Publications by authors named "Neelesh Shrivastava"

Adequate intestinal perfusion is one of the critical factors influencing anastomotic leak (AL) in colorectal surgery. The use of indocyanine green fluoroscence angiography (ICG-FA) intra-operatively to ensure optimal perfusion is being increasingly used. This prospective study aimed to assess the role of ICG-FA in robot-assisted surgery for rectal cancer.

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  • - This study investigated the prevalence of Obstructive Sleep Apnea (OSA) in India, using Polysomnography (PSG), focusing on cardiovascular and metabolic health issues.
  • - A total of 958 adult participants were analyzed, revealing a 30.5% prevalence of moderate-to-severe OSA and 10.1% for severe OSA, significantly higher than prior estimates.
  • - The research found a strong link between higher OSA severity and conditions like Diabetes Mellitus, Hypertension, and Metabolic Syndrome, indicating a need for better awareness and screening in the Indian population.
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Solid pseudopapillary neoplasms (SPNs) of the pancreas are rare tumours with distinctive clinicopathological features. We present a case of a 51-year-old female with a large cystic neoplasm involving the entire pancreas, initially presenting with abdominal pain. Diagnostic imaging revealed a well-defined heterogeneously enhancing mixed solid cystic lesion in the pancreas.

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Introduction In females, carcinoma of the breast is a common malignancy. Disease management can be challenging for the treating clinician if the condition is presented in a locally advanced stage. Clinical presentation of a disease in a defined area provides a comprehensive map to target the at-risk population efficiently and select the appropriate intervention accordingly.

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Background: Hypertension (HTN) is a leading cause of cardiovascular diseases and its control is poor. There is heterogeneity in levels of blood pressure control among various population subgroups. The present study was conducted within the framework of the National Program for Prevention and Control of Cancer, Diabetes, Cardiovascular Diseases, and Stroke (NPCDCS) in India.

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Managing pancreatic neuroendocrine tumors (pNETs) has gradually taken a trend toward conservative management owing to its slow-growing and prolonged course. Though clear criteria exist regarding managing small tumors, the direction of a large tumor remains a dilemma. We present a case of a young 26-year-old lactating woman with a large 3.

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  • * Three unique cases of breast cancer skin metastasis are described: a 52-year-old with an erythematous papule near a surgical scar, a 38-year-old with multiple skin nodules after chemotherapy and surgery, and a 42-year-old with erythema over the breast.
  • * The cases underscore the importance of careful skin examinations for early detection of rare skin symptoms in breast cancer patients, as they often present differently than the more common chest wall nodules.
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Objectives: Hypertension and diabetes mellitus are important risk factors for cardiovascular diseases (CVDs). Once identified with these conditions, individuals need to be linked to primary healthcare system for initiation of lifestyle modifications, pharmacotherapy and maintenance of therapies to achieve optimal blood pressure and glycaemic control. In the current study, we evaluated predictors and barriers for non-linkage to primary-care public health facilities for CVD risk reduction.

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Background: Numerous studies have highlighted the burden of hypertension by estimating its prevalence. However, information regarding quantum and characteristics of persons whose blood pressure converts to hypertension range from their previous state of prehypertension or normal blood pressure is crucial for any public health programme. We aimed to estimate incidence rate of hypertension and to identify risk factors for the same, so that it is useful for programme implementation.

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Background: Variations in blood glucose levels over a given time interval is termed as glycemic variability (GV). Higher GV is associated with higher diabetes-related complications. The current study was done with the aim of detecting the sensitivity of various GV indices among individuals with type 2 diabetes mellitus of different glycemic control status.

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