Acute chest syndrome remains a significant problem in patients with sickle cell disease subjected to laparoscopic cholecystectomy.

The majority of 216 cases of gastric cancer seen over a ten-year period was in the elderly; they were of the intestinal variety and located in the antrum. These patients presented with epigastric pain and often did not undergo curative surgery.

A review of the outcome of 1250 colonoscopies performed in central Jamaica reveals adequate caecal cannulation rate, but a perforation rate of 0.24%. Ten per cent of the patients had cancer diagnosed at colonoscopy, while a similar number had adenomas.