South African GASTROENTEROLOGY Review | Volume 17 Issue 3 2019

THE SOUTH AFRICAN GASTROENTEROLOGY REVIEW 2019 | ISSUE 3 | 38 GASTROENTEROLOGY FOUNDATION This trip was the 25th time that Prof. Paul Goldberg led a team to the Northern Cape. Originally the mission was to provide endoscopy support for the high–risk Lynch Syndrome family members who live there. In the quest to offer an internationally acceptable surveillance program for this group of patients, the team has grown significantly. As you can see from the group photo, 46 of us invaded the Northern Cape’s medical space. The 2019 team was made of 6 medical sub- groups, namely; • GIT doctors, nurses and equipment specialists • Gynaecologists and equipment specialists • Urologist • Anaesthetic team (doctors, nurses and equipment specialists) • Breast team (doctors, nurses and equipment specialists) • Genetic counsellors and co-ordinators The need for medical outreach in the Northern Cape Province and the partnerships created on this trip, are the cornerstone of the success of this amazing venture. Even though this trip was the last one that Paul Goldberg will ‘conduct’ from GSH and UCT soil, the solid support structures created over the years mean that the concept of taking specialist care to more remote centres is a reality. Good succession planning has meant that the next generation of specialists have been injected with a healthy dose of enthusiasm to take the goodwill forward. See Table 1, for endoscopy totals for the week and Table 2 for the Endoscopy pathology found. Great thanks go to all the funders. They not only assisted financially but also provided equipment and their expertise for the week. Thank you to ALL the role players. Please see the video link from theWest Coast 2019 event: https:// www.youtube.com/watch?v=rK1u1oLhlqg Left to right: (Back Row) Boipelo Gaetsewe, Oscar Moloto, Elize Strauss, Jaco van der Merwe, Luanne Strydom, Gill Dusterwald, Daniel Surridge, Leon Zwane, Sharon Bannister, Faizel Kimmie, Joseph Mothopela, Adam Boutall, Vhukosi Mashaba, Paul Goldberg, Lyall Luiters, Saadick Gool, Akuta Munyika, Nkanyezi Sigasa, Dion Levin, Mergery Makhale, Loraine du Bois, Noxolo Lubisi Left to right: (Middle row) Mashiko Setshedi, Glenda Kruger, Ursula Algar, Rabiaa Toffar, Jane Orrock, Helen Ball, Dorothy Douglas, Noelene Kotschan, Nora Gantso Left to right: ( Front Row) Rhulani Hlungwane, Thuli Mpanza, John Anderson, Agya Prempeh, Thokozisa Saqu, Justiaan Swanevelder, Nomonde Mbatani, Jana van der Merwe, Marlize Lerm, Jean Hattingh, Francois Malherbe, Elzette Nienaber 25th Northern Cape Surveillance trip Table 1. 2019 Northern Cape surveillance - Endoscopy procedures 26 -30 August 2019 Procedure Totals Colonoscopy 80 Flexible sigmoidoscopy 24 Gastroscopy 18 Cystoscopy 16 Totals 2019 138 Table 2: 2019 Endoscopy pathology Date No. of patients who had Polyps No. of patients who had polyps removed but were not retrieved No. of patients who had had hyperplastic polyps identified visually - not removed No. of patients who had low - grade dysplastic adenomas No. of patients who had high - grade dysplastic adenomas No. of patients who had a colonic malignancy Mon 26 Aug 2019 11 2 3 4 1 0 Tues 27Aug 2019 3 0 1 2 0 0 Wed 28 Aug 2019 10 1 3 3 0 0 Thurs 29 Aug 2019 6 1 1 4 0 0 Fri 30 Aug 2019 2 0 0 0 0 0 Totals 32 4 8 13 1 0