- Cardiac, Anesthesia and Surgical Outcomes
- Global Maternal and Child Health
- Global Health and Surgery
- Diabetic Foot Ulcer Assessment and Management
- Gastrointestinal Tumor Research and Treatment
- Prosthetics and Rehabilitation Robotics
- Parasite Biology and Host Interactions
- Colorectal Cancer Surgical Treatments
- Gastrointestinal disorders and treatments
- Parasites and Host Interactions
- Genetic factors in colorectal cancer
- Abdominal Surgery and Complications
- Hernia repair and management
- Biosimilars and Bioanalytical Methods
- Parasitic infections in humans and animals
- Health Promotion and Cardiovascular Prevention
- Diagnosis and treatment of tuberculosis
- Advances in Oncology and Radiotherapy
- Global Health Workforce Issues
- Health and Wellbeing Research
- Inflammatory Bowel Disease
- Gut microbiota and health
- Gastric Cancer Management and Outcomes
- Congenital Anomalies and Fetal Surgery
- Enhanced Recovery After Surgery
Kilimanjaro Christian Medical Centre
2013-2024
Christian Medical College & Hospital
2020
Christian Medical College
2020
The abdomen is one of the most commonly injured regions in trauma patients. Abdominal injury surgeries are common Tanzania and many parts world. This study aimed to determine relationships among causes, characteristics, patterns outcomes abdominal patients undergoing operations at Kilimanjaro Christian Medical Centre.A prospective observational was performed over a period 1 year from August 2016 2017. A case defined as patient with injuries admitted general surgery department an operation....
Abstract Background Albumin is an important protein that transports hormones, fatty acids, and exogenous drugs; it also maintains plasma oncotic pressure. considered a negative active phase because decreases during injuries sepsis. In spite of other factors predicting surgical outcomes, the effect pre postoperative serum albumin to complications can be assessed by calculating percentage decrease in (delta albumin). This study aimed explore perioperative as predictor adverse outcomes major...
Colorectal cancer associated with chronic intestinal schistosomiasis has been linked the inflammation as a result of schistosomal ova deposition in submucosal layer intestine. Among all species Schistosoma japonicum more to development colorectal compared mansoni due absence population-based studies support association. Despite weak evidence, some cases have reported associating S. cancer. We report patient who presented us case obstruction and found constrictive lesion at sigmoid colon...
Background: Bacterial urinary tract infection (BUTI) is the commonest among people living with human immunodeficiency virus (PLHIV). It causes significant morbidity in this vulnerable group. Immunosuppression due to HIV can mask signs and symptoms of leading asymptomatic disease. There limited evidence Tanzania regarding BUTI PLHIV. This study aimed determine prevalence, etiology, risk factors susceptibility pattern isolates causing UTI PLHIV at Kilimanjaro Christian Medical Centre (KCMC)....
A trend of increasing incidence colorectal cancer (CRC) has been observed in northern Tanzania. Studies have shown a six-fold increase CRC the past decade, with 90% patients presenting late stages, resultant high morbidity and mortality rates. In this study, we aimed to document burden zone Tanzania from 1998 2018, focusing on patient presentation, clinical features, treatment at tertiary hospital.
Intussusception is a common and well-known surgical pathology. in adults rare, accounting for only 5% of all intussusceptions. Gastrointestinal stromal tumors (GIST) are mesenchymal the stomach that can act as pathological lead point intussusception. Herein, we present an uncommon case gastroduodenal intussusception elderly female patient due to gastric GIST which was successfully managed surgically by partial resection. This report creates awareness clinicians should have their differential...
Enterocutaneous fistula is a dreaded complication by most surgeons especially after emergency abdominal surgery. It can also occur spontaneously from an underlying disease. The pathology demanding both mentally and physically causes medical nursing problems for the affected individual. In this case report we present timeline of young 4-year-old boy who sustained penetrating abdominal-perineal injury fall later presented with peritonitis. His condition progressed to complicate into...
Schistosomiasis infection is endemic in many parts of Tanzania. The morbidity due to and its association with cancer remains be great concern poses greater challenge that needs assessed. Cancer an increasing public health problem most sub-Saharan African countries, yet, control programs the provision early detection treatment services are limited despite this burden. This article aims discuss case series patients diagnosed urinary bladder, prostate colorectal together Schistosoma infection....
Enteric duplication is one of the rare malformations affecting small intestine more than other parts gastrointestinal tract. It poses a challenge in diagnosis due to nonspecific symptoms that may mimic pathologies. Furthermore, management options including total resection, mucosal striping, and internal drainage duplicate depend on presentation patient, site, length involved bowel. We present first documented case enteric Tanzania, 3-year-old male, who was found have 90 cm long jejunoileal...
From the Editor: In this new section of Diseases Colon & Rectum, you will be able to read reports individuals who have received travel scholarships from International Committee American Society Rectal Surgeons. We hope that find interesting reading. asked our scholarship recipients list their greatest needs in some readers help them either by volunteering time and skill, perhaps donating supplies, or hosting on future trips North America. This is a report Ayesiga Herman, MD (Fig. 1),...
Hydatidosis is a parasitic manifestation caused by Echinococcus granulosus. It characterized cystic lesions in the liver and lungs. Diagnosis based on typical history radiological measures.A four-year-old boy presented with one-year of dry cough difficulty breathing which was gradual progression. Computed tomography chest revealed large 11.7 cm × 8.6 11.0 cyst right hemithorax. The patient underwent thoracotomy recovered well post procedure.This case report highlights that hydatid cysts can...
Abstract Background: Peritonitis is one of the most common surgical emergencies all over world and associated with significant complications mortality. The spectrum aetiology peritonitis differs between high income countries low countries. Majority patients present late purulent septiceamia. Surgical treatment highly demanding very complex, however, if outcome in these can be correctly predicted, then better management instituted order to achieve optimal patients’ care hence improve outcome....
Abstract Background Albumin is an important protein that transports hormones, fatty acids, and exogenous drugs; it also maintains plasma oncotic pressure. considered a negative active phase because decreases during injuries sepsis. In spite of other factors predicting surgical outcomes, the effect pre postoperative serum albumin to complications could be assessed by calculating percentage decrease in (Delta albumin). This study aimed explore perioperative as predictor adverse outcomes major...
Abstract Purpose: In Tanzania, women are diagnosed at advanced breast cancer stages. The reasons for this multifactorial and have not been systematically investigated in the Kilimanjaro Region. This study aimed to identify stage time of diagnosis. Methods: Four focus group discussions 8 semi- structured in-depth interviews were conducted among health care providers (HCP) traditional healers from five facilities (1 regional 2 district hospitals) two urban rural communities Kilimanjaro,...