South African Gastroenterology Review The <em>South African Gastroenterology Review</em>is written by specialists in the field. Its aim is to publish articles pertinent to the practising Gastroenterologist in South Africa. It is distributed to a broad spectrum of clinicians who have an interest in clinical gastroenterology and hepatology. <p>Other websites related to this journal:<a title="" href="" target="_blank"></a></p> In House Publications en-US South African Gastroenterology Review 1812-1659 Private Practice Review: A time bomb of resentment is ticking among doctors who are subjected to government and third-party payers interfering with the doctor-patient relationship No Abstract S Grobler Copyright (c) 2013-05-21 2013-05-21 11 1 10.4314/sagr.v11i1. Helicobacter Pylori – A Moving Target Apart from being classified as a gram negative, microaerophilic helix shaped bacterium responsible for peptic ulcer disease and gastritis; it is also classified as a class 1 carcinogen by the International Agency for Research on Cancer (IARC) and the WHO. Responsible for gastric cancer and MALT lymphoma. To date, the litany of other conditions associated with Helicobacter pylori (H.Pylori) continues to grow. Testing is also now advised for patients with immune thrombocytopenia purpura, unexplained vitamin B12 or iron deficiency anemia. Despite the indications for treatment of <em>Helicobacter pylori </em>infection widening, definitive effective treatment remains elusive. M Lambiotte CJ Van Rensburg Copyright (c) 2013-05-21 2013-05-21 11 1 10.4314/sagr.v11i1. Screening for Colorectal Cancer – Quality Colonoscopy and Other Techniques The “pink” breast cancer awareness initiative is in our face in South Africa, but we must be mindful of the world-wide cancer awareness programme of all forms of cancer. Gastroenterological and Colorectal bodies abroad were prominent in promoting March as Colorectal Cancer awareness month S Grobler Copyright (c) 2013-05-21 2013-05-21 11 1 10.4314/sagr.v11i1. Black Oesophagus: Acute Oesophageal Necrosis Syndrome (AEN) – a case study A 42 year old man was referred by the vascular surgeons for upper endoscopy after he had an incident of hematemesis while he was waiting for surgery. He was a type II diabetic with macrovascular disease. On endoscopy the whole oesophagus was black with grey necrotic areas in between. The black tissue ended abruptly at the gastro-oesophageal junction. Sucralfate was prescribed at that stage, but he died later that night. E Wilken Copyright (c) 2013-05-21 2013-05-21 11 1 10.4314/sagr.v11i1. Alcoholic Liver Disease Alcohol abuse results in a significant health burden in South Africa. With about 50% of men and 30% of women consuming alcohol on a regular basis, alcohol related disease accounted for up to 7% of the total disease burden in South Africa. Nearly 20% of unintentional and 40.9% of intentional injuries is related to alcohol use1 and just under half of all non-natural deaths in South Africa occurred in persons with elevated blood alcohol levels.2 According the World Health Organisation (WHO), adult per capita consumption in South Africa was about 9.5 litres of pure alcohol per year between 2003 and 2005.3 Although this is a relatively low figure compared to developed countries, when it is adjusted to account for the population of nondrinkers, it places the absolute amount consumed by drinkers in South Africa among the highest in the world. Alcohol abuse increases the risk for a wide range of diseases that include esophageal, liver and breast cancer, hypertension, epilepsy and cirrhosis. Of all these conditions, liver disease is the one the is that most strongly associated with excessive alcohol ingestion J Badenhorst CJ van Rensburg Copyright (c) 2013-05-21 2013-05-21 11 1 10.4314/sagr.v11i1. Functional Abdominal Pain – not exclusively an adult condition As in adults, functional complaints of the gastrointestinal system in children and adolescents are common and are a cause of great anxiety, morbidity and significant healthcare costs. As far back as the 1960’s, attempts were made to classify functional complaints leading to the first diagnostic criteria for adult irritable bowel syndrome (IBS), the “Manning Criteria”, in 1978. By the late 1980’s and early 1990’s it became clear that there was a need to standardise criteria for the diagnosis, treatment and study of functional gastrointestinal disorders (FGIDs). S Strobele E Nel Copyright (c) 2013-05-21 2013-05-21 11 1 10.4314/sagr.v11i1.