Introduction: In Uganda and other developing low-income countries in Sub-Saharan Africa, colorectal carcinoma (CRC) incidence and mortality rates are increasing whereas in high income developed countries, CRC rates are declining. Many patients do not have access to curative surge...
Open access
Research Article10.9734/jammr/2022/v34i831339
Background: High grade mucinous adenocarcinomas have been found to be more common in younger patients and are associated with a poor prognosis in the West. In Uganda, survival outcomes of the different histopathologic subtypes of colorectal adenocarcinoma (CRC) and lymphovascula...
Open access
Research Article10.9734/jammr/2021/v33i2431229
Introduction: A benign gastrointestinal surgical condition involving torsion of part or all of a segment of small bowel on its mesenteric axis is small bowel volvulus (SBV). The clinical presentation is similar to acute mesenteric ischaemia and hence a preoperative clinical diagn...
Open access
Research Article10.9734/jammr/2021/v33i2331208
In the developed world one of the pillars of ethical conduct in surgical practise is informed surgical consent. In low income developing countries only a few researchers have explored the practise of surgical consent pre-operatively. During the informed consent process, the patie...
Open access
Research Article10.9734/jammr/2021/v33i2331189
Introduction: In Sub-Saharan Africa, surgical conditions remain neglected in its health care systems. This results in a low surgical output from district hospitals with many patients referred to Referral Hospitals in the region. Therefore surgical camps in district hospitals are...
Open access
Research Article10.9734/jammr/2021/v33i2231169
This review highlights the history of the commencement of training in East Africa. The challenges faced in setting up a recognised training curriculum in General Surgery are outlined. The supply of health professionals with surgical skills is disproportionate to the world burden...
Open access
Research Article10.9734/jammr/2021/v33i2131132
Introduction: Tuberculosis remains a global public health concern. Abdominal tuberculosis is an atypical presentation and since it is extrapulmonary it may delay the diagnosis and treatment of this condition. The case report describes a typical presentation of abdominal tuberculo...
Open access
Research Article10.9734/jammr/2021/v33i1831058
Background: Inguinal hernias are a major cause of morbidity and mortality in the developing world. In resource limited settings in rural Africa the clinical management of inguinal hernias may pose a therapeutic challenge to the surgeon due to the late presentation of this conditi...
Open access
Research Article10.9734/jammr/2021/v33i1731023
Introduction: In Africa, inguinal hernia is a common surgical condition with an incidence of 175 inguinal hernias per 100,000 people each year. Pain that persists for at least a duration of 3 months postoperatively following repair of an inguinal hernia defines chronic groin pain...
Open access
Research Article10.9734/jammr/2021/v33i1631001
This paper is a current review of work done on colorectal adenocarcinoma in Uganda highlighting the perspectives in the increased rate of cases observed in our hospitals. A steady increase of CRC in other Sub-Saharan African countries is currently being documented however this is...
Open access
Research Article10.9734/jammr/2021/v33i1630999
Introduction: Acute mesenteric venous thrombosis is a rare condition with the most common site of thrombosis development being the superior mesenteric vein. Patients predisposed to this condition tend to develop a disruption to Virchow’s triad of endothelial injury, stasis and hy...
Open access
Research Article10.9734/jammr/2021/v33i1330961
The established principle of ambulating surgical patients as early as possible lies behind the concept of day case surgery currently being practised worldwide. There is a lag in day surgery practise between the developed and the developing world. In the last decades, freestanding...
Open access
Research Article10.9734/jammr/2021/v33i1130932
Introduction: Adult intussusception is a rare form of bowel obstruction which constitutes less than 5% of all cases of intussusception. In Sub-Saharan Africa, adult intussusception is not a rare cause of bowel obstruction. It is usually caused by a lead point which may be maligna...
Open access
Research Article10.9734/jammr/2021/v33i530847
Background: In many surgical conditions, laparoscopic surgery has been used for surgical access. In the West, laparoscopic cholecystectomy is the gold standard treatment for cholecystitis. On the other hand controversy has been generated with laparoscopic appendicectomy...
Open access
Research Article10.9734/jammr/2020/v32i1930672
Introduction: Familial adenomatous polyposis (FAP) is a rare diagnosis in East Africa. The author reports a case of a 21 year old gentleman presenting with occasional passage of blood stained stool, and found to have familial adenomatous polyposis coli. This is followed by a lite...
Open access
Research Article10.9734/jammr/2020/v32i1730647
Introduction: In Uganda, the Kampala Cancer Registry has reported a steady increase in the incidence of colorectal carcinoma(CRC) over the last few decades. The author reports a case of a 25 year old gentleman presenting with bowel obstruction and found to have mucinous adenocarc...
Open access
Research Article10.9734/jammr/2020/v32i830475
This paper is a review of work done on colorectal adenocarcinoma in East Africa showing geographic spread, age and sex ratios, clinical presentation, management and predominant histopathology. A steady increased incidence of CRC in East African countries is currently being docume...
Open access
Research Article10.9734/jammr/2020/v32i630426
Aims: To determine the factors that influence outcome of management of sigmoid volvulus in Northern Uganda Study Design: A prospective observational study was conducted on 103 sigmoid volvulus patients admitted and surgically managed in 19 hospitals in northern Uganda and followe...
Open access
Research Article10.9734/BJMMR/2015/12283
Aims: To determine the incidence of sigmoid volvulus in Northern Uganda. Study Design: A cross-sectional (2 years retrospective and one year prospective) study design was conducted on patients’ medical records and those admitted, surgically managed or referred from the 19 hospita...
Open access
Research Article10.9734/BJMMR/2015/12451