Browsing by Author "Du Toit, L. B."

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    Gasgangreen : 'n bespreking van 3 gevalle en literatuuroorsig
    (Health & Medical Publishing Group, 1985) Du Toit, D. F.; Pretorius, C. F.; Esterhuizen, N.; Du Toit, L. B.
    Three patients with gas gangrene of the lower limbs are presented. In 2 of the 3 patients gas gangrene developed after lower-limb amputation, indications for amputation being atherosclerotic and diabetic gangrene. In the third patient associated leukaemia was diagnosed. All 3 patients presented with the typical clinical manifestations of gas gangrene. Clostridium perfringens was isolated from the affected leg in each patient The current application of surgery and hyperbaric oxygen therapy in the treatment of gas gangrene is discussed.
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    The Zollinger-Ellison syndrome : a case report
    (Health & Medical Publishing Group, 1985) Du Toit, D. F.; Louwrens, H.; Esterhuizen, N.; Falck, V. C.; Du Toit, L. B.
    A vagotomy and antrectomy was performed on a 15-year-old boy with malignant gastrinoma for emergency control of massive upper gastro-intestinal haemorrhage from a large posterior penetrating duodenal ulcer in the presence of jejunal ulceration and liver metastases. Hypergastrinaemia was confirmed by elevated serum gastrin levels. In the short term postoperatively the patient's disease has been controlled with oral cimetidine. Although controversy continues over the efficacy of cimetidine in the management of gastrinomas, medical treatment should be considered as an alternative to total gastrectomy in children with malignant gastrinomas because they are often slow-growing, indolent and compatible with long survival.