sonography. He has delivered many Guest Lectures in Indian as well International Conferences in nearly 27 countries as an Invited Guest Faculty, since March 2000. He is a Consultant Radiologist & the Specialist in Conventional as well Unconventional Gastro-Intestinal Tract Ultrasound & Diagnostic as well Therapeutic Interventional Sonologist in Pune, India.

Abstract:

TransAbdominal Sonography of the Small & Large Intestines can reveal following diseases. Bacterial & Viral Entero-Colitis. An Ulcer, whether it is superficial, deep with risk of impending perforation, Perforated, Sealed perforation, Chronic Ulcer & Post-Healing fibrosis & stricture. Polyps & Diverticulum. Benign intra-mural tumours. Intra-mural haematoma. Intestinal Ascariasis. Foreign Body. Necrotizing Entero-Colitis. Tuberculosis. Intussusception. Inflammatory Bowel Disease, Ulcerative Colitis, Cronhs Disease. Complications of an Inflammatory Bowel Disease – Perforation, Stricture. Neoplastic lesion is usually a segment involvement, & shows irregularly thickened, hypoechoic & aperistaltic wall with loss of normal layering pattern. It is usually a solitary stricture & has eccentric irregular luminal narrowing. It shows loss of normal Gut Signature. Enlargement of the involved segment seen. Shouldering effect at the ends of stricture is most common feature. Primary arising from wall itself & secondary are invasion from adjacent malignancy or distant metastasis. All these cases are compared & proved with gold standards like surgery & endoscopy.

Some extra efforts taken during all routine or emergent ultrasonography examinations can be an effective non-invasive method to diagnose primarily hitherto unsuspected benign & malignant Gastro-Intestinal Tract lesions, so should be the investigation of choice.

Biography:

Jonathan Agustin R. Castro is currently the Chief Resident (4^th Year) of the Department of Radiological Sciences in Cardinal Santos Medical Center, a tertiary hospital in the Philippines. He finished his pre-medical course at University of Santo Tomas College of Nursing last June 2009. He further continued his passrion for medicine at graduated from the Faculty of Medicine and Surgery of the University of Santo Tomas on April 2013. He then started to specialize in the field of radiology and applied for a residency program at Cardinal Santos Medical Center on January 2015. He is passionate about contributing to the research community in the radiological field. He is dedicated to his work as a radiologist as well.

Jonathan Agustin R. Castro is currently the Chief Resident (4^th Year) of the Department of Radiological Sciences in Cardinal Santos Medical Center, a tertiary hospital in the Philippines. He finished his pre-medical course at University of Santo Tomas College of Nursing last June 2009. He further continued his passrion for medicine at graduated from the Faculty of Medicine and Surgery of the University of Santo Tomas on April 2013. He then started to specialize in the field of radiology and applied for a residency program at Cardinal Santos Medical Center on January 2015. He is passionate about contributing to the research community in the radiological field. He is dedicated to his work as a radiologist as well.

Abstract:

BACKGROUND: Fatty liver disease is the most common finding in abdominal ultrasound examinations, wherein a relevant percentage may develop liver cirrhosis. This study reveals the prevalence of hepatic fibrosis on patients who with fatty liver disease and takes into account the association of both factors.

METHODS: All shearwave ultrasound results from February 1, 2016 to January 31, 2018 were reviewed. Therese reviewed for presence of findings of fatty liver disease. The total patients with and without fatty liver disease and hepatic fibrosis were tabulated. Mean Shearwave values were recorded and classified according to the degree of fibrosis.

RESULTS: Of the 208 patients having fatty liver disease, a total of 142 (68.3%) patients had evidence of fibrosis. Only 66 (31.7%) patients had normal results. 126 (88.7%) of the patients with fibrosis had were classified mild, 12 (9.2%) of them were moderate and 3 (2.1) were severe. 23 (16.2%) were within 20-39 years, 67 (47.2%) were between 40-59 years, 47 (33.10%) between 60-79 years and 5 (3.5%) were >80 years. 77 patients (54.2%) were male and 65 (45.8%) were female. Age and gender were tested for correlation to hepatic fibrosis using a CI=95% which revealed a p-value of < 0.98 for age and < 0.93 for gender; both were not significant. The prevalence of fibrosis in patients with hepatic steatosis was tested for significance with a CI=95% revealing a p-value of  <0.0001, which was significant. Association between steatosis and fibrosis was also tested using a CI=95% showing a p-value of <0.0001, which was significant.

CONCLUSION: This study reveals that the prevalence of hepatic fibrosis on patients with fatty liver disease is statistically significant. A significant association between fatty liver disease and hepatic fibrosis has been proven in this study. There is however no gender or age range predisposition for hepatic fibrosis.

Biography:

Dr. Rahul A. Hajare has expertise in HIV Drug Technology, Computer Chemistry, Binding Energy,Thermodynamics, Physical Chemistry, Biological Development, Vaccine, Model speeds drug discovery, Molecular modeling Drug Design, Synthesis and QSAR, Impurity trends. Dr. Hajare is a post-doctoral fellow 2013 (7 th Batch) funded by the Indian Council of Medical Research, New Delhi, under the guidance of Hon’ble Dr. Ramesh Paranjape, Former Director & Scientist ‘G’ National AIDS Research Institute Pune He is a member of ACS, AAPS, Biomaterial Society, OMICS International and CVC Government of India

Abstract:

Statement of the Problem:

Good health period a human meets best wisdom. Native America proverb. A positive result does not necessarily mean that the person has cancer infection, as there are certain conditions that may lead to a false positive result for example lyme disease, syphilis and autoimmune. The test may also be positive in babies born to cancer positive mother who carry the paternal antibody, but who themselves are not infected with cancer. Methodology & Theoretical Orientation: Similarly patients receiving cancer therapy may have positive antibody test. While an appositive blood test is generally regarded as conclusive for a cancer infection. This time period in the life of a person can be referred to as middle age. This time span has been defined as the time between ages 40 to 60 years old. Many changes may occur between young adulthood and this stage. The body may slow down and the middle aged might become more sensitive to diet, substance abuse, stress, mouth dour, hyper pigmentation. Chronic health problems can become an issue along with disability or disease internally. Approximately inches of height may be lost per decade. Emotional responses and retrospection vary from person to person, culture to culture. Experiencing a sense of mortality, sadness, or loss is common at this age. Middle-aged adults may begin to show visible signs of aging. Disorders of the throat, including voice and swallowing problems. This area of the body includes the important functions of sight, smell, hearing, and the appearance of the face. About 35 million people develop chronic sinusitis each year, making it one of the most common health complaints in America. Care of the nasal cavity and sinuses is one of the primary skills of otolaryngologists.

Otolaryngology has made it possible for cancer detection in early stage in persons to lead a normal life. Window colon cancer can be capture by otolaryngology. Window cancer has not a concept in medical science, but when we gone through the  otolaryngology  and manage diseases of the ears, nose, sinuses, larynx (voice box), mouth, and throat, as well as structures of the neck and face every highlight in low light? An otolaryngologist is medical science trained in the medical and surgical management and treatment of patients with diseases and disorders of the ear, nose, throat (ENT), and related structures of the head and neck. They are commonly referred to as ENT physicians. When did human culture start thinking of window colon cancer as a disease rather than a natural phase to be valued in a human’s life by the sometime? Having worked several hours in a middle age staffs in remote areas pharmaceutical school controlled by management we are very concerned with the number of human who specifically ask about health imbalances. When we probe deeper to understand what has brought them to medical science, they routinely tell me their culture draws has told them they are having panic attacks rather than notice the natural correlation with their age and symptoms coinciding with age.

Biography:

Abstract:

Granular cell tumor (GCT) is uncommon soft tissue neoplasm occurring in the skin and internal organs. Its clinical behavior is usually benign, although both histological and clinical malignant forms can occur. We report a 52 years man,  singer, with very hard,  sessile, verrucous  tumor in distal o e s o p h a g u s , discovered endoscopically. It  appeared ( looked ) as a yellow hemispheric  protrusion with a thin mucous membrane known as “sweet corn”.  Patient was presented  with  dysphagia, gastralgia and substernal pain, 6 years ago. Wide local  excision of the verrucous lesion  has been done endoscopically. Histologically, oesophagus  showed  the overlying pseudoepitheliomatous hyperplasia, so extensive that it has been mimick a squamous carcinoma. However, on the base of histologically, histochemically (PAS positive  ) and immunohistochemicaly (S-100 positive  granular cytoplasm ) examinations,  GCT diagnosis has been confirmed. ( revealed ).

In the s k i n,  solitary, brownnish dome-shaped  nodus has been discovered  on periumbilical skin,  surounded  by generalized  lentiginosis without any symptom ( „ beauty mark“ by patient, s opinion), existing during last 15 years.

The excised lesions did not  recur, but newer  lesions continued to discover, during the last four years:  in stomach, duodenum and   caecoascendens. On colonoscopy, induced by both abdominal colic,  the   large ( to 3 cm.) and numerous ( 26 ) submucous, nodular,  yellowish masses with hyalinization and calcification were found in cecoascendens.  GCT diagnosis  of colon, on small endoscopical  biopsies was   pointed out,  followed  by right colectomy with good clinical course after 24-month follow-up. Eight months after the surgery, patient experienced hematemesis and melena. Gastroduodenoscopy was performed, revealing numerous white, solid and confluent nodules, up to 1cm in diameter in stomach, while the only one ulcerous change was found in duodenum.  Immunohistochemical ABC method, by using S-100 marker, also  confirmed GCT. Therapy :  right  colectomy, 23 cm. of length,  has been done. The patient is with a good health ,  24 months  after right colectomy