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- Volume 13, Issue 3, 2015
South African Gastroenterology Review - Volume 13, Issue 3, 2015
Volume 13, Issue 3, 2015
Source: South African Gastroenterology Review 13, pp 7 –11 (2015)More Less
The term sphincter of Oddi dysfunction (SOD) has been used to describe a clinical syndrome of biliary or pancreatic obstruction related to mechanical or functional abnormalities of the sphincter of Oddi.
SOD is defined as recurrent, acalculous, upper abdominal pain resulting from static or intermittent biliary obstruction at the level of the sphincter, due to any combination of inflammatory, fixed fibrotic or dynamic motility abnormalities. A review of SOD is important for gastroenterologist to know, as SOD is one of the definite risk factors of post ERCP pancreatitis.
Source: South African Gastroenterology Review 13, pp 13 –14 (2015)More Less
Duodenal strictures are a rare complication of Crohn's disease. Documented case series report an incidence of 0.5-4%. Duodenal involvement in Crohn's disease maybe an isolated problem or there maybe concomitant involvement of other parts of the gastrointestinal tract. Upper abdominal pains, vomiting and weight loss are common clinical symptoms.
Comparison of efficacy and safety of aluminium-free paediatric alginate and placebo in infants with recurrent gastro-oesophageal reflux : study summarySource: South African Gastroenterology Review 13, pp 17 –18 (2015)More Less
Gastroesophageal reflux (GOR) is common among infants and young children. It is characterised by vomiting of small quantities of feed during or immediately after feeding. Although the majority of cases (more than 95%) resolve by 18 months of age, persistent vomiting may be associated with significant distress and anxiety for both the child and parents. In addition to relieving distress, treatment may also be important to prevent potential complications, including weight loss and oesophagitis. Management options include postural changes and thickening of the milk mixture.
Recommendations on the use of anti-TNFs in adults with inflammatory bowel disease : SAGES guidelinesSource: South African Gastroenterology Review 13, pp 21 –24 (2015)More Less
This document details the indications, use and side effects of anti-TNFs in the management of Inflammatory Bowel Disease (IBD). It is clear from this review that these are safe and highly efficient agents to control and maintain patients with IBD. They have dramatically reduced the complications of sepsis and surgery, and thereby reduced the expense involved in the management of IBD.
Source: South African Gastroenterology Review 13 (2015)More Less
Author V.G. NaidooSource: South African Gastroenterology Review 13, pp 28 –29 (2015)More Less
The 53rd congress of the South African Gastroenterology Society was held at the Durban ICC from 07 - 10 August 2015. This was a combined congress with the Association of Surgeons of South Africa (ASSA) which is the umbrella body for a number of surgical sub-speciality societies. Such a combination of surgeons and physicians is testament to an appreciation of the value of multidisciplinary perspectives as we strive for excellence in patient care. We were also joined by the South African Gastro-Intestinal Nursing Society (SAGINS) who hosted a superb parallel program aimed at our nurses which are the backbone of any gastro-intestinal unit.
The 1st Scientific conference and annual general meeting of the Ghana Association for the study of Liver and Digestive diseases : a brief report : Ghana AssociationSource: South African Gastroenterology Review 13, pp 30 –31 (2015)More Less
The practice of gastroenterology is one of the fast growing subspecialties worldwide with advancing technology for diagnostics and therapeutics.
In Ghana gastrointestinal endoscopy started in the late 1970's and was revived by a Japanese initiative called JICA. Through JICA clinicians were sponsored for training in gastrointestinal endoscopy outside Ghana. These gallant clinicians returned to improve endoscopic diagnosis and care for clients with gastrointestinal diseases. These local stalwarts included Prof. E.Q Archampong, Prof. Anthony Foli, Prof. Rudolph Darko, Dr. Kofi Nkrumah, Dr. Wood, Prof. G.W Acheampong and Dr. Mary Afihene have ensured that the practice of gastroenterology continues to thrive in Ghana.
Northern Cape Annual Colonoscopy Surveillance 2015 : the year of PINK : Northern Cape surveillance tripAuthor Ursula AlgarSource: South African Gastroenterology Review 13 (2015)More Less
Author Robert NelSource: South African Gastroenterology Review 13 (2015)More Less
In recent years, ultrasonography of the bowel has gained momentum as a non-invasive clinical tool in Gastroenterology for the management of inflammatory bowel disease. This is due in large part to the technological advancements in imaging resolution which allow good cross-sectional imaging of the bowel wall. The use of this modality is especially prominent in Europe, where it is widely practised by Gastroenterologists (and indeed part of their training curriculum), and is rapidly spreading to other parts of the world, including Australasia and Canada. At present ultrasonography is not part of training in Gastroenterology in South African institutions due to a lack of resources and expertise.
Author Robert BondSource: South African Gastroenterology Review 13 (2015)More Less
Author Wendy SpearmanSource: South African Gastroenterology Review 13, pp 36 –37 (2015)More Less
Chris Kassianides, Chairman of the Gastroenterology Foundation of South Africa, in conjunction with EASL put together a whole day symposium of Liver talks at this year's ASSA SAGES meeting in Durban. The Faculty included international speakers Professor Massimo Pinzani, Director of the UCL Institute for Liver and Digestive Health; Professor Tom Karlsen, leader of the Norwegian PSC centre and Molecular Hepatology at the University of Oslo; Professor Frank Tacke of RWTH Aachen University, where he is the leader of a molecular liver research laboratory; and Professor Funmi Lesi from Lagos, Nigeria. The local speakers were Corne Kruger, Mashiko Setshedi, Mark Sonderup and Wendy Spearman from Cape Town.
Prof Anne Griffiths, Paediatric Inflammatory Bowel Disease specialist visits Cape Town in September 2015 : Gastroenterology FoundationAuthor David EpsteinSource: South African Gastroenterology Review 13, pp 38 –39 (2015)More Less
Data from the South African Inflammatory Bowel Disease (IBD) Registry shows an exponential increase in Crohn's disease and Ulcerative colitis over the past 40 years in South Africa. With increasing IBD prevalence more and more children are being diagnosed with both Crohn's disease and Ulcerative colitis and are seeking care.
The Ghana Meeting : a melting pot of academic excellence, a vibrant and generous people with an illustrious history : Gastroenterology FoundationAuthor Mashiko SetshediSource: South African Gastroenterology Review 13 (2015)More Less
I was fortunate to be one of the international faculty members to attend and present at the 1st Scientific Conference and Annual General Meeting of the Ghana Association for the Study of Liver and Digestive Diseases, with the catchy acronym, GASLIDD. Other faculty members in attendance were Profs Reid Ally, Wendy Spearman (both from South Africa) and Fatimah Abdulkareem (Nigeria). There was also representation from the Africa-Middle East Association of Gastroenterology (AMAGE) by its president Professor Olusegun Ojo and Dr. Olufunmilayo Lesi who is the director, of the WGO Lagos Training Center, was also present.