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  1. Article: Pit Pattern Analysis of Colorectal Polyps using Storz Professional Image Enhancement System (SPIES) Endoscopy: A Pilot Study.

    Ray-Offor, Emeka / Abdulkareem, Fatimah Biade / Jebbin, Nze J

    Journal of the West African College of Surgeons

    2022  Volume 12, Issue 2, Page(s) 17–22

    Abstract: Background: Endoscopic management of colorectal polyps includes detection, characterization, and therapeutic strategies. Pit pattern analysis is a useful tool when differentiating neoplastic and non-neoplastic colorectal polyps.: Aim: To correlate ... ...

    Abstract Background: Endoscopic management of colorectal polyps includes detection, characterization, and therapeutic strategies. Pit pattern analysis is a useful tool when differentiating neoplastic and non-neoplastic colorectal polyps.
    Aim: To correlate pit pattern characterization of colorectal polyps using SPIES endoscopy and the histopathology.
    Materials and methods: Total colonoscopy was performed on 189 patients by same endoscopist from January 2020 to September 2021 using Image 1 Connect (TC200), Image 1 H3-Link (TC300) and video-colonoscope (Karl Storz, Tuttlingen, Germany). Identified polyps were classified using Paris classification for mucosal lesions and the pit pattern according to Kudo's modified criteria using SPIES endoscopy. All lesions were diagnosed by histopathological examination. Kappa index (κ) was used to evaluate the agreement of SPIES endoscopy Kudo's pit classification with the histopathological diagnosis. The sensitivity, specificity, positive predictive value (PPV), and negative predictive value (NPV) were independently determined.
    Result: Thirty-four polyps were detected in twenty-nine patients with twenty-one (61.8%, 21/34) polyps histologically confirmed as neoplastic. SPIES endoscopy characterized seventeen (50%, 17/34) of the polyps as neoplastic, four (1.8%, 4/34) as non-neoplastic (false negative) and four (1.8%, 4/34) as false positives. The sensitivity and specificity of SPIES endoscopy were 81.0% and 69.2% respectively and same values for PPV and NPV. The diagnosis of neoplastic polyps by SPIES endoscopy was in moderate agreement with histopathological diagnosis (κ = 0.502).
    Conclusion: SPIES endoscopy is a useful, rapid, and non-invasive tool in the endoscopic assessment of colorectal polyps.
    Language English
    Publishing date 2022-08-27
    Publishing country India
    Document type Journal Article
    ISSN 2276-6944
    ISSN 2276-6944
    DOI 10.4103/jwas.jwas_96_22
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Acute appendicitis masquerading as acute scrotum: a case report.

    Dienye, Paul O / Jebbin, Nze J

    American journal of men's health

    2011  Volume 5, Issue 6, Page(s) 524–527

    Abstract: Acute appendicitis presents typically with periumbilical pain that in a few hours settles at the right lower quadrant of the abdomen. Atypical presentations are common but association with acute scrotum is an extreme rarity. A 30-year-old fisherman ... ...

    Abstract Acute appendicitis presents typically with periumbilical pain that in a few hours settles at the right lower quadrant of the abdomen. Atypical presentations are common but association with acute scrotum is an extreme rarity. A 30-year-old fisherman presented at a rural medical facility with a 2-day complaint of severe pain at the right hemiscrotum followed about 24 hours later with mild diffuse abdominal pain. There was associated mild fever and nausea but no vomiting. There were no urinary symptoms and no recent sexual exposure. Initial physical examination revealed mild generalized tenderness worse at the right lower quadrant but the scrotum was not remarkable, and cremasteric sign was negative. He was admitted as a case of acute abdomen for close observation. Abdominal and scrotal ultrasound scan were normal. By the second day of admission, pain became marked at the right lower abdomen with associated vomiting. There was also marked tenderness at the right lower quadrant with rebound. A diagnosis of acute appendicitis was thus made and appendicectomy done after proper workup. The abdominal and scrotal pain stopped after surgery and the patient was discharged on the seventh postoperative day. Patients with unusual abdominal and scrotal pain should be admitted and closely observed and evaluated to prevent unnecessary scrotal exploration or negative appendicectomy.
    MeSH term(s) Abdomen, Acute/diagnosis ; Appendectomy ; Appendicitis/diagnosis ; Appendicitis/surgery ; Diagnosis, Differential ; Epididymitis/diagnosis ; Humans ; Male ; Scrotum ; Spermatic Cord Torsion/diagnosis
    Language English
    Publishing date 2011-11
    Publishing country United States
    Document type Case Reports ; Journal Article
    ZDB-ID 2275106-3
    ISSN 1557-9891 ; 1557-9883
    ISSN (online) 1557-9891
    ISSN 1557-9883
    DOI 10.1177/1557988311415514
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article: Abdominal wound dehiscence: A review.

    Eke, Ndubuisi / Jebbin, Nze J

    International surgery

    2006  Volume 91, Issue 5, Page(s) 276–287

    Abstract: Wound dehiscence and its complications plague surgical practice. This study aims to identify the clinical features, etiological factors, and preventive measures of abdominal wound dihiscence (AWD). A Medline search from 1966 to February 2004 was done, ... ...

    Abstract Wound dehiscence and its complications plague surgical practice. This study aims to identify the clinical features, etiological factors, and preventive measures of abdominal wound dihiscence (AWD). A Medline search from 1966 to February 2004 was done, using the terms abdominal wound dehiscence, burst abdomen, and abdominal wound closure. Accessible full texts of these, relevant references from them, and publications found in medical libraries were studied. Data extracted included authors' names, presenting symptoms and signs of AWD, ages of the patients, presumed etiology of dehiscence, methods of wound closure, and complications and outcome of both the dehiscence and its treatment. These were analyzed under selected headings. Abdominal wound dehiscence is as old as surgery. Predisposing factors are either patient or surgeon related. Despite several incisions and suture materials, controversy remains, with no consensus on the ideal methods or materials for closure of abdominal wounds to prevent dehiscence. At best, the incidence of AWD can be reduced.
    MeSH term(s) Abdomen ; Humans ; Surgical Wound Dehiscence/complications ; Surgical Wound Dehiscence/diagnosis ; Surgical Wound Dehiscence/etiology ; Surgical Wound Dehiscence/therapy
    Language English
    Publishing date 2006-09
    Publishing country Italy
    Document type Journal Article ; Review
    ZDB-ID 80343-1
    ISSN 0020-8868
    ISSN 0020-8868
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: Penile fracture following husband abuse: a case report.

    Dienye, Paul O / Jebbin, Nze J / Gbeneol, Precious K

    American journal of men's health

    2009  Volume 3, Issue 4, Page(s) 330–332

    Abstract: The case of a 35-year-old fisherman who presented in a rural clinic with a sudden onset of painful penile swelling affecting the left lateral side with associated rapid detumescence is reported. He had tried to coerce his wife to a sexual intercourse ... ...

    Abstract The case of a 35-year-old fisherman who presented in a rural clinic with a sudden onset of painful penile swelling affecting the left lateral side with associated rapid detumescence is reported. He had tried to coerce his wife to a sexual intercourse when she forcefully bent his penis. He was initially managed with cold applications, oral diclofenac potassium, chymoral, and splinting of the penis and then referred to the urological services of a teaching hospital. He defaulted only to re-present about 2 weeks later with some improvement in his symptoms. Further advice to see the urologist was also rebuffed on financial grounds. When he reported about 1 month later, he was assessed to have grade 3 erectile dysfunction. In conclusion, penile fracture is a rare condition which follows unphysiological bending of the tumescent penis during sexual intercourse or masturbation. That following husband abuse is rarer. The sequelae can be devastating.
    MeSH term(s) Adult ; Coercion ; Emergency Medical Services ; Erectile Dysfunction/etiology ; Humans ; Male ; Penis/injuries ; Penis/pathology ; Rupture/etiology ; Rupture/pathology ; Rupture/therapy ; Spouse Abuse
    Language English
    Publishing date 2009-12
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2275106-3
    ISSN 1557-9891 ; 1557-9883
    ISSN (online) 1557-9891
    ISSN 1557-9883
    DOI 10.1177/1557988308324948
    Database MEDical Literature Analysis and Retrieval System OnLINE

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