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Issue

Vol 126 No 1369: 15 February 2013

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Issue Summary

SUMMARY

A dedicated dermatology clinic for renal transplant recipients: first 5 years of a New Zealand experience

Paul D L Maurice, Tracy Fenton, Nicholas Cross

Patients who have had a kidney or indeed any solid organ transplant are at increased risk of developing skin cancer. Previously kidney transplant recipients were referred on an ad hoc basis to the dermatology department once they had developed skin cancer. We have set up a specialist dermatology clinic for kidney transplant recipients which aims at prevention and earlier diagnosis and treatment of skin cancer. This involves a full baseline skin examination of patients soon after their kidney transplant. A number of skin cancers of which the patient was unaware have been detected in this way. Patients are also educated on early recognition of skin cancer and the need for sun protection. They are given a direct access phone number so that they can access our clinic should they develop skin lesions of concern at any time. We believe that our clinic offers a cost effective way of achieving earlier diagnosis and treatment of skin cancer in kidney transplant recipients.

SUMMARY

Fast-track elective colectomy: single-surgeon experience of 100 consecutive cases

Primal P Singh, Andrew G Hill

In 2005, the senior author (Andrew Hill) initiated an Enhanced Recovery After Surgery (ERAS) or fast-track programme for elective colonic surgery at the Manukau Surgery Centre aimed at improving perioperative care (before, during, and after surgery). We reviewed the senior authors experience of elective colectomy conducted within the ERAS programme and evaluated clinical outcomes. 100 consecutive patients were reviewed. The median age of patients was 70 years (range: 16-92). The median day to discharge was 3 days while total hospital stay was 4 days which incorporated 21 readmissions for mostly minor complications. Major complications occurred in only 8 patients and included 4 anastomotic leaks. In one surgeons experience, elective colectomy performed within an optimised perioperative care environment achieves shorter hospital stay with a low rate of major complications.

SUMMARY

The role of capsule endoscopy in small bowel pathology: a review of 122 cases

Mohammad I Khan, Megan Johnston, Robert Cunliffe, Adrian Claydon

Small bowel capsule endoscopy (CE) has been introduced in NZ in all of the tertiary and some secondary centres over the last few years. We describe our experience with CE from a single centre in NZ. In this 2-year, retrospective, study of 122 consecutive patients, data was collected on multiple variables from the patient clinical, laboratory, and radiology records. We found, in line with international findings, that CE is the best minimally invasive procedure for small bowel imaging currently available.

ALL ARTICLES
SUMMARY

Flatulence on airplanes: just let it go

Hans C Pommergaard, Jakob Burcharth, Anders Fischer, William E G Thomas, Jacob Rosenberg

Medical image. Reflex anoxic seizures are annoying

Tilak de Almeida, Victoria Pennock, Jonathan R Skinner

A dedicated dermatology clinic for renal transplant recipients: first 5 years of a New Zealand experience

Paul D L Maurice, Tracy Fenton, Nicholas Cross

The important persisting problem of smoking in cars with children: new data from a multi-year national survey of young people

Benjamin Healey, Richard Edwards, Nick Wilson, George Thomson, Janet Hoek, Steve Taylor

Reviewers for the New Zealand Medical Journal in 2012

Fast-track elective colectomy: single-surgeon experience of 100 consecutive cases

Primal P Singh, Andrew G Hill

The role of capsule endoscopy in small bowel pathology: a review of 122 cases

Mohammad I Khan, Megan Johnston, Robert Cunliffe, Adrian Claydon

TABLE - 2013 NZMJ Publication Dates and Themes

Do all antidepressants cause QT prolongation—how good is the evidence?

Paul Glue, Chris Gale

A rare neoplasm of the thyroid gland

Angela Mweempwa, Jagdish Prasad, Shahidul Islam

Maori Nurses

Low yearly completion rate of HDC investigations is a cause for concern

Stuart McLennan

Empyema and psoas abscess in a previously undiagnosed diabetic patient

Lisa Liu, Zi Wei Goh, Bronwen Rhodes

SUMMARY

A dedicated dermatology clinic for renal transplant recipients: first 5 years of a New Zealand experience

Paul D L Maurice, Tracy Fenton, Nicholas Cross

Patients who have had a kidney or indeed any solid organ transplant are at increased risk of developing skin cancer. Previously kidney transplant recipients were referred on an ad hoc basis to the dermatology department once they had developed skin cancer. We have set up a specialist dermatology clinic for kidney transplant recipients which aims at prevention and earlier diagnosis and treatment of skin cancer. This involves a full baseline skin examination of patients soon after their kidney transplant. A number of skin cancers of which the patient was unaware have been detected in this way. Patients are also educated on early recognition of skin cancer and the need for sun protection. They are given a direct access phone number so that they can access our clinic should they develop skin lesions of concern at any time. We believe that our clinic offers a cost effective way of achieving earlier diagnosis and treatment of skin cancer in kidney transplant recipients.

SUMMARY

Fast-track elective colectomy: single-surgeon experience of 100 consecutive cases

Primal P Singh, Andrew G Hill

In 2005, the senior author (Andrew Hill) initiated an Enhanced Recovery After Surgery (ERAS) or fast-track programme for elective colonic surgery at the Manukau Surgery Centre aimed at improving perioperative care (before, during, and after surgery). We reviewed the senior authors experience of elective colectomy conducted within the ERAS programme and evaluated clinical outcomes. 100 consecutive patients were reviewed. The median age of patients was 70 years (range: 16-92). The median day to discharge was 3 days while total hospital stay was 4 days which incorporated 21 readmissions for mostly minor complications. Major complications occurred in only 8 patients and included 4 anastomotic leaks. In one surgeons experience, elective colectomy performed within an optimised perioperative care environment achieves shorter hospital stay with a low rate of major complications.

SUMMARY

The role of capsule endoscopy in small bowel pathology: a review of 122 cases

Mohammad I Khan, Megan Johnston, Robert Cunliffe, Adrian Claydon

Small bowel capsule endoscopy (CE) has been introduced in NZ in all of the tertiary and some secondary centres over the last few years. We describe our experience with CE from a single centre in NZ. In this 2-year, retrospective, study of 122 consecutive patients, data was collected on multiple variables from the patient clinical, laboratory, and radiology records. We found, in line with international findings, that CE is the best minimally invasive procedure for small bowel imaging currently available.

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