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Biomedical subjects

T F Solanke

Publications and source records attributed to T F Solanke.

At least 19 recordsLinked to original sources
PubMed1990

The causes of death in an elderly African population.

Information on the causes of death in elderly populations is sparse or not available for most tropical African countries. Analysis of the causes of death of patients aged 65 years and above on the medical and surgical wards of the University College Hospital, Ibadan, Nigeria was therefore carried out over a 10-year period (1977-1986). A total of 223 cases were reviewed. Neoplastic, cardiac and infective diseases accounted for the majority of deaths. Improvement in health education, early diagnosis and treatment as well as preservation of cultural dietary habits are suggested ways of reducing a rise in degenerative diseases and the number of deaths.

Aged↗
PubMed1988

Massive ascites associated with endometriosis in a Nigerian African.

A case of endometriosis with massive ascites in a 19-year-old Nigerian African is reported. This is an unusual combination and it is likely that most gynecologists and general physicians would never see such a case. The presentation and management of this entity is discussed.

Adult↗
PubMed1984

Carcinoma of the oesophagus.

A 10-year review of oesophageal cancer in Ibadan, Nigeria, is presented Seventy-two patients representing a mean annual incidence of 0.31 per 100 000 of the population were found. The age range was 27-96 years, with a mean of 57 years for men and 65 for women. Dysphagia, weight loss and anaemia were the significant features in the majority and 40 per cent of the patients presented between 4 and 12 months (mean 7.5 months). None of the commonly used dietary ingredients could be implicated in the causation of this tumour in which squamous cell cancer accounted for 88.5 per cent of all types. The middle third was the commonest site of tumour formation (45 per cent) while the lower third accounted for 40 per cent. A low operability rate of 32 per cent is recorded and only 21 per cent were suitable for oesophagectomy. Survival among this group was 50 per cent at 1 year, 20 per cent at 3 years and 10 per cent at 4 years.

Adult↗
PubMed1979

Carcinoma of the esophagus.

Carcinoma of the esophagus, previously thought to be rare in West Africa, is now known to be relatively common in Ibadan. In a 39-month period, extending from January 1975 to March 1978, 30 cases of esophageal carcinoma were seen on the surgical service of the University College Hospital, Ibadan. Males were affected more than females by a ratio of 2.3 to 1, and the highest incidence was found in the sixth and seventh decades. Many of the affected people belong to the low socioeconomic class. The predominant cell type is the squamous cell carcinoma and the most common site is the lower third of the esophagus (51.85 percent), followed by the mid-thoracic esophagus (29.6 percent). Because most patients presented very late in the course of the disease, only 11 patients had esophagectomy and esophagogastrostomy. Six of these (54.6 percent) recovered from the operation and were discharged. Only one patient had an insertion of a Mousseau-Barbin tube. In our environment, where there is no adequate radiotherapy facility, resection of esophageal carcinoma is recommended when feasible, even as a palliative measure.

Adenocarcinoma↗
PubMed1978

Benign esophageal stricture in a tropical African population.

In North America, the most common causes of benign esophageal stricture are hiatal hernia and reflux esophagitis. These are localized to the lower end of the esophagus.At the University College Hospital, Ibadan, Nigeria, the most common cause of benign esophageal stricture is ingestion of corrosives. The ingestion is accidental, suicidal, or for medicinal purposes. This stricture is long, narrow, and irregular. Most extend from the cervical esophagus to the cardioesophageal junction.A surgical procedure that has given good results is the use of left colon pedicled on the left colic artery for retrosternal isoperistaltic esophagocoloplasty.

Adolescent↗
PubMed1977

Biliary lithiasis associated with ascariasis in a Nigerian woman.

We report the occurrence of gallstones and intrahepatic stones in association with ascarid invasion of the biliary tract in a 51-year-old Nigerian woman. Although biliary stones are known to be caused by products of Ascaris worms, no etiological association was demonstrable in this case. Invasion of the biliary tract by Ascaris worms is reported as rare in our environment where intestinal ascariasis is extremely common. It is suggested that the rarity is apparent rather than real and that it is important to bear this condition in mind in view of modern rapid migration of populations.

Ascariasis↗
PubMed1977

Surgical aspects of intestinal ascariasis.

At the University College Hospital, Ibadan, Nigeria, a common differential diagnosis of acute abdomen is intestinal ascariasis. This condition mimics many causes of acute abdomen so that accurate pre-operative diagnosis depends mainly on a high index of suspicion.The purpose of this paper is to call attention to this condition which is prevalent in tropical countries, where preventive and social medicine have not reached their peak, and to review the pathological processes resulting from this disease.

Abdomen, Acute↗
PubMed1976

Gastric acid secretion in patients with duodenal ulcer and benign gastric outlet obstruction.

With the standard dose of histamine acid phosphate 40 microgram/kg body weight, the peak and maximal acid outputs were calculated in 102 patients with uncomplicated duodenal ulcer disease, forty-seven controls and forty-seven patients with benign gastric outlet obstruction. The results obtained for maximal acid output showed significant differences between the control group and the other two groups separately. These figures are much lower than values from Western countries, but similar to those reported from studies in non-Caucasians.

Adult↗
PubMed1975

Omental cyst associated with mesenteric tuberculosis.

A case of omental cyst associated with tuberculosis in a 12 year old Nigerian girl is presented. It is suggested that the omental cyst is lymphogenous in origin and that spread of tuberculosis led to a rapid increase in its size. A brief review of the features of omental cysts is also included.

Child↗