Incidence of anastomotic stricture after Ivor-Lewis oesophagectomy using a circular stapling device.

Background: Benign oesophageal strictures carry a significant level of morbidity, causing burdensome symptoms impacting on quality of life. Post-oesophagectomy anastomotic stricture rates as high as 41% have been reported in the literature. These can require endoscopic dilatation, often multiple times to relieve dysphagia.

Perforation of Meckel's diverticulum secondary to a large faecolith.

A 79-year-old woman presented with a 4 day history of central abdominal pain and vomiting. Clinical examination revealed a distended abdomen with predominantly right sided tenderness. Following an initial period of supportive treatment pending further imaging, evolving abdominal signs became evident.

Macroscopic findings at appendicectomy are unreliable: implications for laparoscopy and malignant conditions of the appendix.

Background: At laparoscopic appendicectomy, some surgeons leave a macroscopically normal appendix in situ. To assess if this is safe practice, the authors wanted to identify the correlation between macroscopic findings at appendicectomy and pathologists' assessment with regard to the inflamed and the neoplastic.

Method: Operative cases and histological findings over a 3-year period were identified.

Metabolic and hormonal effects of tacrolimus (FK506) or cyclosporin immunosuppression following renal transplantation.

Twelve renal transplant recipients randomised to receive immunosuppression with either tacrolimus (FK506) or cyclosporin underwent oral glucose tolerance tests (OGTT) a median of 8 months (range 7-9) after transplantation. Six healthy subjects acted as controls. Compared with the controls, both transplant groups had significantly elevated fasting (p < 0.