Fibrogastroduodenoscopy: a reliable diagnostic procedure in upper gastrointestinal disorders

The results of 2198 fibreoptic endoscopic examinations of the upper gastrointestinal tract [GIT] were studied. In 69.2% cases one or more pathological lesions could be detected in the upper GIT. Symptomatic young female patients were found to have functional dyspepsia in 60.9% cases. Duodenal Ulcer Disease [DUD] was the most frequent finding followed by macroscopic gastritis and Gastric Ulcer Disease [GUD]. Fibreoptic endoscopic examination of the upper GIT was found to be safe, acceptable and accurate diagnostic procedure

Adult colonic intussusception

Adult colonic intussusception is an uncommon condition. It constitutes about 5% of all cases of bowel obstruction. It is often of the secondary type and carcinoma is the primary disease in about 60% cases. In this paper a case is presented and investigation and management discussed

Idiopathic duodenal obstruction with acute relapsing pancreatitis

Acute pancreatitis, a common surgical emergency, has numerous complications. One of the infrequent complications is idiopathic duodenal obstruction. This paper presents an interesting case of idiopathic duodenal obstruction with its management

Observations relating to the pattern of acute appendicitis in Saudi Arabia

This prospective study examines clinical and operative findings in two population groups of patients who underwent acute appendicectomy at the King Khalid University Hospital in Riyadh. Of the group of 100 Saudi patients, 77% presented with colicky pain, vomiting being an associated symptom in 59%, and 86% showed retrocaecal appendicitis. 80% of the group of 100 non-Saudi patients complained of colicky pain, with vomiting a feature in 61% but the appendix was shown to be retrocaecal in only 47%. Raised leucocyte counts were consistent with the diagnosis of acute appendicitis. Peritonitis was a finding in 5% of all patients, and the postoperative wound infection rate was 7.5%. The overall 'white' appendicectomy rate was 4.5%

Roux-en-Y diversion for bile reflux gastritis

Roux-en-Y diversion can prove effective in the surgical management of troublesome post-operative bile reflux gastritis. In nineteen patients here reported, diversion afforded complete symptomatic relief in 89%. The criteria for selection of patients and the method of the operative procedure are discussed