Journal of College of Physicians and Surgeons Pakistan (JCPSP), is the prestigious, peer reviewed monthly biomedical journal of the country published regularly since 1991. College of Physicians and Surgeons Pakistan is the parent body of this Journal.


The College of Physicians and Surgeons of Pakistan (CPSP) is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide credits to educational activities.

CPSP designates '3 AMA PRA Category 1 Credits' for review of the manuscript of an original study.


Important Announcement for Authors

"As a large number of case reports are awaiting publication, JCPSP has decided to stop acknowledging Case Reports for a certain period of time until the backlog is cleared. Therefore, case reports are regretted from processing".

Latest Articles
Volume 31 | Issue 3 | March 2021
Vaccines: An Armament in Combating Antimicrobial Resistance

By Maria Khan

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Dehydroepiandrosterone Sulfate (DHEAS) Levels in Polycystic Ovarian Syndrome (PCOS)

By Sikandar Hayat Khan, Syeda Arsheen Rizvi, Rahat Shahid, Robina Manzoor

ABSTRACT Objective: To compare DHEAS levels among subjects with and without PCOS, evaluating differences between lean-PCOS or obese-PCOS phenotype for insulin resistance, anthropometric indices, glycemic and lipid parameters. Study Design: Descriptive study. Study Place and Duration of Study: PNS H...

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Progression and Resolution of COVID-19 Pneumonia on Chest Radiograph

By Laiba Masood, Suraya Bano Zafar, Madiha Saeed Wahla, Salma Gul, Samina Akhtar, Atif Iqbal Rana

ABSTRACT Objective: To evaluate the temporal changes on serial chest radiographs (CXRs)of hospitalised COVID-19 positive patients till their outcome(discharge/death); to determine the severity of CXR score and its correlation with clinical outcome (hospital stay, chest intubation and mortality). Stu...

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Use of Shock Index and Lactate to Predict Mortality in Acute Heart Failure Patients in Emergency Department

By Hasan Basri Cetinkaya, Harun Gunes

ABSTRACT Objective: To compare the usefulness of shock index (SI) and lactate for prediction of 24-hour and 28-day mortality in acute heart failure (AHF) patients. Study Design: A descriptive study. Place and Duration of the Study: Balikesir University Hospital, Balikesir, Turkey; from Februar...

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Effect of Differences in Thorax Volume and Dimensions on CPR-related Injuries

By Nihat Mujdat Hokenek, Mehmet Ozgur Erdogan

ABSTRACT Objective: To investigate the relationship between the prevalence of cardiopulmonary resuscitation (CPR) related thoracic injury and patients’ thoracic volume and dimensions. Study Design: Observational study. Place and Duration of Study: Kartal Dr. Lütfi K─▒rdar City Hospital, ─...

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Comparison of Patients with and Without Hiatal Hernia Repair during Laparoscopic Sleeve Gastrectomy: Single-centre Experience

By Yunus Donder, Saliha Karagoz Eren, Omer Topuz, Tamer Ertan, Erhan Karatas

ABSTRACT Objective: To evaluate whether the concomitant repair of hiatal hernias during laparoscopic sleeve gastrectomy has an effect on the outcome of the surgery in patients with hiatal laxity and gastroesophageal reflux disease (GERD) symptoms during preoperative prepara...

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Correlation of Blastocyst Quality and Pregnancy Outcome during Freeze - Thaw Cycle

By Xiaoguang Yu, Yuanyuan Zhao, Shaohua Huang, Yuzhen Wang

ABSTRACT Objective: To explore the relationship between the blastocyst quality and biochemical pregnancy or early embryonic cessation of development during the freeze-thaw cycle of in vitro fertilisation embryo transfer (IVF-ET). Study Design: Descriptive study. Place and Duration of Study: Reprodu...

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An Evaluation of the Effect of Preoperative Inflammation-based Factors on Survival in Gastric Cancer Patients

By Abdullah Durhan, Abdullah Senlikci, Koray Kosmaz, Ender Erguder, Umit Mercan, Marlen Suleyman

ABSTRACT Objective: To investigate the predictive effect of preoperative inflammatory factors on overall survival (OS) in patients diagnosed with gastric adenocarcinoma (GAC). Study Design: Observational study. Place and Duration of Study: Department of General Surgery, Ankara Training and Researc...

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Short-term Prognostic Value of Tumor Diameter in Stage 2 and 3 Gastric Cancer

By Hakan Uzunoglu, Selcuk Kaya

ABSTRACT Objective: To investigate the prognostic value of tumor diameter in the short term of 3 and 5 years in patients operated for gastric cancer. Study Design: A descriptive study. Place and Duration of Study: Kartal Dr Lütfi K─▒rdar City Hospital, Istanbul, Turkey, from January 2014 to Dec...

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Dalteparin and Rivaroxaban Sequential Use in Cancer Patients with Venous Thromboembolism

By Lei Chen, Qiang Chen, Minggao Zhu, Zhixiang Zhuang

ABSTRACT Objective: To determine the effect and safety of sequential treatment with the low-molecular-weight heparin dalteparin and the direct oral anticoagulants rivaroxaban in patients with cancer- associated venous thromboembolism (VTE). Study Design: Observational study. Place and Duration of St...

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Emollient Therapy in Preterm & Low Birth Weight Neonates: A Randomised Clinical Trial

By Abdul Ahad Jamshaid, Muhammad Haroon Hamid, Tehreem Fatima, Misbah Noor, Areeba Wasim

ABSTRACT Objective: To assess the impact of emollient therapy on gain in weight and length among preterm and low birth weight babies. Study Design: Randomised controlled trial. Place and Duration of Study: Department of Pediatric Medicine, KEMU / Mayo Hospital Lahore, from January till June 2018. M...

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Early Surgical Management of Appendicular Mass in Pediatric Patients

By Shumaila Israr, Jamshed Akhtar, Syed Muhammad Raees Hussain Taqvi, Naima Zamir

ABSTRACT Objective: To find out the feasibility and safety of early surgery in pediatric patients who presented with appendicular mass. Study Design: Analytical observational study.  Place and Duration of Study:  Department of Paediatric Surgery, National Institute of Child Health, Jinn...

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Comparison of GuyÔÇÖs, S.T.O.N.E. and CROES Scoring Systems for Predicting Percutaneous Nephrolithotomy Outcomes in Eldery Patients

By Salih Polat, Serkan Yarimoglu, Omer Koras, Murat Sahan, Ertugrul Sefik, Ibrahim Halil Bozkurt, Tansu Degirmenci

ABSTRACT Objective: To evaluate the efficacy and reliability of Guy’s (GSS), S.T.O.N.E., and CROES scoring systems developed to predict percutaneous nephrolithotomy (PCNL) outcomes in aged patients. Study Design: Descriptive study. Place and Duration of Study: Department of Urology, Mini...

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Incidence of Silent Ischemic Infarct after Diagnostic Conventional Cerebral Angiogram

By Fawaz Al-Hussain, Bandar Aljafen, Adel Alhazzani, Yousef Mohammad

ABSTRACT This study was carried out to determine the risk of new ischemic events, demonstrated by diffusion weighted magnetic resonance imaging (DW-MRI) in patients undergoing diagnostic conventional cerebral angiogram. MEDLINE, EMBASE, Current Contents, Cochrane Central, Expert Files, and bibliogra...

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Is Intraoperative Leak Test Required in Laparoscopic Sleeve Gastrectomy?

By Burhan Mayir

ABSTRACT Objective: To investigate the efficacy of intraoperative leak test (IOLT) by methylene blue to identify the presence of leak during standardised sleeve gastrectomy (SG) procedure. Study Design: Cross-sectional comparative study. Place and Duration of Study: Department of General Surgery, An...

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Sociodemographic, Clinical Characteristics, and Outcomes of Influenza Pneumonia Patients Admitted in a Tertiary Care Hospital in Karachi, Pakistan: Findings from a Cross-sectional Study

By Fazal ur Rehman, Muhammad Arslan Ahmed, Kashif Aziz, Mahmooda Jabeen Ashraf, Tazein Amber, Sumera Aziz Ali

ABSTRACT Objective: To determine the sociodemographic, clinical characteristics, and outcomes of influenza pneumonia patients in tertiary care hospital, Karachi Pakistan. Study Design: A cross-sectional study. Place and Duration of Study: The Aga Khan University Hospital Karachi Pakistan from  ...

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CROSS or FLOT in Distal Esophageal and Gastroesophageal Cancer

By Ibrahim Karadag, Serdar Karakaya, Ozturk Ates, Omur Berna Cakmak Oksuzoglu

ABSTRACT Objective: To compare the chemoradiotherapy for esophageal cancer followed by surgery study (CROSS) and continuous infusion 5-FU, leucovorin, oxaliplatin, and docetaxel (FLOT) protocols administered in distal esophageal and gastroesophageal junction (GEJ) tumors in terms of effectiveness an...

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Ultrasound-assisted Percutaneous Vertebroplasty in Upper and Mid-thoracic Osteoporotic Fracture

By Long Chen, Qilin Lu, Xiaozhen Wang, Yiliang Zhu, Dong Zhang

ABSTRACT Osteoporotic vertebral compression fracture (OVCF) is a common disease among the elderly individuals. With the aging of the population development, the incidence of OVCF is increasing. Cementation of vertebral body like percutaneous vertebroplasty (PVP) is a minimally invasive and effective...

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Non-operative Treatment of Gastric Fistula after Splenectomy Combined with Pericardial Devascularisation in Portal Hypertension

By Jun-min Zhu, Gang Chen, Zuo-yi Jiao

ABSTRACT Portal hypertension may gradually lead to esophagogastric varices and splenomegaly in the decompensated stage of liver cirrhosis, which requires surgical treatment, if the disease worsens. Splenectomy with pericardial devascularisation is the routine surgery. One complex complication after...

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Cervical HSIL Involving the Endometrium and Adenomyosis: A Case Report and Literature Review

By Wenwen Wang, Feng Zhou

ABSTRACT Cervical squamous cell carcinoma (SCC) spreading superficially to the inner surface of the uterus and replacing the endometrial lining cells with carcinoma cells is called superficial spreading SCC. We, hereby report a 53-year postmenopausal woman who had a history of cervical SCC in situ/h...

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Angioembolisation for the Treatment of Pseudo-aneurysm of Internal Maxillary Artery

By Muhammad Azeemuddin, Anosha Khan, Atif Hafeez Siddiqui, Asad Shakil, Basit Salam, Raza Sayani

ABSTRACT Pseudo-aneurysm of internal maxillary artery, following a road traffic accident, is a rare clinical scenario. The consequence of pseudo-aneurysm may be spontaneous rupture of the arterial wall, which may eventually lead to life-threatening hemorrhage. We report a case of a 20-year male who ...

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Morel-Lavallée Lesion in a 35-year Female

By Amir Humza Sohail, Muhammad Talha Liaquat, Mohammed Sachal Sohail, Muhammad Salman Khan, Hazim Hakmi

ABSTRACT Morel-Lavallée lesion is a post-traumatic degloving cyst, usually filled with blood, lymph or necrotic tissue, which mostly develops in the area around greater trochanter. Early diagnosis and prompt treatment is essential to prevent further complications, such as compression of surroundin...

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Isolated Asymptomatic Pulmonary Artery Sling in a Preterm Neonate

By Seda Yilmaz Semerci, Dilek Kurnaz, Tevfik Guzelbey, Seyma Oz, Murat Sahin, Merih Cetinkaya

ABSTRACT Pulmonary artery sling is an uncommon entity in the neonatal period. It is defined as an abnormally originated left pulmonary artery arising from the posterior aspect of right pulmonary artery. Because of the associated structures in this region, mostly originating from sixth aortic arch, t...

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Henoch-Sch├Ânlein Purpura Presenting with Acute Abdomen

By Oguz Catal, Bahri Ozer, Mustafa Sit

ABSTRACT Henoch-Schönlein Purpura (HSP) is an autoimmune, systemic, non-granulomatous vasculitis characterised by self-limiting clinical course, and leukocytoclastic vasculitis of small vessels. Deposition of immune complexes that contain IgA is the hallmark of vascular involvement. Adults with...

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Neurofibromatosis Type 1 and Vitamin B12

By Hilal Aydin, Ibrahim Hakan Bucak

ABSTRACT The aim of this study was to evaluate vitamin B12 levels in the patients diagnosed with neurofibromatosis type 1 (NF1) and to compare them with a healthy group. In this study, the files of the patients, who were admitted to the pediatric neurology outpatient clinic of a tertiary university...

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Efficacy and Safety of Phosphate Enema as a therapeutic agent in Hypophosphatemia in Critically Ill Children

By Abdul Rahim Ahmed, Raza Ullah, Anwar ul Haque, Faiza Rahman, Sadiq Mirza, Humaira Jurair

ABSTRACT The aim of the study was to evaluate the safety and efficacy of oral administration of phosphorous enema in hypophosphatemia (HP) in critically ill children admitted in the pediatric intensive care unit (PICU) of The Indus Hospital, Karachi, from September 2018 to August 2019. This was a re...

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Relation of External Beam Radiotherapy Dose with Subclinical Hypothyroidism in Patients undergoing Adjuvant Neck Radiation after Surgery for Squamous Cell Carcinoma of Head and Neck

By Najam Uddin, Muhammad Iqbal, Hina Hashmi

ABSTRACT The objective of this study was to find out the radiation dose relationship with subclinical hypothyroidism in the postoperative head and neck squamous cell carcinoma patients, who underwent adjuvant neck external beam radiotherapy. It was a prospective cohort study done between June 2018 a...

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An Archetypal Variant of Peripheral Adenomatoid Odontogenic Tumour

By Selma A, Sreela LS, Philips Mathew, Twinkle S. Prasad, Admaja K. Nair

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Complete Prolapse of a Giant Upper Rectal Adenoma

By Feng Chi, Shenkang Zhou

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A Circular Intrahepatic Portal Vein

By Deng Yong Zhang, Zheng Lu

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Acute Ischemic Stroke after Thyroid Examination

By Avni Uygar Seyhan, Rohat Ak, Erdal Yilmaz

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Mechanical Prosthetic Aortic Valve Thrombosis Treated with Low-dose Ultra Slow Infusion of Tissue-type Plasminogen Activator during Pregnancy

By Ulku Mete Ural, Aybike Uysal, Emrah Erdal

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Special Issue

Special Supplement 1 on COVID-19 | Volume 31 | Year 2021
Predictors of Mortality in Patients with COVID-19 Infection-associated Acute Kidney Injury

By Aysel Tocoglu, Hamad Dheir, Melike Bektas, Seyyid Bilal Acikgoz, Oguz Karabay, Savas Sipahi

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Has the COVID-19 Pandemic Increased Mortality Among Patients with Cancer Receiving Systemic Anticancer Treatments?

By Ay┼če Demirci, Cemil Bilir, Emre Cakir, Burcu Gulbagci, Ilhan Hacibekiroglu, Ceyhun Varim

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Outcomes of Conservative Management of Acute Appendicitis during COVID-19 Pandemic

By Muzna Iftikhar, Sajida Shah, Inamullah Shah, Jamil Ahmad Shah, Mahvish Faisal

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Comparison of HRCT Chest and RT-PCR in Diagnosis of COVID-19

By Nadia Hanif, Ghazala Rubi, Nadia Irshad, Saima Ameer, Uzma Habib, Syed Razi Haider Zaidi

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The Effect of Tocilizumab on Inflammatory Markers in Survivors and Non-survivors of Severe COVID-19

By Said Amin, Fawad Rahim, Sher Bahadur, Mohammad Noor, Afsheen Mahmood, Huma Gul

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Clinical Characteristics and Outcomes among Patients with Covid-19 in Different Regions of the World

By Yuanlin Zhou, Huihai Fan

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Online Medical Education and Examinations during COVID-19: Perspectives of a Teaching Associate

By Syed Mujtaba Baqir, Fatima Mustansir

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Short-term Changes on Follow-up Chest X-rays of Familial Cluster of COVID-19 Cases

By Chun-Xue Wu, Dong-Dong Rong, Yan-Hong An, Yi Shan, Jie Lu

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Right to Left Intrapulmonary Shunt in a Case with COVID-19-associated Pneumonia

By Maimoona Siddique, Muhammad Khalid Nawaz, Muhammad Bin Khalid, Aitzaz Rai

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Recurrence of COVID-19 Documented with RT-PCR

By Rohat Ak, Erdal Yilmaz, Avni Uygar Seyhan, Fatih Doganay

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COVID-19 Presenting with Spontaneous Pneumothorax

By Intisar Ahmed, Hunaina Shahab, Muhammad Arslan Ahmed, Muhammad Sohaib

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Protective Modifications in Ophthalmology Practice during COVID-19 Pandemic: Challenges and Lessons Learned

By Mohammad Idris, Eemaz Nathaniel

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Airway Management for Emergent Surgeries during COVID-19 Pandemic

By Muhammad Zahoor, Ihtisham Ul Haq

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Health Systems Approach to Ensure Quality and Safety Amid COVID-19 Pandemic in Pakistan

By Nousheen Akber Pradhan, Anam Shahil Feroz, Syed Mairajuddin Shah

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Imaging Patterns of Encephalopathy in Patients with COVID-19

By Kumail Khandwala, Fatima Mubarak, Muhammad Nadeem Ahmad

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A Single-centre Study of COVID-19 Antibody

By Sidra Ghazanfer, Hasan Osman Mahmood

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Association of Blood Groups with the Severity and Outcome of COVID-19 Infection in Children

By Attia Bari, Aimen Ch, Sidra Hareem, Iqbal Bano, Junaid Rashid, Masood Sadiq

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Prospective Effects of Covid-19 on Children: Probable Complications and Interventions

By Naeem Aslam Chughtai

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New Insight for Kidney Biopsy Series in Cases with COVID-19-related Acute Kidney Injury

By ─░lker Kaya

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