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M Mills

Acute Lower Gastrointestinal Bleed: Review of Clinical Course and Outcome in Hospitalized Patients

Issue: 
DOI: 
10.7727/wimj.2016.188
Pages: 
679–83
Synopsis: 
Acute lower GI bleed (ALGIB) in 189 hospitalized patients were reviewed. The mean age was 67 years with 55% female and 80 % of patients had comorbid illnesses. Aspirin and non-steroidal anti-inflammatory (NSAIDs) use was present in 24% and 16%, respectively. The leading causes of ALGIB were diverticular disease 56%, colorectal cancer and haemorrhoidal disease 11% each and colonic polyps 8.5%. Recurrent bleeding occurred in 3.7%; 19% of patients required emergency surgery and blood transfusion was given in 43%. The average hospitalization stay was seven days. Overall mortality was 2.6%.

ABSTRACT

Accepted: 
11 Jul, 2016
PDF Attachment: 
Journal Sections: 
e-Published: 19 Jul, 2016

Non-alcoholic Fatty Liver Disease in a Jamaican Patient Population

Issue: 
DOI: 
10.7727/wimj.2015.349
Pages: 
557-60
Synopsis: 
Prevalence of NAFLD on abdominal ultrasound was 2.4%. Increased BMI was present in 85.5%. Risk factors identified were age, obesity, diabetes, and dyslipidaemia. Hepatomegaly was present in 10.7% of patients, elevated serum AST in 21.2% of patients tested and elevated ALT in 3.7%.

ABSTRACT

Objectives: This study determined the prevalence and clinical features of non-alcoholic fatty liver disease over a 6 year period in a patient population.

Methods: Patients diagnosed with fatty liver disease by ultrasound and/or liver biopsy between June 2006 to June 2012 at the University Hospital of the West Indies, Jamaica were reviewed.

Accepted: 
21 Aug, 2015
PDF Attachment: 
Journal Sections: 
e-Published: 28 Dec, 2015

Upper Gastrointestinal Bleeding: A Jamaican Perspective

Issue: 
Pages: 
289–92
Synopsis: 
In patients admitted with upper GI bleed, the majority were males of middle age. The leading causes were duodenal ulcer (28%), erosive gastritis (20%) and gastric ulcer (13%). The overall mortality was 5.7%, rebleeding occurred in 4.8% of patients and 5% underwent surgery. The average duration of hospital stay was 6.6 days.

 ABSTRACT

Background: Upper gastrointestinal bleeding (UGIB) remains one of the most common clinical life-threatening emergencies which is associated with a high morbidity, mortality and medical care costs.

 Objectives: This study reviews the clinical features, management and outcomes of patients with UGIB seen at the University Hospital of the West Indies (UHWI), Jamaica, between January 2006 and December 2008.

PDF Attachment: 
Journal Sections: 
e-Published: 30 Jan, 2014

Adenomatous Polyposis in a Young Jamaican Male of African Descent

Issue: 
DOI: 
10.7727/wimj.2012.218
Pages: 
186–8
ABSTRACT
 
We report a case of adenomatous polyposis in a 20-year old African Jamaican male. This is to highlight the importance of aggressively investigating unexplained recurrent anaemia in the young and the impact of psychosocial issues that arise in managing such a patient.
Accepted: 
27 Apr, 2014
PDF Attachment: 
Journal Sections: 
Journal Authors: 
e-Published: 11 Apr, 2014

Steatohepatitis due to Antiretroviral Therapy

Issue: 
Pages: 
66–9
PDF Attachment: 
Journal Sections: 
e-Published: 05 Jul, 2013
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