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Letter To The Editors: Early Enteral Nutrition Within 24 H Of Intestinal Surgery Versus Later Commencement Of Feeding: A Systematic Review And Meta-Analysis, Emma Osland, Rossita Yunus, Shahjahan Khan, Muhammed Memon Oct 2009

Letter To The Editors: Early Enteral Nutrition Within 24 H Of Intestinal Surgery Versus Later Commencement Of Feeding: A Systematic Review And Meta-Analysis, Emma Osland, Rossita Yunus, Shahjahan Khan, Muhammed Memon

Muhammed Ashraf Memon

Extract:

Dear Dr Lewis, Andersen, and Thomas:
It was with great interest that we read your most recent systematic review and meta-analysis addressing the important issue of early versus later commencement of enteral feeding in gastrointestinal surgery patients.¹ While your 2006 Cochrane review² has clear merit in that it expands on the number of studies and thus the power of your earlier analysis,³ we feel that the present study is essentially a duplication of your Cochrane effort, although with slightly different conclusions.

¹ ² ³ See notes in article.


Splenic Rupture After Colonoscopy: A Case Report, Anthony Kiosoglous, Raphael Varghese, Muhammed Memon Oct 2009

Splenic Rupture After Colonoscopy: A Case Report, Anthony Kiosoglous, Raphael Varghese, Muhammed Memon

Muhammed Ashraf Memon

Iatrogenic splenic tear after a colonoscopy is a rare complication. Conditions predisposing to splenocolic adhesions such as previous abdominal surgery, pancreatitis, or inflammatory bowel disease may increase the risk of this injury after colonoscopy. We present a case of a 47-year-old woman with an iatrogenic splenic tear after a routine colonoscopy, who had several of these predisposing factors and required an urgent splenectomy.


Outcome Of Palliative Esophageal Stenting For Malignant Dysphagia: A Retrospective Analysis, M. Burstow, T. Kelly, S. Panchani, M. Khan, D. Meek, Breda Memon, Muhammed Memon Aug 2009

Outcome Of Palliative Esophageal Stenting For Malignant Dysphagia: A Retrospective Analysis, M. Burstow, T. Kelly, S. Panchani, M. Khan, D. Meek, Breda Memon, Muhammed Memon

Muhammed Ashraf Memon

Greater than 50% of patients with esophageal carcinoma are found to be incurable at the time of diagnosis, leaving only palliative options. Self-expanding metal stents (SEMs) are effective for relieving symptoms and complications associated with esophageal carcinoma and improving quality of life. We undertook a retrospective analysis to evaluate the experience of palliative esophageal stenting for symptomatic malignant dysphagia in our institution over a period of 7 years. Between January 1999 and January 2006, 126 patients who received SEMs for malignant dysphagia were identified using an upper gastrointestinal specialist nurse clinician database. Data were obtained from patient case notes, endoscopy, …


Meta-Analysis Of Randomized Clinical Trials Comparing Open And Laparoscopic Anti-Reflux Surgery, Matthew Peters, Athar Mukhtar, Rossita Yunus, Shahjahan Khan, Juanita Pappalardo, Breda Memon, Muhammed Memon May 2009

Meta-Analysis Of Randomized Clinical Trials Comparing Open And Laparoscopic Anti-Reflux Surgery, Matthew Peters, Athar Mukhtar, Rossita Yunus, Shahjahan Khan, Juanita Pappalardo, Breda Memon, Muhammed Memon

Muhammed Ashraf Memon

OBJECTIVES: The aim of this study was to conduct a meta-analysis of randomized evidence to determine the relative merits of laparoscopic anti-reflux surgery (LARS) and open anti-reflux surgery (OARS) for proven gastro-esophageal reflux disease (GERD).

METHODS: A search of the Medline, Embase, Science Citation Index, Current Contents, and PubMed databases identified all randomized clinical trials that compared LARS and OARS and that were published in the English language between 1990 and 2007. A meta-analysis was carried out in accordance with the QUOROM (Quality of Reporting of Meta-Analyses) statement. The six outcome variables analyzed were operating time, hospital stay, return to …