Complete rectal prolapse in Enugu, Nigeria.

The case records of thirty patients (21 male and 9 female) aged 8 to 62 years treated for complete rectal prolapse by operation over 5 years were studied. The results of treatment were compared with those in seven consecutive patients treated more recently by posterior rectopexy. Thiersch operation has been attended by an unacceptable high rate of reoccurrence, recurrent sepsis and faecal impaction.

Effect of cimetidine on gastric secretion and duodenogastric reflux.

In 19 subjects (four controls, one gastric ulcer and 14 duodenal ulcer) maximal gastric secretion was evoked with histamine 0.13 mumol/kg/h (0.04 mg/kg/h) for two to two and a half hours.

Enterocutaneous fistulas in Enugu, Nigeria.

Forty-four patients with enterocutaneous fistulas treated at the University of Nigeria Teaching Hospital (UNTH) Enugu in five years (1977-81) are reviewed. Most fistulas resulted from complications of surgery (29 per cent) and appendicitis (55 per cent). The commonest locations were in the cecum (48 per cent), ileum (30 per cent), and colon (20 per cent).

Closed and penetrating abdominal injuries in Nigerian Igbos.

Fifty-two patients undergoing operations for abdominal injury were studied. Road traffic accidents were the commonest cause of injury. The spleen was the most commonly injured organ; injuries of several abdominal organs were rare.