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- Volume 10, Issue 1, 2012
South African Gastroenterology Review - Volume 10, Issue 1, 2012
Volume 10, Issue 1, 2012
Author Christo Van RensburgSource: South African Gastroenterology Review 10 (2012)More Less
Given the common clinical practices of screening asymptomatic individuals and patients with suspected liver disorders with serum liver biochemistry tests, the appropriate interpretation and evaluation of these tests have important patient care, public health, and economic implications as highlighted by Dr Chris Kassianides.
Author Keith NewtonSource: South African Gastroenterology Review 10, pp 5 –6 (2012)More Less
SAGES has gone from strength to strength over the last 50 years and 2012 marks the 50th SAGES congress, an important milestone for our society. From humble beginnings on the sidelines of a Medical Association of South Africa congress, when one or two people could make it possible, the SAGES congress now requires the capacity of a convention centre, professional congress management, a local organizing committee and hundreds of man-hours to bring it to fruition.
26th ECCO Educational Workshop 2012 Durban, South Africa, August 10th 2012 : ECCO / SAGES Educational Workshop 2012Source: South African Gastroenterology Review 10 (2012)More Less
Author C. Van RensburgSource: South African Gastroenterology Review 10, pp 9 –17 (2012)More Less
At one time peptic ulcer disease accounted for 50-70% of acute non-variceal UGIB (Barkun et al., 2004). Approximately 80% of these ulcers stop bleeding spontaneously. Gastric ulcer is more frequently the source of UGIB (55% versus 37%); compared to duodenal ulcer (Enestvedt et al., 2008). The current practice to use proton pump inhibitors as ulcer prophylaxis and eradication of Helicobacter pylori, has led to a worldwide decrease in the incidence of bleeding from peptic ulcer. However, this seems applicable only to patients younger than 70 years of age (Lanas et al., 2005; Loperfido et al., 2009; Targownik et al., 2006). Recent population-based estimates have suggested that the incidence is about 60 per 100,000 of the population (Lassen et al., 2006), with the incidences related to the use of aspirin and non-steroidal anti-inflammatory drugs on the increase (Ohmann et al., 2005).
Author M.E.J. LambiotteSource: South African Gastroenterology Review 10, pp 19 –25 (2012)More Less
No management strategy for patients with Barrett's oesophagus has been proven to prolong life. To date guidelines have been proposed by a number of medical societies each differing on the optimal management. The most recent, the American Gastroenterology Association (AGA) position paper for Barrett's oesophagus published in 2011 advocates 3 pillars of management: acid suppression; surveillance and treatment of dysplasia. Chemoprevention strategies still threaten on the horizon as a possible 4th.
The management of hepatitis C virus infection in difficult-to-treat populations : patients with end stage renal disease, HIV infected patients and children : reviewSource: South African Gastroenterology Review 10, pp 29 –31 (2012)More Less
Approximately 175 million people are infected with hepatitis C (HCV) worldwide, whilst ∼3-4 million people are newly infected annually. In South Africa the prevalence is thought to be low in the general population, although increases in acute infections are being reported in some risk groups eg. men who have sex with men. This infection is treatable and curable, but the treatment has many side effects and is expensive to administer in resource poor settings. Standard therapy has been pegulated interferon and ribavirin (PEG+RBN). Over the last year new orally active drugs called Directly Acting Agents (DAAs) have become available.
Author C. KassianidesSource: South African Gastroenterology Review 10, pp 32 –34 (2012)More Less
Liver chemistry or liver function tests (LFTs), as they are more commonly but erroneously referred to, because they do not test liver function per se, are often used in clinical practice to screen for a variety of liver disorders, monitor the progression of known diseases, and assess the hepatotoxicity of various drugs. The detection of abnormal liver biochemistry in an asymptomatic patients is usually revealed by routine screening in a primary care physician's office, during blood donation or at an examination for insurance purposes and is a common reason for referral to a gastroenterologist or hepatologist.
Abbott Laboratories S.A. (Pty) Ltd SAGES award: R50 000 for research in one of the following categories:Source: South African Gastroenterology Review 10 (2012)More Less
Author Stephen GroblerSource: South African Gastroenterology Review 10, pp 36 –38 (2012)More Less
Most countries are agonising over core dilemmas of affordability and performance of their health systems.
A successful health system has three attributes:
- healthy people, meaning a population that attains the highest level of health possible;
- superior care, meaning care that is effective, safe, timely, patient centred, equitable, and efficient;
- fairness, meaning that treatment is applied without discrimination or disparities to all individuals and families, regardless of age, group identity or place, and that the system is fair to the health professionals, institutions and businesses supporting and delivering care.
Author Morgie GovenderSource: South African Gastroenterology Review 10 (2012)More Less