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Your search keyword '"Vinod Kumar Dixit"' showing total 6 results
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6 results on '"Vinod Kumar Dixit"'

2. Gastrointestinal Emergencies and the Role of Endoscopy

Author

Vinod Kumar Dixit, Manoj Kumar Sahu, Vybhav Venkatesh, Varanasi Yugandhar Bhargav, Vinod Kumar, Mayank Bhushan Pateriya, and Jayanthi Venkataraman

Subjects
endoscopy, gastrointestinal hemorrhage, foreign body, obstructive jaundice, Diseases of the digestive system. Gastroenterology, RC799-869
Abstract

Many gastrointestinal (GI) disorders present to the emergency room with acute clinical presentations, some even life threatening. Common emergencies encountered that require urgent endoscopic interventions include GI hemorrhage (variceal and nonvariceal), foreign body ingestion, obstructive jaundice, postprocedure-related complications such as postpolypectomy bleed or perforation, etc. A major advantage of emergency endoscopy is that it is cost effective and, on many occasions, can be life-saving. The present review will highlight a practical approach on various endoscopic modalities and their use in the GI emergencies.

Published
2022
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5. Carotid intima media as predictor of liver fibrosis in type 2 diabetes mellitus with NAFLD

Author

Bharmal Vahid Shabbirhussain, Saurabh Singh, Vinod Kumar Dixit, Ashish Verma, and Surya Kumar Singh

Subjects
Liver Cirrhosis, Carotid Arteries, Diabetes Mellitus, Type 2, Non-alcoholic Fatty Liver Disease, Risk Factors, Endocrinology, Diabetes and Metabolism, Internal Medicine, Humans, General Medicine, Carotid Intima-Media Thickness
Abstract

Non Alcoholic Fatty Liver Disease (NAFLD) is common in type 2 Diabetes Mellitus (DM) that might progress to advance liver fibrosis. Early recognition of liver fibrosis may have clinical implication. Non invasive assessment tool for severity of liver fibrosis in NAFLD is expensive fibroscan. An alternate method of diagnosis will be very useful innovation. We aimed to evaluate Carotid Intima Media Thickness (CIMT) and its association with severity of liver fibrosis in patients with type 2 DM and NAFLD.Treatment naïve patients with type 2 DM were enrolled. Measurement of CIMT, hepatic ultrasound and fibroscan were done. Liver function tests included hepatic transaminases. The data obtained was subjected to statistical analysis using IBM SPSS version 20.0 software.Prevalence of NAFLD was 76% including 12% with moderate to advance liver fibrosis in patients with type 2 DM. CIMT was significantly higher in patients with NAFLD than with normal liver. CIMT positively correlated with severity of liver fibrosis measured by fibroscan. ROC curve analysis showed right CIMT value of 0.575 mm predicting liver fibrosis with sensitivity of 91.7% and specificity of 78.9%.Three fourth of patients with type 2 DM had NAFLD but small proportion had moderate to advance liver fibrosis. CIMT increased more in patients with NAFLD than with normal liver in T2DM. CIMT value of 0.575 mm has a good sensitivity to predict liver fibrosis and therefore, it can be a reliable marker of severity of Non Alcoholic Steato Hepatitis (NASH) in diabetes with NAFLD.

Published
2022

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