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Gastrointestinal

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
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e-Published: 19 Jul, 2016

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.

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e-Published: 30 Jan, 2014

Laparoscopic Nissen Fundoplication for Improved Gastrointestinal Symptoms and Quality of Life

Issue: 
Pages: 
8–12
Synopsis: 
This article examines the role of laparoscopic Nissen fundoplication in the treatment of gastro-oesophageal reflux disease. It describes how the procedure favourably affected symptomatology and gastrointestinal-related quality of life among a population of 24 patients.

ABSTRACT

Objective: The purpose of this study was to establish baseline data for a procedure that has yet to be defined within a Caribbean population. Using a specifically designed postoperative questionnaire, symptomatology and quality of life were assessed before and after laparoscopic Nissen fundoplication.

PDF Attachment: 
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e-Published: 17 Sep, 2013

Splenic Flexure Volvulus associated with Systemic Lupus Erythematosus

Issue: 
Pages: 
125–26

INTRODUCTION

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e-Published: 10 Jun, 2013
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