JM Plummer

CRC in the young and elderly patients is not uncommon. Patients present with locally advanced disease and similar clinicopathological features to patients of a screenable age, emphasizing the importance of clinical vigilance if we are going to diagnose and treat these patients in a timely manner.

ABSTRACT

Objective: To determine the clinicopathological features of patients with colorectal cancer (CRC) at the extremes of age and compare differences across the younger and older age groups.

Received:

28 Feb, 2017

Accepted:

24 Mar, 2017

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plummer_et_al-crc_at_extremes_of_age.pdf

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e-Published: 18 May, 2017

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Disclaimer

Manuscripts that are Published Ahead of Print have been peer reviewed and accepted for publication by the Editorial Board of the West Indian Medical Journal. They may appear in their original format and may not be copy edited or formatted in the style guide of this Journal. While accepted manuscripts are not yet assigned a volume, issue or page numbers, they can be cited using the DOI and date of e-publication. See our Instructions for Authors on how to properly cite manuscripts at this stage. The contents of the manuscript may change before it is published in its final form. Manuscripts in this section will be removed once they have been issued to a volume and issue, but will still retain the DOI and date of e-publication.

Colonic Diaphragm in a Patient with Rheumatoid Arthritis – A Case Report from the Caribbean

DOI:

10.7727/wimj.2015.488

ABSTRACT

Received:

07 Sep, 2015

Accepted:

30 Sep, 2015

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felix20et20al-colonic20diaphragm-a20case20report1.pdf

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e-Published: 30 Oct, 2015

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Disclaimer

Manuscripts that are Published Ahead of Print have been peer reviewed and accepted for publication by the Editorial Board of the West Indian Medical Journal. They may appear in their original format and may not be copy edited or formatted in the style guide of this Journal. While accepted manuscripts are not yet assigned a volume, issue or page numbers, they can be cited using the DOI and date of e-publication. See our Instructions for Authors on how to properly cite manuscripts at this stage. The contents of the manuscript may change before it is published in its final form. Manuscripts in this section will be removed once they have been issued to a volume and issue, but will still retain the DOI and date of e-publication.

Should Delayed Cholecystectomy Following Acute Calculous Cholecystitis Be Discouraged in a Resource-restricted Setting?

Issue:

Vol 64, Issue 4: September (2015)

DOI:

10.7727/wimj.2014.006

Pages:

388–92

Synopsis:

Even in a resource-restricted setting, delayed cholecystectomy following acute calculous cholecystitis results in delays in definitive management with ensuing complications during the waiting period. Early cholecystectomy should be encouraged.

ABSTRACT

Background: Early cholecystectomy for acute calculous cholecystitis (ACC) reduces hospital stay and complications during the waiting period. The purpose of this study is to establish the patterns of management of ACC at the University Hospital of the West Indies (UHWI) and to evaluate the advantages of early versus delayed cholecystectomy.

Received:

31 Jan, 2014

Accepted:

02 Apr, 2014

PDF Attachment:

wimjsep2015_388_392.pdf

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Original Articles

Keywords:

cholecystectomy

Acute

calculous cholecystitis

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e-Published: 27 Apr, 2015

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The Impact of Trans-thoracic Ultrasound on Cardiac Injuries

Issue:

Vol 63, Issue 3: Emergency Medicine (2014)

DOI:

10.7727/wimj.2013.319

Pages:

258–61

Synopsis:

his review demonstrates that cardiac injuries remain lethal, diagnosis is largely clinical and trans-thoracic ultrasound may be over-utilized, having little impact on clinical outcome of patients presenting with this injury.

ABSTRACT

Objective: To determine the impact of trans-thoracic ultrasound (TTUS) in patients with chest trauma and potential cardiac injuries and to determine the outcome of patients with cardiac injury detected on TTUS.

Received:

15 Nov, 2013

Accepted:

24 Feb, 2014

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plummer_et_al-trans-thoracic_ultrasound.pdf

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e-Published: 17 Jul, 2014

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Trauma in the Developing World: The Jamaican Experience

Issue:

Vol 63, Issue 3: Emergency Medicine (2014)

DOI:

10.7727/wimj.2013.318

Pages:

267–70

Synopsis:

Trauma remains a challenging burden on the often under-funded healthcare systems of developing countries. Ten-year data from the Jamaica Trauma Registry shows that trauma accounts for 20% of surgical admissions, with 5% mortality. There is a good opportunity for various preventive programmes to be instituted to reduce the burden of this disease.

ABSTRACT

Trauma remains a challenging burden on the often under-funded healthcare systems of developing countries. Ten-year data from the Jamaica Trauma Registry show that trauma accounts for 20% of surgical admissions, with close to 50% being intentional and with a 5% mortality. There is a good opportunity for various preventive programmes to be instituted to reduce the burden of this disease.

Received:

15 Nov, 2013

Accepted:

11 Dec, 2013

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plummer_et_al-trauma_in_the_developing_world.pdf

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e-Published: 12 Jun, 2014

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Colorectal Anastomotic Leakage at the University Hospital of the West Indies – An Analysis of Risk Factors

Issue:

Vol 62, Issue 8: Nov (2013)

DOI:

10.7727/wimj.2013.014

Synopsis:

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.

ABSTRACT

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.

Received:

17 Jan, 2013

Accepted:

25 Mar, 2013

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e-Published: 18 Feb, 2014

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Pre-published Manuscript

This manuscript has been assigned to a volume and issue but has not yet been published. It is either being edited, typeset or is in the proof stage of publication.
In the pre-published stage, this manuscript may contain statements, opinions, and information that have errors in facts, figures, or interpretation. Any final changes in this manuscript will be made at the time of publication and will be reflected in the final electronic version of the issue. The editors and authors and their respective employees are not responsible or liable for the use of any such inaccurate or misleading data, opinion or information contained in the articles in this section.

Open Abdominal Aortic Aneurysm Repair in the Era of Endovascular Repair

Issue:

Vol 60, Issue 6 (2011)

Pages:

636–40

Synopsis:

Despite improved outcomes being demonstrated with emerging technologies and in specialized centres, this study demonstrates that the open approach to abdominal aortic aneurysm repair remains a safe treatment option in an environment where advanced resources may not be accessible.

ABSTRACT

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dr_p-a_leake.qxd_.pdf

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