Browsing by Author "Bezuidenhout, D. J. J."
Now showing 1 - 3 of 3
Results Per Page
Sort Options
- ItemDubbele pilorus en piloroduodenale fistels : twee gevalbeskrywings met bespreking(Health & Medical Publishing Group, 1984) Keet, A. D.; Bezuidenhout, D. J. J.Congenital double pylorus is extremely rare; only 2 cases have been found in the English and French literature. Acquired double pylorus occurs more often; up to 1982, 66 cases had been reported. During 6,810 consecutive barium meal examinations over a period of 2 years, we diagnosed the condition in 5 patients. Two came to operation, at which the diagnosis was confirmed. These 2 cases are described. Acquired double pylorus is in reality a short pyloroduodenal fistula situated next to the pylorus, usually on the lesser curvature side. In the majority of cases it results from a pyloric ulcer penetrating into the duodenum. In a minority of cases the primary lesion is a duodenal ulcer penetrating into the pyloric area. Cases initially present with peptic ulcer symptoms. With the formation of the fistula, symptoms may disappear. Some authorities consider this to indicate spontaneous cure of the ulcer, thus obviating the need for further medical or surgical treatment. In the present 2 cases there was no remission of symptoms. None of the cases has been associated with malignant disease. It is thought that the condition may be recognized more often in future.
- ItemGastric carcinoma at Tygerberg Hospital, 1979 - 1983 : a retrospective study(Health and Medical Publishing Group (HMPG), 1985-12) Van Eeden, P. J.; Bezuidenhout, D. J. J.A retrospective study was carried out on patients with histologically proven gastric carcinoma diagnosed at the Gastro-intestinal Clinic, Tygerberg Hospital, over a 5-year period - 1979 - 1983. Fifty per cent of patients were coloured men. The overall median age was 65 years but the coloured patients were significantly younger than the white. The main symptoms were loss of appetite and weight, abdominal pain and vomiting. The duration of symptoms in all patients was 3 months. An abdominal mass, anaemia and obvious weight loss were the most important physical signs. A normocytic, normochromic anaemia, an elevated erythrocyte sedimentation rate, raised liver enzyme levels and hypo-albuminaemia were the most important laboratory findings. In 96% of the 149 patients gastroscopy yielded a positive diagnosis of gastric carcinoma and barium meal examination showed abnormalities in 87%. In the majority of cases the carcinoma was poorly differentiated.
- ItemJuveniele pernisieuse anemie in 'n 28-jarige Kleurlingvrou : 'n gevalbespreking(Health & Medical Publishing Group, 1982) Wagener, G. W. W.; Bezuidenhout, D. J. J.A case of classic addisonian pernicious anaemia is described in a 28-year-old Coloured woman with a 15-year history of anaemia.