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Veereshwar Bhatnagar

Bio: Veereshwar Bhatnagar is an academic researcher from All India Institute of Medical Sciences. The author has contributed to research in topics: Biliary atresia & Bladder exstrophy. The author has an hindex of 21, co-authored 184 publications receiving 1737 citations.


Papers
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Journal ArticleDOI
TL;DR: The results showed that PRD in children with APN is important, especially in the presence of VUR, recurrent UTI, and older age.
Abstract: Acute pyelonephritis (APN) may produce permanent renal damage (PRD), which can subsequently lead to diverse complications. We prospectively evaluated 147 females and 122 males (mean age 3.5 years) with APN in order to analyze the relationship between the presence of PRD, at the time of cortical renal scintigraphy, and age, gender, episodes of urinary tract infection (UTI), and presence of vesicoureteral reflux (VUR). There were 152 children studied after the first proven UTI. VUR was present in 150 children. PRD was observed in 170 children. There were no significant differences between boys and girls. PRD was found in 36.4% of children younger than 1 year and in 70.1% of those older than 1 year (P<0.0001). Of children with VUR, 72% had PRD compared with 52% of children without VUR (P<0.0001). Of children with a first episode of UTI, 55.9% developed PRD as did 72.6% of those with recurrent UTI (P=0.004). Our results showed that PRD in children with APN is important, especially in the presence of VUR, recurrent UTI, and older age.

128 citations

Journal ArticleDOI
TL;DR: Crossed fused renal ectopia is a rare congenital malformation, which is reported to be usually asymptomatic but may have varied presentations, and was found more commonly in boys.
Abstract: Aim: Crossed fused renal ectopia is a rare congenital malformation, which is reported to be usually asymptomatic but may have varied presentations. This survey was conducted to study the clinical profile and the challenges posed in the management of this entity. Materials and Methods: Retrospective analysis of 6 patients diagnosed to have crossed fused renal ectopia during 1997-2010. The diagnosis was confirmed during surgical exploration in one patient. In one patient it was detected on antenatal ultrasonography and in the other 4 patients it was detected during investigations for abdominal pain, abdominal mass, anorectal malformation and urinary tract infection. Results: The left moiety was crossed and fused with the right moiety in 4 cases. Ultrasonography was found to be a good screening investigation with useful diagnostic contributions from CT scans, radionuclide scintigraphy and magnetic resonance urography. Micturating cystourethrography revealed presence of VUR in 4 cases, 3 of whom have undergone ureteric reimplantation. Two patients required pyeloplasty for pelviureteric junction obstruction; in one of these patients the upper ureter was entrapped in the isthmus. In one patient, a non-functioning moiety resulted in nephrectomy. All children were asymptomatic at last follow-up with stable renal functions. Conclusions: Crossed fused renal ectopia was detected in most patients during investigation for other problems. It was found more commonly in boys. The left moiety was crossed to the right in the majority of cases. Associated urological problems were found in most cases and required the appropriate surgical management.

55 citations

Journal ArticleDOI
TL;DR: Evidence is cited in this editorial that indicates that in the slums of northern India outpatient care should be provided to those families that find hospitalization not feasible, and the low case fatality among children with outpatient treatment instead of hospitalization is attributed to parental compliance with the treatment regime and drug effectiveness.

53 citations

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TL;DR: The diagnosis of GUTB must be suspected in patients who present with hematuria (gross or otherwise), epididymoorchitis, and patients with long segment or multiple ureteric strictures, in view of the anticipated resurgence in tuberculosis caused by the prevalence of aquired immunodeficiency syndrome.

50 citations

Journal ArticleDOI
TL;DR: Endoscopic treatment of recurrent and congenital H-type tracheoesophageal fistula is technically easier than open surgical procedures and helps avoid the risks associated with the latter, and the Nd:YAG laser is qualitatively better than electrocautery for the obliteration of the fistula.

49 citations


Cited by
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TL;DR: Home-based neonatal care, including management of sepsis, is acceptable, feasible, and reduced neonatal and infant mortality by nearly 50% among the authors' malnourished, illiterate, rural study population.

862 citations