PO Roberts

Should Delayed Cholecystectomy Following Acute Calculous Cholecystitis Be Discouraged in a Resource-restricted Setting?

Issue:

Vol 64, Issue 4: September (2015)

DOI:

10.7727/wimj.2014.006

Pages:

388–92

Synopsis:

Even in a resource-restricted setting, delayed cholecystectomy following acute calculous cholecystitis results in delays in definitive management with ensuing complications during the waiting period. Early cholecystectomy should be encouraged.

ABSTRACT

Background: Early cholecystectomy for acute calculous cholecystitis (ACC) reduces hospital stay and complications during the waiting period. The purpose of this study is to establish the patterns of management of ACC at the University Hospital of the West Indies (UHWI) and to evaluate the advantages of early versus delayed cholecystectomy.

Received:

31 Jan, 2014

Accepted:

02 Apr, 2014

PDF Attachment:

wimjsep2015_388_392.pdf

Journal Sections:

Original Articles

Keywords:

cholecystectomy

Acute

calculous cholecystitis

Journal Authors:

e-Published: 27 Apr, 2015

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Colorectal Anastomotic Leakage at the University Hospital of the West Indies – An Analysis of Risk Factors

Issue:

Vol 62, Issue 8: Nov (2013)

DOI:

10.7727/wimj.2013.014

Synopsis:

This analysis of colorectal anastomoses at a tertiary institution in Jamaica demonstrates acceptable leak and mortality rates. No modifiable risk factors were identified as contributing to anastomotic leaks.

ABSTRACT

Background: Anastomotic leakage remains a concern in general surgical practice. The significance lies in the resultant abdominal sepsis, related morbidity and mortality, risk of anastomotic loss, permanent stoma creation and the effect on local recurrence and overall patient survival in colorectal cancer cases.

Received:

17 Jan, 2013

Accepted:

25 Mar, 2013

PDF Attachment:

Journal Sections:

Keywords:

Journal Authors:

e-Published: 18 Feb, 2014

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Pre-published Manuscript

This manuscript has been assigned to a volume and issue but has not yet been published. It is either being edited, typeset or is in the proof stage of publication.
In the pre-published stage, this manuscript may contain statements, opinions, and information that have errors in facts, figures, or interpretation. Any final changes in this manuscript will be made at the time of publication and will be reflected in the final electronic version of the issue. The editors and authors and their respective employees are not responsible or liable for the use of any such inaccurate or misleading data, opinion or information contained in the articles in this section.

Radiation Therapy for Rectal Cancer: Toward an Evidence-based Approach Suitable to the Region

Issue:

Vol 62, Issue 7: Sept (2013)

DOI:

10.7727/wimj.2012.299

Pages:

649–50

Synopsis:

Rectal cancer is the most common site in the colorectal spectrum and many patients present at an advanced stage. Short course radiotherapy is proposed as neo-adjuvant therapy to qualified patients as it is less expensive, requires less time, has greater compliance and less acute toxity, without compromising efficacy.

INTRODUCTION

Received:

14 Nov, 2012

Accepted:

30 Nov, 2012

PDF Attachment:

dr_jm_plummer_wimj.september.qxd_.pdf

Journal Sections:

Viewpoint

Keywords:

Caribbean

colorectal cancer