South African Gastroenterology Review - Volume 6, Issue 2, 2008
Volume 6, Issue 2, 2008
Author S. ThomsonSource: South African Gastroenterology Review 6 (2008)More Less
In this edition we are indeed trying to give you insights into the doings of the Society and its members. The trainees are being cajoled, by the most good natured badger I know (Karin), into telling us about their educational exploits. I made the pilgrimage to DDW and our Cape Town contingent must be congratulated on their academic efforts with their exploits on stage depicted graphically. Train the Trainers continues to evolve and VG Naidoo, the latest State budding academic, reiterates the value of the programme from his visit to Croatia.
Source: South African Gastroenterology Review 6, pp 6 –7 (2008)More Less
Carcinoids of the stomach and the duodenum with atrophic gastritis in a patient with Zollinger-Ellison syndrome : case reportSource: South African Gastroenterology Review 6, pp 9 –12 (2008)More Less
Background : A 27-year-old Caucasian male presented in 1977 with heartburn, indigestion and intermittent diarrhea. Treatment with cimetidine, ranitidine, and famotidine resulted in partial improvement, however, his symptoms persisted. Five years later, the patient underwent a parathyroid adenoma resection after hypercalcemia secondary to hyperparathyroidism. In 1986, multiple ulcers were found during an esophagogastroduodenoscopy (EGD), performed due to persistent epigastric discomfort. Two years later, he was diagnosed with Zollinger-Ellison syndrome (ZES) and MEN I Syndrome , however, despite treatment with famotidine, his symptoms persisted. In 1991, antisecretory treatment with the proton pump inhibitor, omeprazole, reduced the patient's basal acid output from 3-4 mEq/hr to 0.02-0.08 mEq/hr. In 1994, an EGD revealed multiple duodenal submucosal nodules. In 1997, treatment was switched to lansoprazole. The following year, a mucosal biopsy revealed atrophic gastric mucosa and multiple friable polyps with overlying ulcerations. Multifocal tumors were observed in the setting of endocrine cell hyperplasia and atrophic gastritis. Investigations : CT scan, MRI, somatostatin receptor scintigraphy, EGD, endoscopic ultrasonography and gastric analysis. Diagnosis : Carcinoids of the stomach and duodenum with atrophic gastritis and ZES accompanied by MEN I syndrome. Management : Histamine 2-receptor antagonists (cimetidine, ranitidine and famotidine) followed by proton pump inhibitor therapy (omeprazole, lansoprazole, and intravenous and oral pantoprazole).
World Gastroenterology Organisation Practice Guideline : Probiotics and Prebiotics - May 2008 : guidelineSource: South African Gastroenterology Review 6, pp 14 –25 (2008)More Less
A century ago, Elie Metchnikoff (Russian scientist, Nobel laureate, and professor at the Pasteur Institute in Paris) postulated that lactic acid bacteria (LAB) offered health benefits leading to longevity. He suggested that "intestinal auto-intoxication" and the resultant aging could be suppressed by modifying the gut microbiota and replacing proteolytic microbes such as Clostridium - which produce toxic substances including phenols, indoles, and ammonia from the digestion of proteins - with useful microbes. He developed a diet with milk fermented with the bacterium he called "Bulgarian bacillus."
Source: South African Gastroenterology Review 6, pp 27 –28 (2008)More Less
For specialists much of our work has analogies in the rigours of top athletes - many years of training and dedication, long working hours and relative risks and responsibilities. What would the Olympics look like if subjected to the likes of the draconian laws that we are faced with in South Africa (Minsters will have the power to appoint and adjudicate on tariffs, property, HPCSA will no longer be an elected body)?
Interim Report for the South African Medical Association.
Survey to determine the cost of specialist & general practice services in relation to the National Health Reference Price (NHRPL) 2009Source: South African Gastroenterology Review 6, pp 28 –29 (2008)More Less
The Department of Health (DOH) invited submissions for the purpose of reviewing the National Health Reference Price List (NHRPL). Based on a large sample of the actual costs of specialist and general medical practices, the report calculated dependable and conservative rand conversion factors ("RCF") for use in generating tariffs for medical services for general practitioners and 18 specialist associations, including SAGES (Gastroenterology).
Source: South African Gastroenterology Review 6, pp 30 –31 (2008)More Less
May 29th 2008 represented the 50th anniversary of the formation of the World Gastroenterology Foundation (previously OMGE). Each year on this day the organisation celebrates World Digestive Health Day and uses the platform to highlight an important topic. This year's theme was Optimal Health and Nutrition with the aim being to encourage governments to make nutrition a global priority. Danone partnered WGO in this endeavour.
Author C. ZiadySource: South African Gastroenterology Review 6, pp 32 –33 (2008)More Less
The meeting got under way on Thursday 27th of March with the Small-group Discussions. The EUS talks were led by Marc Giovannini and Marco Bruno, the SMD group by Pradeep Bhandari and Georg Kahler, the Advanced ERCP group by Allessandro Repici, the Abdominal US course by Joerg Reigenberger and the team from Toshiba, and on Sat morning, Chris Mulder led the discussion on Double Balloon Enteroscopy.
My experience at the VUMC (Vrije Universiteit Medisch Centrum) in Amsterdam from 1 April 2008 till 28 May 2008Author B. ScholzSource: South African Gastroenterology Review 6 (2008)More Less
Author V.G. NaidooSource: South African Gastroenterology Review 6 (2008)More Less
The passing of knowledge from one generation to the next is a medical tradition that we take for granted. This tradition connects the medical profession in a very tangible sense to the first healer who taught his apprentice how to tend sabre-tooth tiger wounds. I still remember being amazed when the professor guided my stethoscope to a blowing pansystolic murmur. Auditory imprinting and understanding followed. I could diagnose mitral regurgitation! In time I began to pass on this knowledge, while accepting that I will be a life-long student.
Source: South African Gastroenterology Review 6, pp 37 –39 (2008)More Less
I was privileged to be able to attend the Digestive Diseases Week 2008 in San Diego. I would like to thank the Gastro Foundation, AstraZeneca and Schering Plough for their generosity in providing me with financial support in order to attend this congress. As all are aware travelling to international congresses would not be possible without major financial backing.