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.
{"title":"Adult intussusception due to intestinal tuberculosis : a rare entity : case report","authors":"J. Islam, V. Manchev, D. Mogabe, S. Thomson","doi":"10.4314/SAGR.V8I2.63095","DOIUrl":"https://doi.org/10.4314/SAGR.V8I2.63095","url":null,"abstract":"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.","PeriodicalId":39144,"journal":{"name":"South African Gastroenterology Review","volume":"8 1","pages":"7-9"},"PeriodicalIF":0.0,"publicationDate":"2011-01-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70616309","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Every disease susceptibility or medical condition is caused, regulated or influenced by genes and obesity is no exception. Although overeating in combination with low physical activity is the main cause of obesity, genetically determined influences on energy balance regulation also play an important role. Individuals exposed to the same environmental risk factors or treatment strategies do not necessarily develop the same disease or show the same reaction to treatment. Obesity forms the core element of a group of metabolic abnormalities defined as the metabolic syndrome, which underlies many chronic diseases of lifestyle treated by clinicians on a daily basis. The success of obesity prevention and treatment partly depends on the genetic make-up of the individual. Different genes may underlie different clinical outcomes due to interaction with diet as the main environmental factor. It is therefore important to know how certain genomic and lifestyle factors combine in different people to precipitate weight gain or weight regain. In future, genetic risk factors underlying different forms of obesity (e.g. morbid obesity, childhood obesity and weight retention after birth) could be identified as causative or contributing factors and possible targets for treatment. Alternatively, genetic testing can focus on a set number of genes involved in key metabolic pathways underlying different forms of obesity. This overview introduces the concept of pathology supported genetic testing in patients with the metabolic syndrome linked to a long-term health-outcome research project.
{"title":"Obesity and the metabolic syndrome: impact of gene-diet interaction","authors":"M. Kotze, M. Marais, C. Rensburg","doi":"10.4314/SAGR.V8I1.54217","DOIUrl":"https://doi.org/10.4314/SAGR.V8I1.54217","url":null,"abstract":"Every disease susceptibility or medical condition is caused, regulated or influenced by genes and obesity is no exception. Although overeating in combination with low physical activity is the main cause of obesity, genetically determined influences on energy balance regulation also play an important role. Individuals exposed to the same environmental risk factors or treatment strategies do not necessarily develop the same disease or show the same reaction to treatment. Obesity forms the core element of a group of metabolic abnormalities defined as the metabolic syndrome, which underlies many chronic diseases of lifestyle treated by clinicians on a daily basis. The success of obesity prevention and treatment partly depends on the genetic make-up of the individual. Different genes may underlie different clinical outcomes due to interaction with diet as the main environmental factor. It is therefore important to know how certain genomic and lifestyle factors combine in different people to precipitate weight gain or weight regain. In future, genetic risk factors underlying different forms of obesity (e.g. morbid obesity, childhood obesity and weight retention after birth) could be identified as causative or contributing factors and possible targets for treatment. Alternatively, genetic testing can focus on a set number of genes involved in key metabolic pathways underlying different forms of obesity. This overview introduces the concept of pathology supported genetic testing in patients with the metabolic syndrome linked to a long-term health-outcome research project.","PeriodicalId":39144,"journal":{"name":"South African Gastroenterology Review","volume":"8 1","pages":"5-8"},"PeriodicalIF":0.0,"publicationDate":"2010-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70616520","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Swallowing disorders may or may not be inherent to aging, however, they are relatively prevalent in the elderly population. This is because dysphagia is associated with many disorders that are much more common in the older population.
{"title":"Dysphagia in the elderly.","authors":"M. Carr","doi":"10.4314/SAGR.V8I1.54219","DOIUrl":"https://doi.org/10.4314/SAGR.V8I1.54219","url":null,"abstract":"Swallowing disorders may or may not be inherent to aging, however, they are relatively prevalent in the elderly population. This is because dysphagia is associated with many disorders that are much more common in the older population.","PeriodicalId":39144,"journal":{"name":"South African Gastroenterology Review","volume":"8 1","pages":"14-16"},"PeriodicalIF":0.0,"publicationDate":"2010-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70616119","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Obesity is not a new condition. The associated morbidity and mortality has been known for 2 500 years. What is new is its growing prevalence. Worldwide, the percentage of people that are overweight is increasing. It affects both the developed and developing world and South Africa is no exception. There appears to be a changing perception of obesity, as illustrated by a population survey study in which fewer overweight and obese individuals defined themselves as overweight in 2007 when compared to 1999, despite a significant increase in the prevalence of obesity.
{"title":"Obesity: An ever-expanding problem A review of treatment options","authors":"M. Marais, O. Buchel","doi":"10.4314/SAGR.V8I1.54218","DOIUrl":"https://doi.org/10.4314/SAGR.V8I1.54218","url":null,"abstract":"Obesity is not a new condition. The associated morbidity and mortality has been known for 2 500 years. What is new is its growing prevalence. Worldwide, the percentage of people that are overweight is increasing. It affects both the developed and developing world and South Africa is no exception. There appears to be a changing perception of obesity, as illustrated by a population survey study in which fewer overweight and obese individuals defined themselves as overweight in 2007 when compared to 1999, despite a significant increase in the prevalence of obesity.","PeriodicalId":39144,"journal":{"name":"South African Gastroenterology Review","volume":"8 1","pages":"39-44"},"PeriodicalIF":0.0,"publicationDate":"2010-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70616529","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Ascites is derived from the Greek word "askos", meaning bag or sack. Approximately 85% of patients (in the USA) with ascites have liver cirrhosis. Ascites may be reversible in the setting of alcoholic hepatitis if the patient ceases consumption of alcohol, as well as in non-alcoholic cirrhosis, with effective therapy.
{"title":"Ascites revisited: the value of serum-ascites albumin gradient (SAAG)","authors":"E. Wilken","doi":"10.4314/SAGR.V8I1.54220","DOIUrl":"https://doi.org/10.4314/SAGR.V8I1.54220","url":null,"abstract":"Ascites is derived from the Greek word \"askos\", meaning bag or sack. Approximately 85% of patients (in the USA) with ascites have liver cirrhosis. Ascites may be reversible in the setting of alcoholic hepatitis if the patient ceases consumption of alcohol, as well as in non-alcoholic cirrhosis, with effective therapy.","PeriodicalId":39144,"journal":{"name":"South African Gastroenterology Review","volume":"8 1","pages":"17-19"},"PeriodicalIF":0.0,"publicationDate":"2010-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70616234","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Benign solitary fibrous tumour of the mesentery: a rare entity: review.","authors":"J. Islam, G. Chinnery, Z. Khan, S. Thomson","doi":"10.4314/sagr.v7i2.51341","DOIUrl":"https://doi.org/10.4314/sagr.v7i2.51341","url":null,"abstract":"","PeriodicalId":39144,"journal":{"name":"South African Gastroenterology Review","volume":"7 1","pages":"11-13"},"PeriodicalIF":0.0,"publicationDate":"2010-02-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70616456","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
In South-Africa nurses and doctors are emigrating in significant numbers. Job satisfaction, safety and ensuring career progression are important in retaining doctors to make a career in RSA. Due to budgetary constraints many hospitals have not been upgraded. Coming home after overseas training seems difficult. In RSA it takes a minimum of 13 years for a young specialist to get on the register and 15 years for subspecialists. Career progression, creating more specialist trainees in public and private hospitals and shortening the period of professional training are potential solutions the problem. India with a population of more than 1 billion people is struggling with similar problems. For the past 10-15 years private hospitals have assisted in manpower development for medical specialist and subspecialist careers. Currently their private sector trains 60% of their recognised (sub)specialities fellows. A national task force for specialist training in RSA should be instituted. It should discuss, based on the current status and projected specialist and subspecialist personnel requirements, the future structure and logistics of training needs. This is required in all subspecialities including gasteroenterology, as has been done in India. It is hoped that as a consequence well-trained doctors, like in India,might move to provincial hospitals in rural areas, uplifting the medical services and keeping medical power in South- Africa. South-Africa should become a model for Sub-Saharan Africa, as India already is for South-East Asia.
{"title":"Food for thought, A Perspective on Future GI Training in SA","authors":"C. Mulder, A. Puri, D. Reddy","doi":"10.4314/SAGR.V7I2.51339","DOIUrl":"https://doi.org/10.4314/SAGR.V7I2.51339","url":null,"abstract":"In South-Africa nurses and doctors are emigrating in significant numbers. Job satisfaction, safety and ensuring career progression are important in retaining doctors to make a career in RSA. Due to budgetary constraints many hospitals have not been upgraded. Coming home after overseas training seems difficult. In RSA it takes a minimum of 13 years for a young specialist to get on the register and 15 years for subspecialists. Career progression, creating more specialist trainees in public and private hospitals and shortening the period of professional training are potential solutions the problem. India with a population of more than 1 billion people is struggling with similar problems. For the past 10-15 years private hospitals have assisted in manpower development for medical specialist and subspecialist careers. Currently their private sector trains 60% of their recognised (sub)specialities fellows. A national task force for specialist training in RSA should be instituted. It should discuss, based on the current status and projected specialist and subspecialist personnel requirements, the future structure and logistics of training needs. This is required in all subspecialities including gasteroenterology, as has been done in India. It is hoped that as a consequence well-trained doctors, like in India,might move to provincial hospitals in rural areas, uplifting the medical services and keeping medical power in South- Africa. South-Africa should become a model for Sub-Saharan Africa, as India already is for South-East Asia.","PeriodicalId":39144,"journal":{"name":"South African Gastroenterology Review","volume":"7 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2010-02-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70616569","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
We present a patient who presented with peritonitis and turned out to have an unruptured giant mesenteric cyst.
我们提出一个病人谁提出腹膜炎，原来有一个未破裂的巨大肠系膜囊肿。
{"title":"Wrong diagnosis but correct management of a mesenteric cyst: review.","authors":"J. Islam, G. Tudor, S. Thomson","doi":"10.4314/sagr.v7i2.51344","DOIUrl":"https://doi.org/10.4314/sagr.v7i2.51344","url":null,"abstract":"We present a patient who presented with peritonitis and turned out to have an unruptured giant mesenteric cyst.","PeriodicalId":39144,"journal":{"name":"South African Gastroenterology Review","volume":"21 1","pages":"15-17"},"PeriodicalIF":0.0,"publicationDate":"2009-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70616475","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
京公网安备 11010802042870号
京ICP备2023020795号-1
扫码关注我们
求助内容：
应助结果提醒方式：