{"title":"How should we work up a patient with chronic diarrhea and are probiotics therapeutically useful","authors":"W. D. Villiers","doi":"10.4314/SAGR.V7I1.43655","DOIUrl":"https://doi.org/10.4314/SAGR.V7I1.43655","url":null,"abstract":"This review addresses two clinical situations medical practitioners see frequently; in the first scenario an appropriate cost-efficient diagnostic approach is described and in the second situation the uncertainty regarding a therapeutic choice is elucidated.","PeriodicalId":39144,"journal":{"name":"South African Gastroenterology Review","volume":"7 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2009-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70616280","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":"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) 2009","authors":"S. Grobler","doi":"10.4314/SAGR.V6I2.30731","DOIUrl":"https://doi.org/10.4314/SAGR.V6I2.30731","url":null,"abstract":"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). South African Gastroenterology Journal Vol. 6 (2) 2008: pp. 28-29","PeriodicalId":39144,"journal":{"name":"South African Gastroenterology Review","volume":"6 1","pages":"28-29"},"PeriodicalIF":0.0,"publicationDate":"2009-02-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70615865","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":"What is the burden of illness in patients with reflux disease in South Africa","authors":"S. Grobler","doi":"10.4314/SAGR.V6I2.30721","DOIUrl":"https://doi.org/10.4314/SAGR.V6I2.30721","url":null,"abstract":"","PeriodicalId":39144,"journal":{"name":"South African Gastroenterology Review","volume":"6 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2009-02-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70615653","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":"Nodular hepatic and splenic sarcoidosis in a patient with a normal chest radiograph : case report","authors":"R. Morar, N. Seabi, A. Patterson, A. Mahomed","doi":"10.4314/SAGR.V6I3.30749","DOIUrl":"https://doi.org/10.4314/SAGR.V6I3.30749","url":null,"abstract":"Most patients with sarcoidosis usually have an abnormal chest radiograph, while nodular lesions of both the liver and the spleen is an unusual manifestation of sarcoidosis.We report a patient with multiple nodular hepatic and splenic hypodense lesions with an unremarkable chest x-ray, and biopsy of the liver revealed sarcoidosis. South African Gastroenterology Journal Vol. 6 (3) 2008: pp. 22-23","PeriodicalId":39144,"journal":{"name":"South African Gastroenterology Review","volume":"6 1","pages":"22-23"},"PeriodicalIF":0.0,"publicationDate":"2008-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70616267","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}
J. Islam, G. Oosthuizen, A. Ally, G. Laing, S. Thomson
{"title":"No sting in the tail? A non-functioning pancreatic neuroendocrine tumour","authors":"J. Islam, G. Oosthuizen, A. Ally, G. Laing, S. Thomson","doi":"10.4314/SAGR.V6I2.30747","DOIUrl":"https://doi.org/10.4314/SAGR.V6I2.30747","url":null,"abstract":"A large left upper quadrant retroperitoneal mass poses diagnostic problems.We present a patient in whom resection was the final arbitrator. South African Gastroenterology Journal Vol. 6 (2) 2008: pp. 6-7","PeriodicalId":39144,"journal":{"name":"South African Gastroenterology Review","volume":"6 1","pages":"6-7"},"PeriodicalIF":0.0,"publicationDate":"2008-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70615954","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":"Carcinoids of the stomach and the duodenum with atrophic gastritis in a patient with","authors":"A. Ibrahim, E. Lew, G. Cortina, J. Pisegna","doi":"10.4314/SAGR.V6I2.30720","DOIUrl":"https://doi.org/10.4314/SAGR.V6I2.30720","url":null,"abstract":"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\u0000patient underwent a parathyroid adenoma resection after hypercalcemia secondary to hyperparathyroidism.In 1986, multiple ulcers were found during an osophagogastroduodenoscopy (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). South African Gastroenterology Journal Vol. 6 (2) 2008: pp. 9-12","PeriodicalId":39144,"journal":{"name":"South African Gastroenterology Review","volume":"6 1","pages":"9-12"},"PeriodicalIF":0.0,"publicationDate":"2008-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70616040","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":"Primary gastric Kaposi's sarcoma presenting first with upper gastrointestinal bleeding and abdominal pain: A case report","authors":"I. Chamisa","doi":"10.4314/SAGR.V6I1.30743","DOIUrl":"https://doi.org/10.4314/SAGR.V6I1.30743","url":null,"abstract":"Kaposi's sarcoma (KS) is the most common tumour among human immunodeficiency syndrome (HIV) infected individuals, but its involvement of the gastrointestinal tract was reported long before the acquired immunodeficiency syndrome (AIDS) epidemic. Although most cases of gastrointestinal KS are asymptomatic, advanced lesions may occasionally result in a severe life-threatening haemorrhage that requires immediate treatment. Endoscopy, with biopsy of suspicious lesions is necessary to make the diagnosis and is recommended in all HIV antibody positive patients with persistent upper gastrointestinal symptoms.We describe a patient with primary gastrointestinal involvement by KS who presented first with upper gastrointestinal bleeding and abdominal pain and no other stigmata. Afterwards, the diagnosis of an HIV infection was made. South African Gastroenterology Review Vol. 6 (1) 2008: pp. 5-7","PeriodicalId":39144,"journal":{"name":"South African Gastroenterology Review","volume":"6 1","pages":"5-7"},"PeriodicalIF":0.0,"publicationDate":"2008-04-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70615934","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}
S. Winawer, M. Classen, R. Lambert, M. Fried, P. Dítě, K. Goh, F. Guarner, D. Lieberman, R. Eliakim, B. Levin, R. Sáenz, A. Khan, I. Khalif, Á. Lanas, G. Lindberg, M. O'brien, G. Young, J. Krabshuis, Robert A. Smith, W. Schmiegel, D. Rex, N. Amrani, A. Zauber
{"title":"Colorectal cancer screening world gastroenterology organisation/international digestive cancer alliance practice guidelines","authors":"S. Winawer, M. Classen, R. Lambert, M. Fried, P. Dítě, K. Goh, F. Guarner, D. Lieberman, R. Eliakim, B. Levin, R. Sáenz, A. Khan, I. Khalif, Á. Lanas, G. Lindberg, M. O'brien, G. Young, J. Krabshuis, Robert A. Smith, W. Schmiegel, D. Rex, N. Amrani, A. Zauber","doi":"10.4314/SAGR.V6I1.30745","DOIUrl":"https://doi.org/10.4314/SAGR.V6I1.30745","url":null,"abstract":"Colorectal cancer (CRC) is a worldwide problem, with an annual incidence of approximately 1 million cases and an annual mortality of more than 500,000. The absolute number of cases will increase over the next two decades as a result of the\u0000aging and expansion of populations in both the developed and developing countries. South African Gastroenterology Review\u0000 Vol. 6 (1) 2008: pp. 13-20","PeriodicalId":39144,"journal":{"name":"South African Gastroenterology Review","volume":"6 1","pages":"13-20"},"PeriodicalIF":0.0,"publicationDate":"2008-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70615991","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":"SAGES Guidelines Prevention and management of gastro-oesophageal varices and variceal haemorrhage in cirrhosis : guidelines","authors":"J. F. Botha","doi":"10.4314/SAGR.V6I1.30746","DOIUrl":"https://doi.org/10.4314/SAGR.V6I1.30746","url":null,"abstract":"Portal hypertension, the end stage of any chronic liver disease, is caused by (1) an increased resistance to blood flow due to (a) architectural distortion of the liver by fibrous tissue and regenerative nodules (b) active intra-hepatic vaso-constriction due to decreased endogenous production of NO (2) increased portal venous inflow due to splanchnic arteriolar vasodilatation and (3) insufficient portal de-compression through collaterals which offer greater resistance to flow than does the normal liver.","PeriodicalId":39144,"journal":{"name":"South African Gastroenterology Review","volume":"6 1","pages":"23-25"},"PeriodicalIF":0.0,"publicationDate":"2008-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70616005","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}