RESUMO
Patients' satisfaction is a paramount in the delivery of health care provisions, particularly in patients with poor prognosis. Effective communication with such patients helps in achieving a better satisfaction score. A survey was conducted on upper gastrointestinal cancer patients to assess their perceived satisfaction regarding the healthcare received. A frank but supportive communication helps in meeting the expectations of these patients in their cancer journey
RESUMO
Gastric linitis plastic is a diffuse type of cancer which is characterised by a thickening and rigidity of the stomach wall. It is notorious for its failure to cause early symptoms, and patients with symptoms generally have a more advanced form of the disease. We report our 18-month-long experience of managing gastric linitis plastica at Barnsley District General Hospital, UK. In our series of 8 patients, only one patient was offered surgery; the rest were offered palliative or supportive treatment. The findings in our series were consistent with the available evidence that curative treatment is not an option for the majority of cases with linitis plastica
RESUMO
Heterotopic pancreas [HP] in stomach is a rare pathological entity that poses clinical dilemma for diagnosis and management. It carries a risk of developing serious benign and malignant complications. This is a case of 37-year-old lady who presented with dyspeptic symptoms and was found to have a 1.5 cm umblicated lesion in the distal stomach on gastroscopy. Endoscopic biopsy showed normal gastric mucosa and CT scan of stomach did not show any specific abnormality. A laparoscopic wedge excision was performed. Histology showed features of heterotopic pancreas. Endoscopic and histological pictures are presented to increase the awareness of this rare entity. Laparoscopic wedge excision's of a localized HP is recommended as a safe procedure to achieve diagnosis and plan for further management