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.
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.
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Propofol sedation in patients undergoing elective colonoscopy was associated with relatively quick recovery and excellent satisfaction by patients and is a suitable and safe alternative for sedation for
colonoscopy in Jamaica.
Background: Propofol sedation is increasingly used for colonoscopy and may be associated with increased satisfaction and efficiency in diagnostic and therapeutic endoscopy. However, propofol has a relatively narrow therapeutic window as it frequently produces deep sedation, and can precipitate respiratory depression.