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Thank you very much Dr Shamhu. Very informative comprehensive and well done

Excellent lecture 😊

Dr Nishlin Naidoo is truly most compassionate doctor I have met. He treated my mother and saved her life. She had stage 4 case. Wits has really trained these surgeons well❤

One of the other options could be PVE and systematic therapy with Lenvitanib for 6-8 weeks. How about that ?

thank you

Superb masterclass . Thanks from India

It is very interesting slide can we get it ...? Thanks

Sir Can you please share the ppt

Sir Very nice presentation

Thank you. Intensivists will find the talk quite informative

Dr can you help my son.... he has severe gastr pareses...we're in Cape Town

This is an invaluable presentation of how to push PBM implementation. Thank you

You looked interesting I wanted to watch it but I just cannot understand that we're just saying

An excellent discussion on the subject of treatment for HCC in low& middle income regions. Though I don’t understand why the experts have not talked about the other curative treatment ie resection other than transplant for HCC. Both Bridging and down-staging is also applicable to this mode of treatment just as for transplantation.

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Pls do more videos on ibd

Very good guide line.

HI ,Dr Bilal Bobal, do you maybe have an email address. I would just like to speak to you about my moms liver ,she was one of your patients in 2016,Thank you Donna Bailie

One more thing in regard to the man who asked the question Re multivitamins, I would suggest click as run a full blood test for ALL nutrients , vitamins minerals , as alluded to in above comment , we are all highly deficient across the board in many nutrients because most of us wait years for diagnosis

I would add that as a member of a support group for people with pernicious anaemia that often times the neurological features present early expecially memory loss and mood changes and aphasia . Most importantly gluten sensitivity is common , tests will show negative for celiac disease but many have better quality of life removing gluten from diet . The symptoms thats till remain with monthly injections that are improved are dyspepsia , digestive issues , neuropathy, skin issues to name a few . Prescribing HCL or digestive enzymes should be mandatory as the injection does not correct low stomache acid .also using probiotics helps with correcting the malabsorption of other nutrients which comes from low stomache acid and or H pylori altering the bacterial microbiome. I’m glad you made this video , it should be compulsory for all GP’s . *****I would also add that most people in our support group are under 50 , so please do not dismiss younger people , I was diagnosed in my early 20’s . the reason we have support groups for PA groups is because just giving an injection does not heal the symptoms-of pernicious anaemia , in early days before injections there was only diet. Th high liver meat diet . I don’t think it was “just the B12 “ that cured patients , it was the nutrient dense liver itself that flooded the body with all the nutrients it was missing after years of malabsorption ……..

My daughter 7 years affected with disease

Nice , thanks

Keep educating us Docs

The Hepatitis B vaccine, injected into newborns, causes cancer or warts. It's time to face the gallows.

I have Hepatocellular Cancer, also Liver Cirrhosis, not a Drinker, Genetics and Trucker Diet. At my Biopsy the ambulated the Tumor, they are getting me ready for going non the list, I was told that they would take care of both issues at once, there will be a short waiting period

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Thanks Very very helpful

I have upper right pain, tender, but no gallstones found. They keep finding the air there but nothing else. Pain, but no other symptoms. No one knows what it is, why it’s there, or what to do about it.

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Can atrophic gastric metaplasia be reversed?

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Have consulted many doctor but no concrete response

How to treat pnemobilia?

Is this deadly?

An excellent presentation by an extraordinary Gastrofellow.

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Can’t believe I’m the first to like and comment on this 2 year old video...far more informative than the others on TH-cam, thank you

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We certainly welcome the idea that in the developing countries where transplantation is scarcely available liver resection for the intermediate stage BCLC be an option and hopefully cost less than TACE/TARE. Studies from Eastern countries Korea, Japan, Hong Kong has shown long term survival for resection of large HCC ( multi-nodular or up-to 10cm ) in cirrhotics with both HBV & HCV.

Though FLOT is definitely more effective in proximal tumors as well as Siewert 2,3 tumors, how about antral tumors, is the evidence strong enough to go ahead with a more toxic regimen ?