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The Department of Gastrointestinal Surgery and Liver Transplantation

Content Provider : Dr. P. Sahani  on Dt. Dec 04, 1998.
Faculty Introduction Activities TrainingProgrammes ContentofTraining Assessments
Residents/Trainees Publications Editorials Non Scientific GI Surgery Alumni

 

Prof. & Head

Addl. Prof.

Asstt. Prof.

T. K. Chattopadhyay

Peush Sahni

Sujoy Pal

 

Nihar Ranjan Das
     

The Department of Gastrointestinal Surgery and Liver Transplantation A proposal was made in 1980, to establish a Department of Gastrointestinal (GI) Surgery at the All India Institute of Medical Sciences. This department would perform only complicated GI operations which were not usually done elsewhere in the country, train surgeons from other parts of the country and do research into Indian GI surgical problems. The department was created as a unit of the Department of Surgery in May 1985. In September 1989 this was given full departmental status. The department is now established and has trained a large number of surgeons to set up GI surgical departments in India and abroad. In pursuance of the objectives of the department an MCh course was started in 1994 and the first batch have completed their course. The main fields of specialization of the department are portal hypertension, hepato-pancreato-biliary diseases, hepatic venous outflow obstruction, ulcerative colitis and gastrointestinal haemorrhage. Its main thrust is on providing a high quality of patient care, training of residents, good record keeping, medical publications and research into Indian diseases. The department has its own 4 bed ICU with ventilators, cardiac monitors, blood gas and electrolyte management facility. All patient records are computerized. The department faculty are actively involved in the publication of `The National Medical Journal of India', `Tropical Gastroenterology' both of which are indexed journals and `GI Surgery Annual' which is in its fifth year of publication.

In 1990 it was felt that the field of liver transplantation should be developed by the department. This required the law on brain death to be amended. The Department took a lead in this field and in 1995 the brain death and organ transplantation act was passed by the Indian Parliament. Following this attempts are in progress to establish a liver transplant program in India.

Apart from other activities, the department, in collaboration with the department of Biomedical Engineering has also concentrated on developing indigenous medical equipment . An anorectal manometric system to evaluate anorectal function has been succesfully developed and is being comercially marketed. Oesophageal manometry and continuous pH monitoring systems to diagnose oesophageal reflux disease have been developed and technology transfer of this equipmet is in progress. A peritoneovenous shunt, has been succesfully devised and now commercially available.

So far more than 20 surgeons have received long term training in the department. Four candidates have been awarded Ph.D. degrees and 3 candidates have qualified for the M.Ch. degree. The department of GI Surgery and Liver transplantation at AIIMS has pioneered the establishment of a new speciality in India the need for which is being realised even in the private sector. We hope that this department will continue to serve as a model leading light in this field in the future also.

Patient care: The department concentrates on managing difficult GI surgical problems. The department is essentailly a referral service and only patients referred by Medical units, Gastroen-terology or directly by doctors from peripheral hospitals are seen in the outpatient clinics. The outpatient clinics are held at 2.30pm on Mondays, Wednesdays and Fridays at Room 21, II floor outpatient block. The patients after evaluation are admit-ted to the wards.The department has 20 beds ( 10 in the AB2 ward and 10 in the AB7 ward). In additon to this, 8-10 patients are also admitted to in the emergency wards and the private wards at any given time. To care for the critically ill patients the department has its own Intensive care unit equipped with 4 ventilators and monitors. The ICU services are completely looked after by the GI Surgery residents. The elective operations are performed on Tuesdays, Thursdays and Saturdays. Emergency patients are admitted through the department of Gastroenterology and Casualty and emergency operations are performed on all days.

A weekly audit is conducted every week to discuss the previous week's emergency and elective operations in detail so as to have a continuous assessment of patient care services. Clinical rounds are conducted daily by the consultant surgeon on call. Combined rounds with the faculty and residents of the department of Gastroenterology are held on Fridays.

Research: The department is very keen on developing Indian solutions to Indian problems. Most of the research conducted in the department is aimed at this goal. A weekly research meeting is used as a means to assess the progress in this area.

The currently ongoing projects include:

1. Role of thromboelastography in patients with surgical obstructive jaundice.

2. Randomised trial of adjuvant chemotherapy and radiotherapy after pancreacticoduodenecotomy for periampulary and carcinoma head of pancreas.

3. Role of feeding jejunostomy in a developing country

4. Incidence of p53 gene in Indian subpopulation of carcinoma gallbladder

5. Prognostic factors in patients with carcinoma oesophagus

6. Role of somatostatin in patients with lower gastrointestinal haemorrhage

Liver Transplantation: We have started a programme to try and set up a clinical liver transplantation facility at the AIIMS. Regular liver transplantation journal clubs are held every week and experimental as well as clinical liver transplants are carried out as and when it is feasible or the donor is available.

Journal Publication The department faculty are actively involved in the publication of `The National Medical Journal of India', `Tropical Gastroenterology' both of which are indexed journals and `GI Surgery Annual' which is in its fifth year of publica-tion. Journal production includes editing, type setting, proof reading and business correspondence.

The Department offers training for varying periods. Candidates who have passed MS in General Surgery from a recognized Medical College or University and have an interest in GI surgery are eligible to apply.

    Trainees may be sponsored by the State Governments, the Defence Services or other government organizations. Initially the candidate should contact the Head of the Department to ascertain whether there is a suitable place in the training programme and, if possible, visit the Department. If one wishes to apply for training, he or she should inform us of the duration of the intended stay in the department. Once the application has been provisionally accepted by the department another application to this effect should then be sent to the Dean, AIIMS. The various training programmes that one could apply for include:

1. Short term training programme (Observer status): This may last up to 3 months. As an observer, the candidate will not be given responsibilities in patient care but will be expected to attend the clinical rounds, observe operations and participate in the academic meetings.

2. Short term training (6 months): If the candidate comes for a period of six months he will form part of the `core' patient care team. The candidate will be expected to do first on call duties, perform minor operations and a few major ones and assist in the others.

3. Long term training (1 to 3 years): The candidate would be a part of the `core' patient care team directly involved in patient care and will be expected to do first on call duties for six months and second on call duties thereafter. He or she will assist in all major operations and will probably learn to perform some of them independently.

4. Training leading to the award of M Ch degree: For this programme candidates are selected through a three-step competitive examination held at the national level. The examination includes a written test comprising of 90-100 multiple choice questions. Candidates are shortlisted and called for an practical and viva-voce examination. The practical examination may include case discussions, X rays and clinical problems. The dates for these examinations are announced in the national newspapers. The sessions start in December/July. The entrance examinations are held in May/June or October/November of the corresponding year. Candidates are requested to refer to the prospectus issued by the Dean AIIMS for further details.

All the programmes include experience in clinical management,Surgery, ICU care, research, journal publication and public speaking.

Clinical management: This includes working up patients, examining patients in the outpatient department, performing operations and doing on-call duties. Irrespective of the duration or type of training programme the candidate is accepted for, he or she will be required to work initially as a first on cal lresident, the duties of which are similar in nature to that of a house officer's. If he or she is a long term trainee then at a later date the candidate is assigned second on  call duties which are equivalent to a surgical registrar's responsibilities.

Research and publications: Each trainee is required to complete a research project which may consist of analysis of retrospective clinical data, prospective clinical investigation or experimental research.

Journal publication: Two Journals namely `The National Medical  Journal of India' and `Tropical Gastroenterology' are edited by the departmental faculty. Training in Journal production includes helping with editing, proof reading and the business correspon-dence.

Public speaking: This includes presenting and evaluating research publications at journal clubs, reviewing and summarizing the literature on a current topic, presenting cases in the combined and grand rounds of the Institute, paper or poster presentations at local, national or international conferences.

Surgical experience: Operations which a trainee or resident will assist and learn may include the following:

- Portal hypertension

    - Proximal splenorenal shunts (elective and emergency)

    - Side-to-side portocaval shunts

        - Cavoatrial shunts

        - Mesocaval shunts

- Liver

- Major hepatic resections

- Wedge resection for carcinoma of the gall bladder

- Liver transplantation

- Biliary tract

- Cholecystectomy (open and laparoscopic)

- Choledocholithotomy

- Choledochoduodenostomy

- Hepaticojejunostomy

- Segment III bypass

- Pancreas

- Necrosectomy for pancreatic necrosis/ abscess

- Lateral pancreaticojejunostomy

- Cystojejunostomy/ cystogastrostomy

- Pancreaticoduodenectomy (Whipple's procedure)

- Resection of endocrine tumours

- Oesophagus

- Esophageal resection and bypass

- Stomach and duodenum

- Vagotomy and drainage

- Partial/ Radical gastrectomy

- Total gastrectomy

- Colon and rectum

- Right, left and total colectomy

- Ileoanal anastomosis with J-pouch

- Abdominoperineal resection

- Anterior resection

    The candidate will get additional experience in the emergent management of patients with masssive upper and lower gastrointestinal bleeding, acute suppurative cholangitis, intestinal and biliary fistulae and acute necrotizing pancreatitis.

   He or she will also spend time in learningendoscopy and laparoscopic surgery as well as visiting other centres in India and possibly abroad. We encourage residents and trainees to participate in conferences and workshops. The candidate may be provided a small amount of money to attend such meetings.

A trainee will be continuously assessed. If he or she does not come up to minimum standard, the faculty may ask him or her to leave at any time during the course of the training programme. He or she will have to maintain a log book which will be the primary mode of assessment during one's stay in the department. We expect the candidate to be hard working because of the lengthy and busy periods of duty. Honesty is the quality that the department cherishes.By the end of the training, we expect the candidate to be:

1. A good clinician who is able to manage and operate on patients with complicated GI surgical problems.

2. Able to conduct independent research and publish his or her work in good journals.

3. Capable of setting up an independent department equivalent or better in quality than the parent department.

Staffing Pattern

The staff of the department consists of three faculty members, residents and trainees

Founder Professor:

Dr. Samiran Nundy,

M.A., M.Ch., M.R.C.P., F.R.C.S.,

Dr.Tushar K. Chattopadhyay, Professor and Head,

M.B.,B.S, ( Nil Ratan Sircar Medical College, Calcutta)

M.S., General Surgery (AIIMS)

Dr.Peush Sahni, Associate Professor,

M.B.,B.S., (AIIMS); M.S., General Surgery (AIIMS)

Ph.D., G.I.Surgery (AIIMS); D.N.B., General Surgery;

Fellow, Liver Transplantation Surgery, Liver Unit, Queen Elizabeth Hospital, Birmingham, U.K.

Dr.Girish K. Pande, Associate Professor,

M.B.,B.S., (JIPMER); M.S., General Surgery (AIIMS)

Ph.D., G.I.Surgery (AIIMS); M.N.A.M.S., General Surgery;

Fellow, Hepatobiliary Surgery and Liver Transplantation, Q.E. Hospital, Brisbane, Australia

Dr.Sujoy Pal

Dr.Sitaram Ghosh

Dr.Anupam Saha

Dr.Kunal Ghosh

Dr.C.S.Naidu

Dr.Y.Govardhana Rao

Dr.B.Ravishankar Bhat

Dr.Premal R. Desai

Dr.V.Suresh

Dr.Alok R. Sinha

1. Tandon BN, Nundy S. Textbook of Tropical Gastroenterology Volume 1 Hepatobiliary diseases. New Delhi: Oxford University Press, 1986.

2. King M, Awori N, Bewes P, Cains J, Hankins G, Hiadzi G, James J, Nundy S, Sande G, Stewart J, Wood M. Primary Surgery. Volume Two. Trauma. Oxford: Oxford University Press, 1986.

3. Lock S, Smith J, Paton A, Whimster W. Better Medical Writing in India. Compliled by Sahni P, Pande G, Smith J, Nundy S. New Delhi: The National Medical Journal of India, 1987.

4. Tandon BN, Nayak NC, Nundy S. Advances in Liver Diseases. New Delhi: Macmillan, 1989. 

5. King M, Bewes P, Cairns J, Thornton J, Nundy S. Primary Surgery. Volume One. Non-Trauma. Oxford University Press. 1990.

6. Pande GK, Patnaik PK, Gupta S, Sahni P. Brain Death and Organ Transplantation in India. New Delhi: The National Medical Journal of India, 1990.

7. Nundy S. Surgical Diagnosis and Management. New Delhi: Oxford University Press, 1991.

8. Report of the Group Constituted to Examine the Proposal for Enactment of Legislation for Use of Human Organs and their Donation for Therapeutic Purposes. New Delhi: The National Medical journal of India, 1991.

9. Sahni P, Nundy S. Medical Books in India. New Delhi: National Book Trust/ The National Medical Journal of India, 1994.

10. Sood R et al. Assessment Strategies in Medical Education. New Delhi: K.L.Wig Centre for Medical Education and Technology, 1995.

11. Indian Gastroenterology 1986. An update. New Delhi: Indian Society of Gastroenterology, 1986.

12. Chattopadhyay TK, Bal S, Sachdeva AK, Pande GK. GI Surgery Annual (Vol I), 1994. New Delhi: Indian Association of Surgical Gastroenterology.

13. Chattopadhyay TK, Bal S, Sahni P. GI Surgery Annual (Vol II), 1995. New Delhi: Indian Association of Surgical Gastroenterolgy.

14. Chattopadhyay TK, Sahni P, Pande GK. GI Surgery Annual (Vol III) 1996. New Delhi: Indian Association of Surgical Gastroenterology.

15. Chattopadhyay TK, Sahni P, Pande GK. GI Surgery Annual (Vol IV) 1997. New Delhi: Indian Association of Surgical Gastroenter-ology.

16. Chattopadhyay TK, Sahni P, Pande GK. GI Surgery Annual (Vol V) 1998. New Delhi: Indian Association of Surgical Gastroenterol-ogy.

Chapters in Books

1. Nundy S, Pande G. Hepatorenal syndrome. In: Madangopalan N, Rangabhashyam N (eds). Digestive Health and Diseases. An Update.Madras: Indian Society of Gastroenterology, 1985:219-30.

2. Mathews A, Sahni P, Nundy S. Maintenance of nutrition in a diabetic patient in the postoperative period after major  abdominal surgery. In: Madangopalan N (ed). Diet, Digestion and Diabetes. Madras: Velagapudi Foundation, 1986:177-85.

3. Nundy S. Refereeing in India. In: Naik SR (ed). Better Scientific Communication. 1988.

4. Tandon RK, Rai RR, Nundy S, Vashist S. A study of chronic pancreatitis at the All India Institute of Medical Sciences, New Delhi. In: Balakrishnan V (ed). Chronic Pancreatitis in India Indian Society of Pancreatology, 1987:7-14.

5. Nundy S, Sahni P. Obstructive Jaundice. In: Rana BS, Anand VJ (eds). Scientific Approach to Surgery. New Delhi:Meenakshi Publications, 1989.

6. Nundy S. Medical Journals in developing countries. In: Lock S (ed). The Future of Medical Journals. London: British Medical Journal, 1991:74-80.

7. Gupta S, Nundy S. Ethical problems and organ transplantation. In: Kaul HL, Arora NK, Jayalakshmi TS (eds). Recent Advances in Intensive Care. New Delhi: Research Society of Anaesthesiology,1990:102-6.

8. Shenoy S, Sahni P, Nundy S. Liver transplantation: An overview. In: Sarin SK, Madangopalan N (eds). Trends in Hepatology. New Delhi: Tata McGraw Hill, 1990:104-15.

9. Rana VS, Nundy S. Peptic Ulcer. In: Srivastava SK (ed). Modern Concepts in Surgery. New Delhi: Tata McGraw Hill, 1992:119-28.

10. Pande GK, Nundy S. Upper Gastrointestinal haemorrhage. In: Srivastava SK (ed) Modern Concepts in Surgery. New Delhi: Tata McGraw Hill, 1992:129-34.

11. Sahni P, Nundy S. Lower gastrointestinal haemorrhage. In: Srivastava SK (ed). Modern Concepts in Surgery New Delhi: Tata McGraw Hill, 1992:134-9.

12. Nundy S. Portal hypertension. In: Srivastava SK (ed). Modern Concepts in Surgery. New Delhi: Tata McGrawHill,1992:140-52.

13. Pande GK, Nundy S. Ulcerative colitis. In: Srivastava SK (ed). Modern Concepts in Surgery. 1992:218-223.

14. Gupta S, Kohli V, Nundy S. Surgery for portal hypertension in India. In:Gunaratna C, De Silva HJ (eds). Gastroenterology update. Colombo, Srilanka: Gastroenterology and digestive endoscopy society, 1993:17-30.

15. Nundy S. Management of upper gastrointestinal bleeding in tropics. In: Walters D A K, Kiire CF (eds). Gastroenterology in Tropics and Subtropics. London: Macmillan Education, 1995:259-268.

16. Pande GK, Chaudhary R. Chronic calcific pancreatitis in India. In: Chattopadhyaya TK (ed). GI Surgery Annual, 1994. New Delhi: Indian Association of Surgical Gastroenterology, 1994.

17. Govil D, Sahni P. Lower gastrointestinal haemorrahge-current management. In: Chattpopadhayay TK (ed) GI Surgery Annual, 1994. New Delhi: Indian Association of Surgical Gastroenterology, 1994.

18. Pande GK, Sahni P, Chattopadhyay TK. Advances in luminal gastroenterology. In: Chattopadhyay TK (ed). GI Surgery Annual, 1997. New Delhi: Indian Association of Surgical Gastroenterology, 1997.

19. Pande G K, Nundy S. Immunology of Liver Transplantation. In: P C Sen Gupta (ed). Textbook of Immunology. New Delhi: Oxford University Press (In Press)

20. Dwivedi DN, Pande GK. Current status of liver transplantation in India. In: PK Dave, Ravi Saxena, A Jaiswal, PP Kotwal (eds).

Anaesthesia, Trauma and Intensive Care. New Delhi: KS Printers (In Press)

21. Tandon V, Pande GK. Criteria for diagnosis of brain death. In: PK Dave, Ravi Saxena, A Jaiswal, PP Kotwal (eds). Anaesthesia, Trauma and Intensive Care. New Delhi: KS Printers (In Press)

22. Sahni P, Sharma AK. Pancreatic ascites. In: TK Chattopadhyay, Sahni PK, Pande GK (eds). GI Surgery Annual, 1996. New Delhi: Indian Association of Surgical Gastroenterology.

23. Chattopadhyay TK. Advances in hepatobiliary and pancreatic diseases. In: TK Chattopadhyay, P Sahni, GK Pande (eds). GI Surgery Annual, 1996. New Delhi: Indian Association of Surgical Gastroenterology.

24. Pande GK, Sahni P, Chattopadhyay TK. Advances in Luminal Gastroenterology. In: TK Chattopadhyay, P Sahni, G K Pande (eds).GI Surgery Annual,1997. New Delhi: Indian Association of Surgical Gastroenterology.

25. Pande GK. Management of Tropical Calcific Pancreatitis: Session IV of Management-Surgical Management III. In: Nirmal Kumar, SK Acharya (eds).Tropical Calcific Pancreatitis.Proceedings of the first round table conference, 23rd January, 1994, Thiruvananthapuram, Kerala.

26. Chinnakotla Srinath and Samiran Nundy. Faecal incontinence. In: TK Chattopadhyay, P Sahni, G K Pande (eds). GI Surgery Annual,1998. New Delhi: Indian Association of Surgical Gastroenter-ology.

Original Articles

1. Bhargawa DK, Acharya SK, Tandon BN, Nundy S. Endoscopic sclerotherapy for acute variceal haemorrhage. Indian J Med Res 1985;81:175-9.

2. Sarin SK, Nundy S. Subclinical Encephaolopathy after portosystemic shunts in patients with non-cirrhotic portal fibrosis. Liver 1985;5:142-6.

3. Sarin SK, Tandon BN, Nundy S. Clinical Differentiation of the causes of gastrointestinal bleeding. Indian J Gastroenterol 1986;5:107-9.

4. Sarin SK, Nundy S. Domperidone in non-ulcer dyspepsia. Indian J Med Res 1986;83:623-8.

5. Chaudhary G, Tandon RK, Nundy S, Mishra NK. Common bile duct obstruction by portal cavernoma. Dig Dis Sci 1988;33:1626-8.

6. Kochupillai V, Nundy S, Sharma S. Idiopathic Thrombocytopenic purpura in adults. J Assoc Physicians India 1986;34:555-8.

7. Patwari SI, Chaudhary G, Datta Gupta S, Nundy S, Chopra P, Tandon RK. Leiomyoblastoma of the stomach. Indian J Gastroenterol 1987;6:126-7.

8. Chawla YK, Irshad M, Chawla TC, Nundy S, Tandon BN. Urinary  uropepsinogen in patients with dyspepsia. J Assoc Physicians India 1986;34:851-2.

9. Patwari SI, Irshad M, Gandhi BM, Joshi YK, Nundy S, Tandon BN. Increasing HBV reservoir by post transfusion HBV infection in India. Indian J Med Res 1986;84:227.

10. Patwari SI, Irshad M, Gandhi BM, Joshi YK, Nundy S, Tandon BN. Post transfusion hepatitis - a prospective study. Indian J Med Res 1986;84:508-10.

11. Sood S, Jayalaxmi TS, Vijayraghavan S, Nundy S. The use of Sodium nitropruside induced hypotensive anaesthesia for reducing blood loss in patients undergoing lienorenal shunts for portal hypertension. Br J Surg 1987;74:1036-8.

12. Chaudhary G, Tandon RK, Padhi AK, Nundy S, Gopinath PG. Hydatid cyst masquerading as choledochal cyst. Indian J Gastroenterol 1987;6:189-90.

13. Pande GK, Reddy VN, Kar P, Sahni P, Tandon BN, Berry M, Nundy S. Operations for extrahepatic obstruction- results and ten year followup. BMJ 1987;297:1115-7.

14. Chaudhary G, Nundy S, Tandon RK. Spontaneous massive gastrointestinal haemorrahge in patients with pancreatitis- the role of endoscopy. Japan J Gastroenterol 1988;23:316.

15. Pande GK, Sahni P, Nundy S. Extrahepatic obstruction causing portal hypertension- a review. J Gastroenterol Hepatol 1988;3:99-107.

16. Mishra D, Rai RR, Tandon RK, Nundy S. Pyloroduodenal tuberculosis masquerading as peptic ulcer. Am J Gastroenterol 1988;83:203-4.

17. Bhatt A, Kumar A, Mishra S, Nundy S, Tewari SC, Malviya AN.   Peripheral gangrene in rheumatoid arthritis. J Assoc Physicians India 1986;34:456-8.

18. Kochupillai V, Nundy S, Sharma S. Idiopathic thrombocytopenic  purpura in adults: response to corticosteroids and splenectomy. J Assoc Physicians India 1987;35:191.

19. Rai RR, Acharya SK, Nundy S, Vashisht S, Tandon RK. Chronic calcific pancreatitis: Clinical profile in northern India. Gastroenterologia Japonica 1988;23:195-200.

20. Pande GK, Sahni P, Nundy S. Patients with extrahepatic obstruction should have an operation. Trop Gastroenterol 1988;9:186-9.

21. Nagabhushan G, Acharya SK, Joshi YK, Nundy S, Tandon BN. Ultrasonography in portal hypertension- a sensitive non-invasive test to demonstrate portal vascular anatomy. Gastroenterologica Japonica 1989;24:442-5.

22. Dwivedi M, Achrya SK, Nundy S, Tandon BN. Accuracy of abdominal ultrasonography and role of a second investigation in surgical obstructive jaundice. Gastroenterologica Japonica 1989;24:573-9.

23. Kumar A, Bhuyan UN, Nundy S. Glomerulonephritis complicating non-cirrhotic portal fibrosis. J Gastroenterol Hepatol 1989;3:124-7.

24. Reddy KS, Sahni P, Pande GK, Nundy S. Research in Indian Medical Institutes. Natl Med J India 1991;4:90-92.

25. Rao THSG, Pande GK, Sahni P, Nundy S. The management of upper gastrointestinal haemorrhage in a tropical country. Arch Emergency Med 1991;8:169-76.

26. Soin AS, Nundy S. Alimentary duplications and diverticula. South Indian Surg Clin 1988;2:132-8.

27. Dev V, Kaul U, Jain P, Reddy KS, Sharma S, Pande GK, Rajani M. Percutaneous transluminal balloon angioplasty for the obstruction of the suprahepatic vena cava in cavoatrial graft stenosis. Am J Cardiol 1989;64:397-9.

28. Arora A, Mehrotra R, Patnaik PK, Pande GK, Ahlawat S, Bhargawa DK. Dieulafoy's lesion: a real cause of massive upper gastrointestinal haemorrhage. Trop Gastroenterol 1991;12:25-30.

29. Pande GK. Medical Books in India- conference report. Natl Med J India 1992;5:93-4.

30. Sahni P, Reddy KS, Kiran R, Reddy PP, Pande GK, Nundy S. Indian Medical Journals. Lancet 1992;339:1589-91.

31. Mahapatra MK, Mahapatra AK, Acharya Sk, Sahni P, Nundy S. Does subclinical encephalopathy occur in extrahepatic obstruction after lienorenal shunts. Br J Surg 1992;79:1103-5.

32. Dev V, Kaul U, Kohli V, Nundy S, Wazir HS. Angioplasty for hepatic venous outflow obstruction. Circulation 1992;86 (Suppl 1):15.

33. Anand BA, Agarwala S, Nundy S. Encephalomyelopathy following portocaval shunt in non-cirrhotic portal fibrosis- a case report. Trop Gastroenterol 1992;13:155-9.

34. Gupta S, Bhalla VP, Nundy S. Liver Transplantation- an Indian perspective. Indian J Internal Med 1992;2:227-31.

35. Kohli V, Pande GK, Dev V, Reddy KS, Kaul U, Nundy S. The management of patients with hepatic venous outflow obstruction. Lancet 1993;342:718-22.

36. Prasad AS, Gupta S, Kohli V, Pande GK, Sahni P, Nundy S, Proximal Splenorenal shunt for extrahepatic portal vein obstruction in children. Ann Surg 1994;219:193.

37. Aggrawal P, Sharma SK, Wali P, Sahni P. Colonic carcinoma after chemotherapy of Hodgekin's disease. J Clin Gastroenterol 1989;42:122-4.

38. Dev V, Sahni P, Kaul U, Sharma S. Angioplasty for complete block of inferior vena cava. Needle puncture followed by balloon dilatation. Catheterisation and Cardiovascular Diagnosis 1992;42:122-4.

39. Anand AC, Sahni P, Vashisht S, Tandon RK. Congenital biliary cyst- The Indian experience. Am J Gastroenterol 1991;86:850-3.

40. Sharma MC, Verma K, Sahni P. Gastric Mucormycosis. Indian J Pathol Microbiol 1994;(Suppl):S8.

41. Dayal S, Pati HP, Pande GK, Sharma MP, Saraya AK. Platelet ultrastructural study in Budd Chiari Syndrome. Eur J Haematol 1995;55:294-301.

42. Sanwal AK, Kumar S, Sahni P, Nundy S. Informed consent in Indian patients. J Roy Soc Med 1996;89:196-8.

43. Minocha A, Sahni P, Karak A, Mitra DK. Massive gastrointestinal bleeding associated with hookworm infestation in a child:Case report. Pediatr Surg Int 1996;11:402-3.

44. Arora M, Banerjee JK, Sahni P, Pande GK, Nundy S. Which are the best undergraduate medical colleges in India? Natl Med J India 1996;9:135-40.

45. Tandon V, Pande GK. Rectal bleeding. Gastroenterology Today 1997;1:111-115.

46. Dwivedi DN, Srinath Ch, Sahni P. Cystic diseases of the pancreas. Hospital Today 1997;2:35-47.

47. Srinath Ch, Dwivedi DN, Sahni P. Common bile duct stones in the 1990's. Hospital Today 1997;2:27-34.

48. Dayal S, Pati HP, Pande GK, Sharma MP, Saraya AK. Multilineage hemopoietic stem cell defects in Budd Chiari syndrome. J Hepatol 1997;26:293-7.

49. Soin AS, Acharya SK, Mathur M, Sahni P, Nundy S. Congestive gastropathy in non-cirrhotic patients before and after leinorenal shunts. J Clin Gastroenterol (In Press)

50. Sharma AK, Sidhu SS, Pande GK, Sahni P, Tandon RK, Nundy S. Surgery for non-alcoholic chronic pancreatitis. World J Surg 1998; 22: 236-40.

51. Jain R, Sawhney S, Sahni P, Taneja K, Berry M. Direct intra-splenic contrast injection for CT portgraphy: A technical assess-ment. Abdominal Imaging (In Press)

52. Dwivedi DN, Ghosh SR, Chattopadhyay TK. Transhiatal Oesophagectomy without thoracotomy. Hospital Today (In Press)

53. Dwivedi DN, Bora S, Pande GK, Nundy S. Idiopathic large multiple pyogenic liver abscess of the tropics- a new entity.Trop Gastroenterol (In Press).

54. G.K.Pande, C.Srinath. Hepatic venous outflow obstruction. A Review. Tropical Gastroenterology (in press).

1. Nundy S. Tropical (Surgical) gastroenterology. Trop Gastroenterol 1985;6:1-3.

2. Pande G, Nundy S. 'Normal' defeacation after surgery for ulcerative colitis. Trop Gastroenterol 1986;7:1-3.

3. Nundy S. Indian Medicine. Arch Emerg Med 1986;3:1-3.

4. Tandon BN, Nundy S. The doctor-politician nexus. Trop Gastroenterol 1986;7:41-2.

5. Nundy S. Imroving surgical services for rural populations in developing countries. World Orthopaedic Conf Newsletter 1985;Mar:1-3.

6. Nundy S. About this journal. Natl Med J India 1988;1:1-2.

7. Shenoy S, Nundy S. Brain death and organ transplantation. Natl Med J India 1989;2:157-8.

8. Sahni P, Pande GK, Nundy S. Extrahepatic portal venous obstruction. Br J Surg 1990;77:1201-2.

9. Nundy S. Signed editorials. Natl Med J India 1991;4:107.

10. Nundy S. Carcinoma of gall bladder- a disastrous diagnosis. Ceylon Med J 1992;37:39.

11. Pande GK. Treatment of carcinoma oesophagus. Trop Gastroenterol 1993;14:123-6.

12. Haribhakti S, Nundy S. Liver Transplantation in India. J Anaesth Clin Pharmacol 1994;10:1-4.

13. Pande GK, Nundy S. Hepatic venous out flow obstruction. Natl Med J India 1994;7:53-4.

14. Nundy S. Organiser and chairperson. Grand Round on Leprosy. Lancet 1995;345:697-703.

15. Sharma AK, Sahni P. Pancreatic ascites. Trop Gastroenterol 1995;16:1-3.

16. Pande GK. Hepatic venous outflow obstruction---Where East meets West. Trop Gastroenterol 1996;17:151-2.

17. Pande GK. Cadaver organ donation in India: Problems and solutions. Trop Gastroenterol 1997;18:85-6.

1. Nundy S. The future and present in Indian Medicine. Facets 1986;1:1-8.

2. Nundy S. Surgical Gastroenterology (Book Review). Trop Gastroenterol 1986;7:69-80.

3. Nundy S. Obituary- Dr A K Basu. Trop Gastroenterol 1986;7:193-4

4. Nundy S. Surgical diagnosis and managemet (Book Review). Trop Gastroenterol 1987;8:51-2.

5. Nundy S. Medical style and format (Book Review). J Sci Indust Res 1987;46:466.

6. Mahapatra MK, Nundy S. Advances in Medicine and their relevance to India. Hamari Goshthi 1990;2:34-5.

7. Nundy S. Imperial medicine and indegenous societies (Book Review). Natl Med J India 1990;3:147-8.

8. Gupta S, Nundy S. Organ Transplantation: Ethical problems. Ganadarpan 1990;Oct-Nov:12-16.

9. Bhalla VP, Gupta S, Nundy S. Is public funding of organ transplants justifiable? Indian Express 1991;Sep 5:5.

10. Rangan HK, Nundy S. Carcinoma of gall bladder. Employment News 1991;Nov 30-Dec 6:1-2.

11. Choubey RP, Nundy S. Ulcerative colitis. Employment News 1992;Jan 18-24:4.

12. Harikrishnan KM, Nundy S. Laparoscopic cholecystectomy. Employment News 1992;Feb 2-8:1-2.

13. Sundaran KR, Nundy S. Health care in India since Independence. Employment News 1992;Apr 4-10:6.

14. Nundy S. Origin and genesis of transplantation of human organs act, 1994, of India. Int Digest Health Legislation 1996;47:88-90.

15. Nundy S. Scientific style and format: The CBE mannual for authors, editors and publishers. (Book Review). Natl Med J India 1996;9:133-4.

1. B A Anand, F-14, Vikas Puri, NewDelhi 110018

2. D Baruah, Civil Hospital, Aizawal, Mizoram 796001

3. V P Bhalla, Reader, Department of G.I.Surgery, AFMC, Pune

4. Salibindu Chakraborthy, Agartala (Tripura)

5. C S Joshi, Base Hospital, Delhi Cantt.

6. Shitri Bona Lotha, 5-Jalan Bangket, Singapore, 588950

7. Deepak Mitra, Sun Clinic, Tulasipur, Cuttack (Orissa)

8. A M Patnaik, Rajdhani Nursing Homee, Shahid Nagar, Bhuvanesh-war.

9. P K Patnaik, Command Hospital, Lucknow (U.P.)

10. Kushal Mittal, 16/4, Jyotic building, Shrenagar, Wagle Estate, Thane 400604

11. A S Prasad, 864, 49th Street, Apt# C-6, Brooklyn, NY 11220, USA

12. V S Rana, Command Hospital, Lucknow (U.P.)

13. H K Rangan, Army Hospital (R & R), Delhi Cantt.

14. Pankaj Rastogi, Dinerpura, Moradabad ( U.P.)

15. V Mohan Reddy, UCSF, Box 0118, San Fransisco, CA 94143-0118, USA

16. Anil Kumar Sanwal, 6 A Pannalal Road, Allahabad ( U.P.)

17. S K Singh, C-17, ITI, Door Bhash Nagar, Kachnar Marg, Raebareilly (U.P.)

18. Suneet Sood, J-6. South Extension, New Delhi. 110049

19. S Vetrivel, AC 56, Anna Nagar, Chennai-600040

20. P P Reddy, Pragati Nursing Home, Miryal Gudda, Nalgonda (A.P.)

21. Arun Goel, Department of Surgical Oncology, Cancer hospital, Dharmashala,New Delhi

22. S K Mishra Singrauli Coal Hospital, Singrauli, Dt- Sidhi (M.P.)

23. R P Choubey, Command Hospital (CC), Lucknow (U.P.)

24. Subhash Gupta, 36, St. James' Court, Beckett Street, Leeds, LS97TF, UK

25. K Sudhakar Reddy, Mayo Clinic, Rochester, Minnesotta (USA)

26. Rana Patir, Department of Neurosurgery, AIIMS, New Delhi.

27. Sandeep Aggrawala, Department of Paediatric Surgery, AIIMS, New Delhi.

28. Rashmi Punj Sinha, MLN Medical College, Allahabad ( U.P.)

29. M K Mahapatra, Department of GI Surgery, Cuttack Medical College, Cuttack (Orissa)

30. Vivek Kohli, Duke University 1309, Snow Crest Trail, Durham, NC-27707, USA

31. Rajan Chaudhary, Command Hospital(Eastern command), Calcutta

32. G Simhachalam, 14-168, Pantulugarimedia, Old-Gajuwaka, Visakapatnam- 530026 (A.P.)

33. Deepak Govil, Pushpawati Singahnia Research Institute, Sheikh Sarai, Phase II, New Delhi.

34. V Baskaran, Command Hospital, Eastern Command, Calcutta

35. A K Pujahari, Command Hospital(AF), Bangalore 560007, Ph- 5540284 (R)

36. P Radhakrishna, Devimatha Hospital, Cochin.

37. A K Sharma, Army Hospital (R.R.), Delhi Cantt.

38. P K Mishra, GTB Hospital, New Delhi.

39. Arvind Kohli, 39.B/D, Gandhi Nagar, Jammu tawi, J & K.

40. J K Banerjee, Military Hospital, Jalandhar (Punjab)

41. N N Das, Assam Medical College, Dibrugarh (Assam)

42. Subodh Adhikari, KA-3-65-4, Buddha Nagar, New Baneshwar, Kathmandu (Nepal)

43. Dependra Kumar Hota, Surgeon, Coal India, Talcher, Orissa

44. Manu Arora, Dept of Paediatric Surgery, AIIMS, New Delhi.

45. Jyotirmay Das Gupta, 396, Jodhpur Park, Calcutta-700068

46. Sanjeev Haribhakti, 508, Sangita Complex, Opp. Doctor House, Near Parimal Crossing, Ahemdabad- 380006. Ph- 6565186 (H),  6640238 (R)


ŠAIIMS , New Delhi, 1998.