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- Volume 13, Issue 1, 2015
South African Gastroenterology Review - Volume 13, Issue 1, 2015
Volume 13, Issue 1, 2015
Author Eric MurungaSource: South African Gastroenterology Review 13 (2015)More Less
Gastro-oesophageal Reflux Disease (GORD) is a common disorder associated with significant impairment in quality of life. The Montreal definition states that it is a condition which develops when reflux of stomach contents causes troublesome symptoms and/or complications. It is estimated that 25-40% of healthy Americans experience the symptoms of GORD at least once a month and that 7-10% of Americans get daily symptoms. Worldwide, the prevalence of GORD is increasing and this is thought to be associated with increasing obesity.
Author Christo Van RensburgSource: South African Gastroenterology Review 13, pp 1 –2 (2015)More Less
The Solly Marks Scholarship will be awarded for the first time this year in recognition of his profound contribution to gastroenterology in South Africa. The SAGES Council agreed to honour the name of this exceptionally gifted individual by supporting the development and research capabilities of promising gastroenterologists. The Solly Marks Educational Trust that was created previously will support the scholarship.
Perception gaps between patients with ulcerative colitis and healthcare professionals : an online survey : reviewSource: South African Gastroenterology Review 13, pp 7 –15 (2015)More Less
Background: The purpose of this study was to examine the differing perspectives and perceptual gaps relating to ulcerative colitis (UC) symptoms and their management between patients and healthcare professionals (HCPs). Methods: Structured, cross-sectional, Web-based questionnaires designed to assess a variety of disease indices were completed by adult patients with UC and HCPs involved in the care of patients with UC from Canada, France, Germany, Ireland, Spain, and the United Kingdom. Results: Surveys were completed by 775 patients, 475 physicians, and 50 nurses. Patient self-reported classification of disease severity revealed generally greater severity (mild, 32%; moderate, 53%) compared with physician and nurse estimates of UC severity among their caseloads (mild, 52% and 49%; moderate, 34% and 37%, respectively). Patients reported that an average of 5.5 (standard deviation, 11.0) flares (self-defined) occurred over the past year, compared with 3.4 and 3.8 flares per year estimated by physicians and nurses. Perceived flare triggers differed between patients (stress ranked first) and HCPs (natural disease course ranked first). Fifty-five percent of patients stated that UC symptoms over the past year had affected their quality of life, while physicians and nurses estimated that 35% to 37% of patients would have a reduced quality of life over the same period. Patients ranked urgency and pain as the most bothersome symptoms, while physicians and nurses ranked urgency and stool frequency highest. About half of patients (47%) defined remission as experiencing no symptoms; by comparison, 62% to 63% of HCPs defined remission as requiring the complete absence of symptoms. HCPs (doctors/nurses in general practice and/or hospital) were regarded by patients as their main source of UC information by 72%; however, 59% reported not arranging regular visits to see their HCPs. Conclusions: This large survey identified important differences between patients' and HCPs' perceptions of the impact of UC symptoms on patients' lives. Notably, HCPs may underestimate the effect of specific UC symptoms on patients and may fail to recognize issues that are important to patients.
Source: South African Gastroenterology Review 13, pp 17 –18 (2015)More Less
This is a rare case report of spontaneous cholecystocutaneous fistula (SCF) due to calculous biliary disease. The patient presented with a right upper quadrant sinus draining mucus and bile. Computer tomography (CT) confirmed a large subcutaneous gallstone and adherence of the fundus of the gallbladder to the anterior abdominal wall. An operative excision of the fistula and cholecystectomy was performed. A review of the literature confirms only 59 cases reported in the past 54 years.
Source: South African Gastroenterology Review 13 (2015)More Less
Source: South African Gastroenterology Review 13 (2015)More Less
The purpose of the award is to honour the memory of Professor Solly Marks by recognizing clinicians or researchers of distinction in the field of gastroenterology / hepatology on an annual basis. This is an educational grant that is to be used for the upskilling of an individual and that will benefit the general good of gastroenterology in South Africa, as Prof Marks would have wanted. It is not to be used as a top up fund, but rather for a specific endeavour.
Author Sandie ThomsonSource: South African Gastroenterology Review 13, pp 30 –31 (2015)More Less
In 2014, the Department of Medicine in the Faculty of Health Sciences established the Solly Marks Visiting Professorship Fund in tribute to the legacy of Professor I. N. "Solly" Marks. As founder of the UCT Gastrointestinal Clinic (GIT) at Groote Schuur Hospital, and the South African Gastroenterology Society, Prof Marks made a profound contribution to the development of gastroenterology both locally and internationally. Through the fund, a leading academic gastroenterologist is invited for a 2 week-long visit to interact with students and members of the Faculty. The purpose of the visiting professorship is to provide an on-going stimulus to all aspects of academic gastroenterology and culminates in the delivery of a Solly Marks memorial lecture.
World Digestive Health Day
WDHD May 29, 2015 : heartburn : a global perspective : message from the chairAuthor David ArmstrongSource: South African Gastroenterology Review 13 (2015)More Less
Heartburn has been identified, in numerous high impact guidelines, as one of the cardinal symptoms of gastroesophageal reflux disease (GERD). Indeed, for practical purposes, heartburn, with or without regurgitation, is considered to be diagnostic of GERD, at least as a basis for initial management.
Author Stephen GroblerSource: South African Gastroenterology Review 13 (2015)More Less
The Competition Commission's inquiry into private healthcare is underway. Their goal is to "evaluate interrelationships and contracts of various markets in the private healthcare sector, their contribution to private healthcare expenditure and ways in which competition can be promoted".
5th Liver interest group meeting : viral hepatitis in Africa
Saturday 29 November 2014 : Cape Town : Gastroenterology FoundationAuthor Michael KewSource: South African Gastroenterology Review 13, pp 34 –35 (2015)More Less
The outstanding feature of this meeting was the fact that it was the first occasion on which hepatologists / gastroenterologists from elsewhere in Africa attended and took an active part in the meeting. It has long been apparent that the future of Hepatology/ Gastroenterology in Africa would depend upon an active interaction and collaboration between experts in these fields from all parts of the continent - this was confirmed at this meeting. The populations of the African continent are beset by numerous illnesses, many of which have their highest incidences in, or are unique to, the continent. The solution to these problems will require a close interaction between experts from all parts of the Africa, a fact that that was clearly demonstrated during the discussion.
Weekend for fellows 2015 at Spier
Friday 30 January - Sunday 1 February 2015 : Gastroenterology FoundationSource: South African Gastroenterology Review 13, pp 36 –37 (2015)More Less
This Fellows weekend proved to be as spectacular as previous post graduate Fellows Weekends. Prof Paul Fockens was the international visitor this year. State of the art demonstrations of a number of upper and lower GI therapeutic interventions including therapeutic ERCP were presented.
Author Daniel SurridgeSource: South African Gastroenterology Review 13 (2015)More Less
It was on the recommendation of a colleague that I submitted an abstract for the European Colorectal Congress in Munich 2014. And it was only once my abstract had been accepted that I actually took a look at the programme. I was completely gobsmacked by the line-up of talks to be given.