Experience with 103 cases of intestinal gangrene in Ile-Ife, Nigeria.

Abstract:

:One hundred and three patients with intestinal gangrene were managed in Ile-Ife, Nigeria over a 10-year period. The overall mortality in the series was 25.2%. Strangulated hernias were responsible for 65 cases (63%), intussusception 20.4%, adhesions 11.7% and volvulus 2.9%. Avoidable deaths resulted from anastomotic breakdown and inadequate preoperative fluid therapy. Primary intestinal resection and end-to-end anastomosis of large bowel involved in gangrene gave very good results. It was found to be quite safe and economical, and avoided the inconveniences and complications of a colostomy.

journal_name

Trop Doct

journal_title

Tropical doctor

authors

Fashakin EO

doi

10.1177/004947558901900108

subject

Has Abstract

pub_date

1989-01-01 00:00:00

pages

25-7

issue

1

eissn

0049-4755

issn

1758-1133

journal_volume

19

pub_type

杂志文章
  • Barriers to follow-up of abnormal Papanicolaou smears among women in Leon, Nicaragua.

    abstract::Cervical cancer screening programmes only succeed when the coverage, screening, treatment and follow-up of any abnormal results are of high quality. This study investigates the screening coverage and the quality of the follow-up of cervical cancer screening of women in León, Nicaragua, as well as the factors affecting...

    journal_title:Tropical doctor

    pub_type: 杂志文章

    doi:10.1258/td.2009.090076

    authors: Vastbinder MB,Castillo C,Bekkers RL

    更新日期:2010-01-01 00:00:00

  • The contribution of Dutch doctors in Global Health and Tropical Medicine to research in global health in low- and middle-income countries: an exploration of the evidence.

    abstract::Results from medical research from high-income countries may not apply to low- and middle-income countries. Some expatriate physicians combine clinical duties with research. We present global health research conducted by Dutch medical doctors in Global Health and Tropical Medicine in low- and middle-income countries a...

    journal_title:Tropical doctor

    pub_type: 杂志文章

    doi:10.1177/0049475519878335

    authors: Mooij R,Jurgens EM,van Dillen J,Stekelenburg J

    更新日期:2020-01-01 00:00:00

  • Reasons for non-immunization of children in an urban, low income group in North India.

    abstract::A study was undertaken on 500 children under the age of 5 years belonging to a low income group. All were attending the paediatrics outpatient department of a large teaching hospital in New Delhi, India. Only 25% were found to have received complete primary immunization as per the National Immunization Schedule (bacil...

    journal_title:Tropical doctor

    pub_type: 杂志文章

    doi:10.1177/004947550203200305

    authors: Mathew JL,Babbar H,Yadav S

    更新日期:2002-07-01 00:00:00

  • Meningoencephalitis associated with hepatitis A infection: a case report and review of literature.

    abstract::Hepatitis A virus uncommonly causes neurological problems. Among these manifestations meningoencephalitis is very rare. We describe the clinical and laboratory features of a young boy with hepatitis A associated meningoencephalitis and compare it with other cases which had the same diagnoses. ...

    journal_title:Tropical doctor

    pub_type: 杂志文章,评审

    doi:10.1258/td.2010.090424

    authors: Davoudi S,Soudbakhsh A,Emadikouchak H,Nikbakht G,Modabbernia A

    更新日期:2010-07-01 00:00:00

  • Addressing the attitudes of service providers: increasing access to professional midwifery care in Nepal.

    abstract::Increasing access to professional care during labour and delivery is the central strategy in Nepal's commitment to reducing its maternal mortality ratio. This paper outlines a number of complementary interventions used by the Nepal Safer Motherhood Project to address the negative attitudes prevalent among service prov...

    journal_title:Tropical doctor

    pub_type: 杂志文章

    doi:10.1258/td.2008.070291

    authors: Clapham S,Pokharel D,Bird C,Basnett I

    更新日期:2008-10-01 00:00:00

  • Aggressive fluid resuscitation and broad spectrum antibiotics decrease mortality from typhoid ileal perforation.

    abstract::One of the most severe complications of typhoid enteritis is perforation of ileal ulcerations. The typically high mortality rates from these perforations are in part due to extremely limited supportive care in hospitals in typhoid endemic areas. In the setting of a rural African hospital, this study demonstrated a dec...

    journal_title:Tropical doctor

    pub_type: 杂志文章

    doi:10.1177/004947559502500309

    authors: Mock C,Visser L,Denno D,Maier R

    更新日期:1995-07-01 00:00:00

  • Primary small bowel volvulus in rural Nepal.

    abstract::Primary small bowel volvulus is the commonest cause of intestinal obstruction in the Gorkha district of Nepal resulting in laparotomy. Yet, this problem is mentioned only briefly, if at all, in many standard textbooks of surgery. This paper presents details of the presentation, clinical findings, and surgical manageme...

    journal_title:Tropical doctor

    pub_type: 杂志文章

    doi:10.1177/004947559702700313

    authors: Parkes G

    更新日期:1997-07-01 00:00:00

  • Chest ultrasound findings in pulmonary tuberculosis.

    abstract::In resource-limited countries, the diagnosis of pulmonary tuberculosis (TB) is based on clinical findings, chest radiography and the demonstration of acid-fast bacilli in sputum. Few data are available on the use of ultrasound (US) to diagnose pulmonary TB. Chest US was performed in patients with lung TB from a rural ...

    journal_title:Tropical doctor

    pub_type: 杂志文章

    doi:10.1177/0049475517709633

    authors: Agostinis P,Copetti R,Lapini L,Badona Monteiro G,N'Deque A,Baritussio A

    更新日期:2017-10-01 00:00:00

  • Alcohol and khat use as risk factors for HIV infection among visitors to voluntary counselling and testing centres in Northwest Ethiopia.

    abstract::Alcohol and khat are commonly used substances in Ethiopia and are believed to be risk factors for HIV infection. We assessed alcohol and khat use as risk factors for HIV infection among visitors to voluntary counselling and testing centres. In this institution-based unmatched case control study, a total of 495 respond...

    journal_title:Tropical doctor

    pub_type: 杂志文章

    doi:10.1258/td.2011.110347

    authors: Ayenew F,Tadesse T,Azale T

    更新日期:2012-04-01 00:00:00

  • Granuloma multiforme: an uncommon differential for leprosy.

    abstract::Granuloma multiforme (GM) is a chronic granulomatous skin condition which is clinically characterised by annular lesions mainly over sun-exposed areas and histologically by focal necrobiosis and histiocytic granulomas. Its significance lies in the fact that it can clinically resemble tuberculoid leprosy and hence it c...

    journal_title:Tropical doctor

    pub_type: 杂志文章

    doi:10.1177/0049475518803191

    authors: Bhatia S,Shenoi SD,Pai K,Ps S

    更新日期:2019-01-01 00:00:00

  • Human rabies in India: epidemiological features, management and current methods of prevention.

    abstract::In most endemic countries stray dogs are the main source of rabies infection in humans. In India 95-97% of rabies patients are infected by dogs. Most pet dogs do not regularly receive booster doses of vaccine. In Thailand, most rabies patients develop the disease within 1 month of exposure. Rabies immunoglobulin is co...

    journal_title:Tropical doctor

    pub_type: 杂志文章,评审

    doi:10.1177/004947559902900404

    authors: Dutta JK

    更新日期:1999-10-01 00:00:00

  • Utility of intradermal smear in the diagnosis of malaria.

    abstract::The objective of this preliminary study was to evaluate the usefulness of the intradermal smear test in the diagnosis of malaria. One hundred cases of suspected malaria (having received no prior antimalarials) were investigated. Both peripheral blood film (PBF) and intradermal smears (IDS) were simultaneously prepared...

    journal_title:Tropical doctor

    pub_type: 杂志文章

    doi:10.1177/004947550303300220

    authors: Singh H,Sen R,Singh S,Siwach SB,Jagdish,Singh RM

    更新日期:2003-04-01 00:00:00

  • The role of doctors in influencing infant feeding practices in South India.

    abstract::Infant feeding practices are influenced by many factors including culture, household income, literacy, advice from health care workers and advertising. In South India doctors play a very significant role in influencing a mother's decision about when or whether to supplement breastfeeding with formula feeds. Doctors ex...

    journal_title:Tropical doctor

    pub_type: 杂志文章

    doi:10.1177/004947559502500412

    authors: Fidler K,Costello A

    更新日期:1995-10-01 00:00:00

  • Conservative management of displaced paediatric supracondylar fractures: a systematic review.

    abstract::In low-income countries, where surgical expertise and resources are limited, displaced supracondylar fractures of the distal humerus are routinely managed with traction or closed reduction and casting. This is in contrast to high-income nations, where percutaneous K-wire fixation forms the mainstay of treatment. The a...

    journal_title:Tropical doctor

    pub_type: 杂志文章

    doi:10.1177/0049475518788474

    authors: Yeomans D,Graham SM,Mkandawire NC,Harrison WJ,Perry DC

    更新日期:2018-10-01 00:00:00

  • Clinical patterns and major causes of infertility among Sudanese couples.

    abstract::An understanding of the medical causes of infertility is crucial in order to reduce incidences of Infertility and for improving the clinical management of infertility. Although there were much data on infertility in other African countries, no data exist on infertility in Sudan. Seven hundred and ten Sudanese couples ...

    journal_title:Tropical doctor

    pub_type: 杂志文章

    doi:10.1258/td.2007.070125

    authors: Elussein EA,Magid YM,Omer MM,Adam I

    更新日期:2008-10-01 00:00:00

  • Epidemiology of needlestick injuries among health-care workers in Awassa City, Southern Ethiopia.

    abstract::Accidental needlestick injuries sustained by health-care workers are a common occupational hazard and a public health issue in health-care settings. An analytical cross-sectional study was conducted and 30.9% of health-care workers had experienced at least one needlestick injury in the previous year. ...

    journal_title:Tropical doctor

    pub_type: 杂志文章

    doi:10.1258/td.2009.090191

    authors: Tadesse M,Tadesse T

    更新日期:2010-04-01 00:00:00

  • Diabetes self-care and educational needs in Tanzanian and Swedish diabetic patients: a cross-cultural study.

    abstract::The aim was to compare self-care and perceived educational needs in adult Tanzanian and Swedish diabetic patients. One hundred and fifty Tanzanians were matched with Swedes (n=150). All 300 patients filled in questionnaires about their self-care and educational needs. The comparison indicated the Tanzanians were almos...

    journal_title:Tropical doctor

    pub_type: 杂志文章

    doi:10.1177/004947550203200410

    authors: Smide B,Ekman L,Wikblad K

    更新日期:2002-10-01 00:00:00

  • Listeria meningitis in an immunocompetent child.

    abstract::Listeria monocytogenes is a gram-positive, facultative anaerobic, motile bacillus widely spread in the environment. However, clinical infection in humans is uncommon. The route of infection is often through ingestion of raw vegetables, meat and unpasteurised dairy products. Listeria is an uncommon cause of meningitis ...

    journal_title:Tropical doctor

    pub_type: 杂志文章

    doi:10.1177/0049475519847331

    authors: Gulla KM,Gupta D,Sachdev A

    更新日期:2019-07-01 00:00:00

  • Towards minimizing postoperative wound infection.

    abstract::The rate of postoperative wound infection was found to be low at 1.12% overall in a prospective study. This was achieved by careful preoperative preparation, judicious use of cheap prophylactic antibiotics which are included in the WHO model list of essential drugs, and meticulous operative technique. ...

    journal_title:Tropical doctor

    pub_type: 杂志文章

    doi:10.1177/004947559002000408

    authors: Nasher AA

    更新日期:1990-10-01 00:00:00

  • Clinical and biochemical profile of dengue haemorrhagic fever in children in Delhi.

    abstract::The clinical and biochemical profile of dengue haemorrhagic fever (DHF) varies from epidemic to epidemic. We studied children hospitalized with DHF from September 2003 to December 2003. All were diagnosed, managed and monitored according to a standard protocol. Of the 34 who fulfilled the World Health Organization cri...

    journal_title:Tropical doctor

    pub_type: 杂志文章

    doi:10.1258/td.2007.006158

    authors: Faridi MM,Aggarwal A,Kumar M,Sarafrazul A

    更新日期:2008-01-01 00:00:00

  • Physiological macrocytosis of pregnancy.

    abstract::In a prospective study of 40 women, mean corpuscular volume (MCV) values in second and third trimesters were compared between women who were iron deficient and those who were iron replete. There was no difference in the two groups. Hence reduced MCV seen in iron deficiency anaemia cannot be relied upon as an effective...

    journal_title:Tropical doctor

    pub_type: 杂志文章

    doi:10.1258/004947507779952104

    authors: Mukhopadhyay A,Bhatla N,Kriplani A,Saxena R

    更新日期:2007-01-01 00:00:00

  • Noradrenaline in upper gastrointestinal haemorrhage. A prospective, randomized, double blind controlled clinical trial.

    abstract::The effect of noradrenaline (8 mg in 100 ml cold saline) gastric lavage was compared with that of cold saline alone in 42 patients with upper gastrointestinal haemorrhage in a prospective, randomized, double blind study. Fifty three per cent (11/21) of the patients given noradrenaline stopped bleeding within two hours...

    journal_title:Tropical doctor

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1177/004947558401400404

    authors: Sarin SK,Nundy S,Tandon BN

    更新日期:1984-10-01 00:00:00

  • Prong sign: a simple measure to enhance safety of laparoscopic sterilization.

    abstract::Laparoscopic female sterilization is widely practiced and is very safe. However, mesosalpingeal tears and mesosalpingeal haematomas are common complications especially when performed by an inexperienced surgeon. It was found that the observation of a simple 'prong sign' could prevent these complications and possibly r...

    journal_title:Tropical doctor

    pub_type: 杂志文章

    doi:10.1258/td.2007.070107

    authors: Puri M,Pasrija S,Trivedi SS

    更新日期:2008-04-01 00:00:00

  • Traditional beliefs against weighing children regularly.

    abstract::Weighing children is one of the simplest, cheapest, and quickest methods of assessing the nutritional status of children. Regular weighing of children and recording the results on growth charts can be used to monitor the growth pattern of individual children and may promote early detection and prevention of growth-fa...

    journal_title:Tropical doctor

    pub_type: 杂志文章

    doi:10.1177/004947558601600119

    authors: Abel R

    更新日期:1986-01-01 00:00:00

  • Myringoplasty results in a district hospital in Botswana.

    abstract::This was a prospective study to determine the success rate of myringoplasty in a low-resource setting. Myringoplasty was performed on 85 patients and follow-up done for 6 months in order to determine the incidence of closure of the repaired tympanic membrane. The eardrum closure rate at 3 months was 88% and at 6 month...

    journal_title:Tropical doctor

    pub_type: 杂志文章

    doi:10.1258/004947506777978064

    authors: Makaya IK

    更新日期:2006-07-01 00:00:00

  • A challenging case of pyrexia of unknown origin: adrenal histoplasmosis mimicking tuberculosis in a patient with chronic hepatitis C.

    abstract::We present an unusual case of fever of unknown origin with bilateral adrenal masses in a patient with compensated chronic liver disease (compensated) due to hepatitis C who had been treated elsewhere with four months of anti-tuberculous therapy for suspected disseminated tuberculosis (TB). At our institution, he under...

    journal_title:Tropical doctor

    pub_type: 杂志文章

    doi:10.1177/0049475518819622

    authors: Ramesh V,Narreddy S,Gowrishankar S,Barigala R,Nanda S

    更新日期:2018-12-28 00:00:00

  • Indication-specific pricing of drugs: a utopian idea, a pragmatic proposition or unrealistic in economically constrained settings?

    abstract::The concept of indication-specific pricing (ISP) of drugs means that the cost of a drug will vary depending on the reasons for its use. ISP is a novel concept and its beneficial or detrimental effects are unknown. Experience from richer countries suggests that it is fraught with many administrative, ethical and regula...

    journal_title:Tropical doctor

    pub_type: 杂志文章

    doi:10.1177/0049475520903644

    authors: Meher BR,Padhy BM

    更新日期:2020-04-01 00:00:00

  • The eunuch patient.

    abstract::Eunuchs in India, commonly known as 'Hirjas', are under-represented and marginalized. They rarely access conventional health-provider systems due to mistrust and fear of censure. This is the story of Asha, who was brave enough to approach a community medicine resident in a municipal hospital for medical aid and counse...

    journal_title:Tropical doctor

    pub_type: 信件

    doi:10.1258/td.2008.080016

    authors: Mukhopadhyay A,Chowdhury R

    更新日期:2009-01-01 00:00:00

  • Are incidentally detected gall bladder cancers really incidental? A report of two cases from a developing nation.

    abstract::Gallbladder cancer (GBC) is a rare gastrointestinal tumour. It occurs in women with pre-existing cholelithiasis. These tumours pose therapeutic as well as diagnostic challenges to treating clinicians. Early suspicion and optimal surgery for suspected GBC results in the best outcome. We describe two cases of metastatic...

    journal_title:Tropical doctor

    pub_type: 杂志文章

    doi:10.1177/0049475518788486

    authors: Gupta A,Gupta A,Gupta S,Chauhan U,Joshua LM

    更新日期:2018-10-01 00:00:00

  • Drug prescribing pattern in pregnancy in a secondary care hospital in south India: a retrospective study.

    abstract:BACKGROUND:In pregnancy drug treatment presents a special concern due potential teratogenic effects and physiologic alterations in mother. This retrospective study was performed to evaluate the drug prescribing pattern in pregnancy among pregnant women in a secondary care hospital in India. MATERIALS AND METHODS:This ...

    journal_title:Tropical doctor

    pub_type: 杂志文章

    doi:10.1177/0049475515609841

    authors: Das S,Winston A B,Sukumaran D,Kumar A,Fx MS,Prasad J

    更新日期:2016-04-01 00:00:00