हेपेटोलॉजी और अग्नाशय विज्ञान

Hepatocellular Carcinoma (HCC) is one of the leading causes of death from cancer in the world. Direct-acting Antiviral (DAA) therapy has revolutionized the treatment of Hepatitis C Virus (HCV) infection, with very high rates of Sustained Virology Response (SVR) and an excellent safety profile. The procedures performed were: 22 cases done major RT hepatectomies (32.4%). 12 cases underwent Lt Lateral hepatectomy (17.6%) 34 cases underwent non anatomical resection (50%). Time of hepatic transection was performed is 192 min average range (135 to 250 min). The average blood loss was 825 ml (range 50-1600 ml).

The treatment approach for Hepatocellular Carcinoma (HCC) depends on the stage and extent of disease, the severity of the underlying liver disease, and the overall performance status of the patient.

Introduction: In light of the growing focus on medicine's representation, we wanted to find out how gastroenterology (GI) and hepatology professionals in the United States perceive the current state of racial and ethnic workforce diversity and health care disparities.

Methods: A 33-item electronic cross-sectional survey was developed and distributed to members of five national GI and hepatology societies. The survey's topics were broken down into thematic modules, and respondents were asked to share their thoughts on racial and ethnic diversity in the workforce, health care disparities in GI and hepatology, and possible strategies to increase diversity in the workforce and increase health equity.

Results: Of the 1219 people who took the survey, 62.3% were men, 48.7% were non-Hispanic White, and 19.9% were from underrepresented medical backgrounds. Insufficient representation of underrepresented racial and ethnic minority groups in the education and training pipeline (n = 431; 35.4%), in professional leadership (n = 340; 27.9%), and among practicing GI and hepatology professionals (n = 324; 26.6%) were the most frequently reported barriers to increasing racial and ethnic diversity in GI and hepatology. There were 545 [44.7%] opportunities for career mentorship, 520 [42.7%] opportunities for medical students, and 473 [38.8%] leadership roles in programs and professional societies for underrepresented racial and ethnic minority groups as suggested interventions.

Conclusion: The perspectives that professionals in gastrointestinal and hepatology hold regarding health equity and racial and ethnic representation were examined in our survey. The findings ought to serve as a springboard for professional societies, academic institutions, and other organizations aiming to increase diversity, equity, and inclusion in our field. They should also inform future interventions to address workforce diversity and establish priorities toward improving health equity.

In a subset of patients with intense necrotizing pancreatitis, segmental rot influencing the super pancreatic pipe might bring about an irregularity between the left-sided pancreas and the duodenum. Such a break in the setting of a suitable upstream piece of the organ can lead to the disengaged pancreatic conduit disorder (DPDS). By keeping up with its secretory capability, the detached section might prompt persevering outer pancreatic fistulae, intermittent pancreatic liquid assortments, or potentially obstructive repetitive intense or ongoing pancreatitis of the secluded parenchyma.

There are presently no generally acknowledged rules for the determination or treatment of DPDS, and on the grounds that the condition is underrecognized, the analysis is frequently deferred. DPDS is related with a delayed infection course and represents a weight on patients' personal satisfaction as well as high medical care asset usage. The point of our survey is to sum up current information, examine analytic methodologies, frame the board choices, and bring issues to light of this difficult complexity of necrotizing pancreatitis.