OBJECTIVES To study the effect of Nissen fundoplication and gastrostomy in severely neurologically impaired children. DESIGN Prospective observational study. SETTING Developmental Disabilities Unit of a regional medical centre in Hong Kong. PATIENTS Children with severe neurological impairment and gastroesophageal reflux who were institutionalised between 1999 and 2004 inclusive. MAIN O...

Of 776 patients admitted as emergency with acute upper gastro-intestinal haemorrhage, 260 were operated for uncontrollable bleeding. At surgery the cause of bleeding could not be determined in 42 (15%) cases. Vagotomy and drainage was done in 30 and gastric resection in 1 2 cases. Two patients died after gastrectomy (2/12). Follow up of 38 cases for 5 years showed good results. Two cases were l...

This case illustrates a rare cause of gastro-intestinal bleeding following bariatric surgery. Though it is essential to rule out common causes of variceal formation accompanied by intermittent, profuse bleeding, there should be a high degree of suspicion of this rare etiology in patients who have previously undergone alteration of their anatomy, especially Roux-en-Y gastric bypass (RYGB). The c...

BACKGROUND/AIMS We aimed to investigate the diagnostic applications of capsule endoscopy examination patients in obscure gastrointestinal bleeding and to analyze the etiology of obscure gastrointestinal bleeding in patients of different ages. MATERIAL AND METHODS A total of 385 patients with obscure gastrointestinal bleeding, aged 17-91 years, were assigned into three groups as: elderly (>65 ...

Introduction: Gastrointestinal bleeding represents an important clinical problem, which can be encountered in several presentations including overt, occult and obscure forms. The management of gastrointestinal bleeding represents an important clinical problem particularly the obscure overt bleeding. This study aimed to evaluate the role of angiography in the management of this type of bleeding....

1 Fever 2 Dermatitis 3 Leucopaenia with or without granulocytopaenia. 4 Agranulocytosis 5 Mild anaemia 6 Bleeding from the nose 7 Profuse menses 8 Bleeding from the bowel 9 Haemoptysis 10 Bleeding from the gums 11 Breathlessness with or without cyanosis 12 Numbness and tingling of fingers and toes 13 Herpes zoster 14 Diminished acuity of vision 15 Vestibular dysfunction?vertigo, tinnitus and sl...