The SOUTH AFRICAN GASTROENTEROLOGY REVIEW is written by specialists in the field. Its aim is to publish articles pertinent to the practicing Gastroenterologist in South Africa. The South African Gastroenterology Review is distributed to a broad spectrum of clinicians who have an interest in clinical gastroenterolgy and hepatology. The views expressed in individual articles are the personal views of the Authors and are not necessarily shared by the Editors, the Advertisers or the Publisher. No articles may be reproduced in any way without the written consent of the Publisher.

VOLUME 16  I NO. 2  I  2018

Another year goes by and another issue goes in the bag at the SAGES congress. I will sadly miss the event as I will be at the Kenyan Gastroenterology Congress and workshop in Nairobi easing into my retirement activities. Your programme looks fantastic and there is lots to look forward to and enjoy. I must take this opportunity to congratulate Mashiko Setshedi on her appointment to the St Anne’s Chair of Gastroenterology.

Sandie Thomson


Within the field of liver surgery for malignant liver tumours, a trend towards tissue-sparing surgical procedures using minimally invasive access have evolved in recent years. For both colorectal carcinoma liver metastases (CRCLM) and hepatocellular carcinoma (HCC), therapeutic strategies have shifted from performing single-stage major liver resections towards applying more tissue-sparing, combined and staged treatment approaches.

Pascale Tinguely

Current recommendations

The American Surgical colorectal society recommendations are a good review of what should be done in this population group. In 2011 (the old) they published their practice parameters. Practice Parameters for the management of perianal abscess and fistula-in-ano.

F Ababio, E Fredericks, S Roux


Technical Innovation is inherent in interventional medical practice. No sphincterotomy, No endoscopic mucosal dissection, No POEMS, No NOTES would have occurred without endoscopic innovators. However, we grapple with a decent definition of even the word innovation which when googled has at least 26 synonyms. The most applicable to me all involve “newness”: new measures, new methods, new devices, novelty, modernization.

Sandie R Thomson

An 83-year-old gentleman was referred for a specialist opinion regarding severe, symptomatic iron deficiency anaemia. Upper and lower endoscopy yielded no causative pathology.

Dr. C Rush

I was asked to attended and present at the IBD interest group meeting on Saturday 19 May 2018. This took place at the very “posh” Inanda Club in Sandton, polo sports grounds and all. The venue was clearly familiar with these kinds of meetings; the seating and table plan were well thought out allowing the watching attendee’s to see the projection screens as well as the speakers with ease.

Nadine Harran

  • Prof Reid Ally
  • University of the Witwatersrand
  • Prof Christo van Rensburg
  • University of Stellenbosch
  • Prof SR Thomson
  • University of Cape Town
  • Prof Paul Goldberg
  • University of Cape Town
  • Dr C Kassianides
  • Private practice
  • Prof Jake Krige
  • University of Cape Town
  • Dr Schalk van der Merwe
  • Private practice & University of Pretoria