WELCOME TO APICONA

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Medical Consultation

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Appointment & Treatment

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Emergency Assistance

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Diabetes and heart

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WHY CHOOSE MEDICAL

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SEE OUR CLINIC INSIDE

But I must explain to you how all this mistaken idea of denouncing pleasure and praising pain was born

SURGERY

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QUALIFIED DOCTORS

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DERMATOLOGY

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EMERGENCY SERVICES

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CARDIO

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BLOOD TEST

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MEET OUR DOCTOR

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Dr Sarjit Singh

  Sarjit Singh graduated from The University of New South Wales. He trained at Woden Valley and Royal Canberra Hospitals in Canberra over the next 2 years. He has been working in Emergency Medicine over the last 25 years, initially at The Tweed Heads District Hospital  and currently at The Pindara Private Hospital where he […]

Dr. Bhaskar Chakravarty

MBBS, PhD (Newcastle), PhD (Cambridge), FRACP

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LATEST NEWS

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H. Pylori related diseases:Where are we at & where are we going?

There is no controversy that H. Pylori (HP) causes gastritis. However, to date, there is no direct evidence that HP causes any ulcers. There is good statistical correlation between ulcer diseases and HP yet statistical correlation does not imply causality. HP induced gastritis is associated with hypochlorohydria and increased bicarbonate secretion seen with gastric ulcer (GU). Low acid and high bicarbonate secretion associated with HP has been found to be protective against the development of reflux oesophagitis (GORD). This is believed to be the reason why GORD develops for the first time after eradication of HP for duodenal ulcers (DU)(1).Despite greater than 90% correlation of HP and DU, paradoxically acid secretion is increased and bicarbonate secretion is decreased in DU. Yet HP eradication reduces relapse of DU although not to the extent it was believed in the past. Recent meta-analysis of randomized trials indicate a relapse rate of 20% of DU 6 months after HP eradication(2).So what shall we do? The following are my suggestions:
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ERCP (Endoscopic Retrograde Cholangiopancreatography): Who needs it and who doesn’t?

ERCP is essentially a therapeutic procedure for the management of mainly biliary and to a lesser extent pancreatic disorders. ERCP mostly involves a sphincterotomy ( a cut ) to open the duodenal ampulla to remove stones from the bile duct, stenting of bile duct to relieve obstruction from inoperable cholangiocarcinoma , pancreatic cancer or metastatic tumour, removal of pancreatic duct stone, obtain brush cytology from probable malignant stricture of the bile duct and pancreatic duct stenting following sphincterotomy for type 2 sphincter of Oddi dysfunction.
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APICONA - MEDICAL & HEALTH THEME BY THEMEMOUNT

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