South African Gastroenterology Review - Volume 8, Issue 2, 2010
Volume 8, Issue 2, 2010
Author Sandie ThomsonSource: South African Gastroenterology Review 8 (2010)More Less
The World Cup Congress issue sounds "Ayoba" and proudly South African. France and Italy have sneaked home licking their wounds and Bill Clinton and Mick Jagger were unable to inspire Team USA or England to glory. South America is looking like the likely destination for the Jules Rimet Trophy while at the time of writing Ghana remain our only hope of being proudly African.
Source: South African Gastroenterology Review 8, pp 4 –6 (2010)More Less
The pregnant patient with abdominal pain poses a unique diagnostic and therapeutic challenge to the surgeon, obstetrician and patient. Pancreatitis in pregnancy is a rare event estimated to occur in approximately 3 per 10 000 pregnancies. Acute pancreatitis occurs more frequently with advancing gestational age and in multiparous women. The spectrum of acute pancreatitis is no different from the non pregnant state. It varies from a mild attack to severe pancreatitis with multiple organ dysfunction syndromes and local complications such as pseudocysts and sterile or infected necrosis. In the era preceding endoscopic retrograde cholangiopancreatography (ERCP) and laparascopic cholecystectomy, outcomes were poor, with reported maternal and fetal mortality rates of 20% and 50% respectively. Improved outcomes especially with regard to acute gallstone pancreatitis in pregnancy have been reported as a result of improved abdominal imaging and minimally invasive therapeutic techniques with zero maternal mortality and under 5% perinatal mortality. Recommendations in the literature rely on various studies, often in relatively small retrospective cohorts accrued over long time spans. It is unlikely randomized prospective controlled trials will be carried out for these reasons and that therapy is always based on current best practice available in the interests of the mother and fetus. This review evaluates the most current literature to formulate a management guideline.
Source: South African Gastroenterology Review 8, pp 7 –9 (2010)More Less
Intussusception is a rare occurrence in adults in comparison with the children. A demonstrable aetiology is found in most cases of adult intussusception. Abdominal tuberculosis (TB) is common in developing countries especially in South Africa in the era of HIV/ AIDS, and many of them present with surgical abdomens, however abdominal tuberculosis causing intussusception is very rare even in South Africa. We present such a case of adult intussusception due to intestinal TB.
Source: South African Gastroenterology Review 8, pp 11 –12 (2010)More Less
In our environment signet ring cell mucin producing stomach cancers usually, present with advanced disease often with transperitoneal spread and krukenburg tumours. We present a patient who had a bizarre "benign" course of a biopsy proven signet cell cancer, who one year after diagnosis had a curative resection for a cancer confined to the mucosa.
World Gastroenterology Organisation Global Guideline : Inflammatory bowel disease : a global perspective - June 2009 : WGO global guidelinesSource: South African Gastroenterology Review 8, pp 13 –23 (2010)More Less
Inflammatory bowel disease (IBD) represents a group of idiopathic chronic inflammatory intestinal conditions. The two main disease categories the term covers are Crohn's disease (CD) and ulcerative colitis (UC), with both overlapping and distinct clinical and pathological features.
Fermented milk containing Bifidobacterium lactis DN-173 010 improves gastrointestinal well-beingand digestive symptoms in women reporting minor digestive symptoms. A randomised, double-blind, parallel, controlled study. (Guyonnet et al, 2009 b) : product newsSource: South African Gastroenterology Review 8 (2010)More Less
The study was a randomised, double-blind, controlled, parallel group trial. 197 women (18-60 yo) with minor digestive symptoms but without gastrointestinal diseases, consumed daily 2x125g servings of either Activia® (n = 100), or a non fermented dairy product with low content of lactose (n = 97), over 4 weeks. The follow up period lasted 4 weeks.
Author Stephen GroblerSource: South African Gastroenterology Review 8, pp 26 –29 (2010)More Less
The introduction of new sedative agents as well as a desire for improved patient satisfaction and greater efficiency has changed the practice of endoscopic sedation. The frequency of sedation for gastrointestinal endoscopy varies, but has increased and is now given in the majority of cases, particularly in the private practice setting. Although sedation improves tolerance of the endoscopic procedures, it may be responsible for about 50% of the complications related to the examination.
Author Nazli JugbaranSource: South African Gastroenterology Review 8 (2010)More Less
Interventional endoscopy has revolutionised the management of many gastrointestinal (GI) diseases. However, due to the rapidly evolving nature of the field, it is imperative for the doctors to keep abreast with the latest developments with regard to procedures and technologies.
Author Kay KarlssonSource: South African Gastroenterology Review 8 (2010)More Less
As part of SAGES 2010 an endoscopy and surgical workshop is being planned. We are lucky to have a large overseas faculty from all sides of the globe including Patrick Okolo, Zhiping Li, Anthony Kalloo, Mimi Canto from John Hopkins University, USA, Willem Bemelman, Paul Fockens, Chris Mulder from Holland, Jacques Deviere from Belgium and Martin Goetz from Germany as well as some of our local experts. It will be a challenge to find cases to test such a large and experienced faculty.
World Digestive Health Day 2010 : doctors need to be aware of inflammatory bowel disease and diagnose earlyAuthor Pieter WagenaarSource: South African Gastroenterology Review 8 (2010)More Less
Every year on 29 May, the World Gastroenterology Organisation (WGO) celebrates World Digestive Health Day. One of its main purposes is to educate healthcare professionals about various digestive diseases to help them optimise diagnosis and maximise care. This year, the spotlight falls on inflammatory bowel disease, which embraces conditions such as ulcerative colitis and Crohn's disease.