Fundoplication: cases vs. RCT

The Health Technology Assessment Programme published its findings on laparoscopic fundoplication for chronic gastroeaophageal reflux disease in September 20081. “The results showed that surgical treatment was more effective than long-term drug therapy, especially in patients with the most troublesome symptoms, certainly up to one year after the procedure. A surgical policy is, however, more costly […]

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Crohn disease in Nepal: true rarity or gross underdiagnosis?

The authors describe an unusual case of Crohn’s disease in Nepal. Unusual on two accounts – Crohn’s disease appears to be virtually unknown in Nepal and this case presented with bowel perforation. Exploring both these factors, this case report makes for very interesting reading and reminds us that we only see what we look for. […]

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Dental anxiety and eating disorder

An upsetting case of a young girl from Cornwall who died of dehydration and starvation due to an eating disorder has been reported in the news. http://news.bbc.co.uk/1/hi/england/cornwall/7893485.stm She developed symptoms after her ‘milk teeth’ became loose. They were removed under general anaesthesia but she then refused to eat. The coroner has returned a ‘narrative verdict’ […]

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Doctors revive patient using powerful magnet

Transcranial magnetic stimulation is a non-invasive method for stimulating the brain and, in particular, the cerebral cortex. It uses a powerful electromagnet to generate a strong magnetic field that induces electrical current in the brain in much the same as direct stimulation with electricity. First described in 1985,1 it is being investigated for many conditions […]

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