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Journals and Conferences
BACKGROUND This double-blind, randomized study compared outcomes of laparoscopic Nissen total fundoplication and anterior partial fundoplication carried out by a single surgeon in a private practice. METHODS All patients with proven gastro-oesophageal reflux disease, regardless of motility, presenting for laparoscopic antireflux surgery were randomized to… (More)
To the Editor: Boyce Mkhize's rather verbose attempt 1 to refute Professor Van Niekerk's editorial 2 seems a classic case of the lady protesting too much. It does, however, unintentionally highlight a key issue that has puzzled me since I sent my first cheque off to the then SAMDC. The stated aim of the HPCSA is to protect the public and guide the… (More)
Human infestation with Ascaris lumbricoides is common in tropical and subtropical areas and is responsible for 20% of acute admissions annually to the surgical wards of the Red Cross Children's Hospital. Of the 225 children with symptomatic ascariasis seen during the 5-year period 1985–1989, 66% were intestinal, 30% hepato-biliary, and 4% pancreatic.… (More)
BACKGROUND The roles of endoscopy and surgery in the management of Ascaris lumbricoides affecting the hepatobiliary and pancreatic system in adults were determined. METHODS All patients undergoing endoscopic retrograde pancreatography for ascariasis of the biliary or pancreatic system unresponsive to standard medical therapy were analysed. Worms were… (More)
A case is presented of small bowel obstruction due to an intra-abdominal abscess as a complication of stones left behind during laparoscopic cholecystectomy. It is suggested that a concerted effort be made to remove all stones spilled in the peritoneal cavity and that a therapeutic course of broad-spectrum antibiotic be instituted.
A case is presented of persistent gallbladder infestation by Ascaris lumbricoides that was successfully treated by laparoscopic cholecystectomy. The management of this rare manifestation of ascariasis is reviewed.
Contraction of the distal sphincter of the common bile duct (as distinct from the sphincter of Oddi) may produce a pseudocalculus defect. A typical case is described where the defect was thought to be a retained stone on T-tube cholangiography. The anatomy of the defect is emphasized by its persistence after sphincteroplasty. A diagnostic feature is the… (More)