We report an unusual case of small bowel evisceration through the anus in an otherwise healthy 24-year old African male who denied any social or traumatic anal penetration. He describes a prolapsing rectum since childhood that was never investigated. Unfortunately he had also spent two years in prison in the past during which years he had smuggled 'dagga condoms' intra-rectally on several occasions. At laparotomy we retrieved small bowel through an anterior rectal perforation and performed an extensive resection. Our operative management was straightforward and we looked for possible diagnostic clues intra-operatively including histological sampling. An extensive photographic iconography illustrates the case. Our final diagnosis remains uncertain. The prolapsing rectum has not recurred since the laparotomy. We reviewed the literature for reports on 'transanal evisceration' and associated causes. Our discussion includes the possible non-traumatic differential diagnosis.
{"title":"Transanal evisceration of small bowel : case report and review of the literature : case report","authors":"D. Allard","doi":"10.4314/SAGR.V6I1.30744","DOIUrl":"https://doi.org/10.4314/SAGR.V6I1.30744","url":null,"abstract":"We report an unusual case of small bowel evisceration through the anus in an otherwise healthy 24-year old African male who denied any social or traumatic anal penetration. \u0000He describes a prolapsing rectum since childhood that was never investigated. Unfortunately he had also spent two years in prison in the past during which years he had smuggled 'dagga condoms' intra-rectally on several occasions. \u0000At laparotomy we retrieved small bowel through an anterior rectal perforation and performed an extensive resection. Our operative management was straightforward and we looked for possible diagnostic clues intra-operatively including histological sampling. An extensive photographic iconography illustrates the case. Our final diagnosis remains uncertain. The prolapsing rectum has not recurred since the laparotomy. \u0000We reviewed the literature for reports on 'transanal evisceration' and associated causes. Our discussion includes the possible non-traumatic differential diagnosis.","PeriodicalId":39144,"journal":{"name":"South African Gastroenterology Review","volume":"6 1","pages":"8-11"},"PeriodicalIF":0.0,"publicationDate":"2008-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70616101","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}
Chronic hepatitis B virus infection remains a global problem of staggering proportions. It is estimated that 350 million people worldwide are chronically infected with the hepatitis B virus (HBV) and sub-Saharan Africa remains a high prevalence region. Most carriers will not develop significant hepatic disease but 15 - 40 % will develop serious sequelae during their lifetime.
{"title":"SAGES Guidelines Committee","authors":"J. F. Botha","doi":"10.4314/SAGR.V5I3.30742","DOIUrl":"https://doi.org/10.4314/SAGR.V5I3.30742","url":null,"abstract":"Chronic hepatitis B virus infection remains a global problem of staggering proportions. It is estimated that 350 million people worldwide are chronically infected with the hepatitis B virus (HBV) and sub-Saharan Africa remains a high prevalence region. Most carriers will not develop significant hepatic disease but 15 - 40 % will develop serious sequelae during their lifetime.","PeriodicalId":39144,"journal":{"name":"South African Gastroenterology Review","volume":"5 1","pages":"30-31"},"PeriodicalIF":0.0,"publicationDate":"2008-01-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70615918","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 the following three cases as they illustrate the spectrum and pitfalls in the diagnosis of an endemic disease when it occurs out of clinical context.
我们提出以下三个病例，因为他们说明频谱和陷阱，在地方病的诊断，当它发生在临床背景。
{"title":"Odd things, in odd places, in odd races","authors":"L. Ferndale, R. Wise, S. Thomson","doi":"10.4314/SAGR.V5I3.30737","DOIUrl":"https://doi.org/10.4314/SAGR.V5I3.30737","url":null,"abstract":"We present the following three cases as they illustrate the spectrum and pitfalls in the diagnosis of an endemic disease when it occurs out of clinical context.","PeriodicalId":39144,"journal":{"name":"South African Gastroenterology Review","volume":"5 1","pages":"9-12"},"PeriodicalIF":0.0,"publicationDate":"2008-01-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70615680","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}
A. Olokoba, B. Bojuwoye, I. Katibi, A. Ajayi, L. Olokoba, K. Braimoh, A. Inikori
Background: Gallstone disease is one of the most common gastrointestinal diseases seen in clinical practice. Individuals with Diabetes mellitus are reported to have a 2 to 3-fold increase in the incidence of cholesterol Gallstone. Studies have shown a higher prevalence of Gallstone disease in patients with Diabetes mellitus. However there is no literature on Gallstone disease and the Nigerian type 2 diabetic patients. This study was therefore designed to determine the prevalence of Gallstone disease using abdominal ultrasound scan amongst Nigerians with type 2 Diabetes mellitus. Methodology: 100 type 2 diabetic patients and 100 age and sex- matched controls under-went real time ultrasonography to determine the prevalence of Gallstone disease. Result: 15% of the diabetic patients had ultrasound evidence of Gallstone disease as compared to 7% in non diabetic controls. Conclusions: Gallstone disease in Nigerians with type 2 Diabetes mellitus may not be rare. South African Gastroenterology Vol. 5 (3) 2007: pp. 14-17
{"title":"Cholelithiasis and type 2 diabetes mellitus in Nigerians : original","authors":"A. Olokoba, B. Bojuwoye, I. Katibi, A. Ajayi, L. Olokoba, K. Braimoh, A. Inikori","doi":"10.4314/SAGR.V5I3.30738","DOIUrl":"https://doi.org/10.4314/SAGR.V5I3.30738","url":null,"abstract":"Background: Gallstone disease is one of the most common gastrointestinal diseases seen in clinical practice. Individuals with Diabetes mellitus are reported to have a 2 to 3-fold increase in the incidence of cholesterol Gallstone. Studies have shown a higher\u0000prevalence of Gallstone disease in patients with Diabetes mellitus. However there is no literature on Gallstone disease and the Nigerian type 2 diabetic patients. This study was therefore designed to determine the prevalence of Gallstone disease using\u0000abdominal ultrasound scan amongst Nigerians with type 2 Diabetes mellitus. Methodology: 100 type 2 diabetic patients and 100 age and sex- matched controls under-went real time ultrasonography to determine the prevalence of Gallstone disease.\u0000Result: 15% of the diabetic patients had ultrasound evidence of Gallstone disease as compared to 7% in non diabetic controls. Conclusions: Gallstone disease in Nigerians with type 2 Diabetes mellitus may not be rare. South African Gastroenterology Vol. 5 (3) 2007: pp. 14-17","PeriodicalId":39144,"journal":{"name":"South African Gastroenterology Review","volume":"5 1","pages":"14-17"},"PeriodicalIF":0.0,"publicationDate":"2008-01-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70615710","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}
The benefits of therapeutic and diagnostic colonoscopy, which are undoubted, can only be fully realized when the procedure is performed at optimal levels of quality. Unfortunately this is not always the case. Quality, however, is difficult to define and measure but without attempts to do both, improvement is well nigh impossible.
{"title":"Colonoscopy: measuring and improving quality","authors":"K. Pettengell","doi":"10.4314/SAGR.V5I3.30740","DOIUrl":"https://doi.org/10.4314/SAGR.V5I3.30740","url":null,"abstract":"The benefits of therapeutic and diagnostic colonoscopy, which are undoubted, can only be fully realized when the procedure is performed at optimal levels of quality. Unfortunately this is not always the case. Quality, however, is difficult to define and measure but without attempts to do both, improvement is well nigh impossible.","PeriodicalId":39144,"journal":{"name":"South African Gastroenterology Review","volume":"5 1","pages":"24-25"},"PeriodicalIF":0.0,"publicationDate":"2008-01-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70615791","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}
Pyogenic liver abscesses are associated with a significant morbidity and mortality if undiagnosed and not adequately treated. They account for 75% of hepatic abscesses in developed countries. Amoebic liver abscesses remain the commonest overall cause worldwide.
{"title":"The spectrum of pyogenic liver abscesses and the principles of therapy : review article","authors":"N. Parsoo, V. Naidoo, K. Newton","doi":"10.4314/SAGR.V5I3.30739","DOIUrl":"https://doi.org/10.4314/SAGR.V5I3.30739","url":null,"abstract":"Pyogenic liver abscesses are associated with a significant morbidity and mortality if undiagnosed and not adequately treated. They account for 75% of hepatic abscesses in developed countries. Amoebic liver abscesses remain the commonest overall cause worldwide.","PeriodicalId":39144,"journal":{"name":"South African Gastroenterology Review","volume":"5 1","pages":"19-22"},"PeriodicalIF":0.0,"publicationDate":"2007-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70615774","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}
Pub Date : 2007-11-01DOI: 10.1243/jile_proc_1946_036_003_02
S. Thomson
I took over the reigns from Jake Krige, a man who has presence, not just at the podium. I am sure he had his own legacy from Hennie Grundling, another man of stature who I admired whilst at the helm.
{"title":"From the past President","authors":"S. Thomson","doi":"10.1243/jile_proc_1946_036_003_02","DOIUrl":"https://doi.org/10.1243/jile_proc_1946_036_003_02","url":null,"abstract":"I took over the reigns from Jake Krige, a man who has presence, not just at the podium. I am sure he had his own legacy from Hennie Grundling, another man of stature who I admired whilst at the helm.","PeriodicalId":39144,"journal":{"name":"South African Gastroenterology Review","volume":"5 1","pages":"6-7"},"PeriodicalIF":0.0,"publicationDate":"2007-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1243/jile_proc_1946_036_003_02","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"65996784","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}
Kupffer cells, hepatic endothelium and hepatocytes all expressCD4 receptors. Infection by HIV-1 can be demonstratedalthough, to date, HIV infection of cholangiocytes has not beendocumented. In addition HIV associated mRNA and other HIVassociated proteins can readily be found within hepatocytes.
{"title":"Issues in HIV / AIDS and liver disease : review","authors":"M. Sonderup","doi":"10.4314/sagr.v5i3.30741","DOIUrl":"https://doi.org/10.4314/sagr.v5i3.30741","url":null,"abstract":"Kupffer cells, hepatic endothelium and hepatocytes all expressCD4 receptors. Infection by HIV-1 can be demonstratedalthough, to date, HIV infection of cholangiocytes has not beendocumented. In addition HIV associated mRNA and other HIVassociated proteins can readily be found within hepatocytes.","PeriodicalId":39144,"journal":{"name":"South African Gastroenterology Review","volume":"5 1","pages":"8-10"},"PeriodicalIF":0.0,"publicationDate":"2007-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70615854","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}
Extracted from text ... The South African Gastroenterology Review ? November 2006 76 REVIEW Introduction Inability to separate tumours from the portal vein/superior mesenteric vein has been traditionally considered a contraindication to resection of periampullary malignancies.1 This is also frequently the only limitation for resection at a trial dissection. Survival in resection with positive margins is similar to survival in locally advanced lesions treated nonoperatively with 5-FU and radiotherapy. This prompted surgeons to develop more radical techniques of radical lymphadenectomy and total pancreatectomy and venous resection to achieve tumour clearance with negative resection margins.2-4 Following the initial reports by Fortner5, 6 in the ..
{"title":"Reveiw: Venous resection in pancreaticoduodenectomy. A new arrow in an old quiver","authors":"F. Anderson, S. Thomson","doi":"10.4314/SAGR.V4I3.30728","DOIUrl":"https://doi.org/10.4314/SAGR.V4I3.30728","url":null,"abstract":"Extracted from text ... The South African Gastroenterology Review ? November 2006 76 \u0000REVIEW \u0000Introduction \u0000Inability to separate tumours from the portal vein/superior \u0000mesenteric vein has been traditionally considered a \u0000contraindication to resection of periampullary malignancies.1 \u0000This is also frequently the only limitation for resection at a trial \u0000dissection. Survival in resection with positive margins is \u0000similar to survival in locally advanced lesions treated nonoperatively \u0000with 5-FU and radiotherapy. This prompted \u0000surgeons to develop more radical techniques of radical \u0000lymphadenectomy and total pancreatectomy and venous \u0000resection to achieve tumour clearance with negative resection \u0000margins.2-4 \u0000Following the initial reports by Fortner5, 6 in the ..","PeriodicalId":39144,"journal":{"name":"South African Gastroenterology Review","volume":"4 1","pages":"76-79"},"PeriodicalIF":0.0,"publicationDate":"2006-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70615980","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}
Extracted from text ... The South African Gastroenterology Review ? November 2006 80 CASE REPORT Introduction Duodenal diverticulitis is an uncommon condition and approximately 100 cases have been reported in the literature so far. The presentation can be varied, and unless one is aware of the possibility, the diagnosis may be missed. This is a report of a patient with an acute presentation who was treated surgically. Case report A 51 year old woman was admitted to hospital with sudden onset of severe right upper quadrant pain. On direct questioning the pain was continuous and referred through to the back. On general examination ..
{"title":"Duodenal diverticulitis: a case report","authors":"B. Mills","doi":"10.4314/SAGR.V4I3.30729","DOIUrl":"https://doi.org/10.4314/SAGR.V4I3.30729","url":null,"abstract":"Extracted from text ... The South African Gastroenterology Review ? November 2006 80 \u0000CASE REPORT \u0000Introduction \u0000Duodenal diverticulitis is an uncommon condition and \u0000approximately 100 cases have been reported in the literature \u0000so far. The presentation can be varied, and unless one is \u0000aware of the possibility, the diagnosis may be missed. This is \u0000a report of a patient with an acute presentation who was \u0000treated surgically. \u0000Case report \u0000A 51 year old woman was admitted to hospital with sudden \u0000onset of severe right upper quadrant pain. On direct \u0000questioning the pain was continuous and referred through to \u0000the back. On general examination ..","PeriodicalId":39144,"journal":{"name":"South African Gastroenterology Review","volume":"4 1","pages":"80-82"},"PeriodicalIF":0.0,"publicationDate":"2006-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70616031","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}
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