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Colonoscopy

Colorectal Cancer: Guidelines to Management

Issue: 
DOI: 
10.7727/wimj.2018.195
Pages: 
27–38

ABSTRACT

Colon cancer is the third leading cause of cancer deaths in Jamaica. Unique features may exist in this predominantly black population that impact management. Additionally, there is rationalization of some resources that may impose restrictions on the widespread applicability of some international guidelines. We have developed here guidelines that are consistent with the best available evidence and which are appropriate to use in our local context.

Accepted: 
09 Dec, 2018
PDF Attachment: 
Journal Sections: 
e-Published: 25 Mar, 2019

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

Propofol Sedation in Patients Undergoing Colonoscopy in Jamaica

Issue: 
Pages: 
284–8
Synopsis: 
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.

ABSTRACT

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.

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

Follow-up of Pseudomembranous Colitis in Children Using Colonoscopy: A Case Report

Issue: 
DOI: 
10.7727/wimj.2014.252
Pages: 
435–7
ABSTRACT
Accepted: 
31 Oct, 2014
PDF Attachment: 
Journal Sections: 
Journal Authors: 
e-Published: 17 Apr, 2015

Colonoscopy in Central Jamaica: Results and Implications

Issue: 
DOI: 
10.7727/wimj.2011.170
Pages: 
610–4
Synopsis: 
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.

ABSTRACT

PDF Attachment: 
Journal Sections: 
e-Published: 24 Jan, 2013
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