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    <loc>https://www.hpbspecialist.co.za/home</loc>
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    <lastmod>2022-07-04</lastmod>
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      <image:title>Home - Make it stand out</image:title>
      <image:caption>Whatever it is, the way you tell your story online can make all the difference.</image:caption>
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      <image:loc>https://images.squarespace-cdn.com/content/v1/6162acd4dcf8b409ba8344bb/595ae2c9-250f-4ddd-9c87-6dd473a76739/General+Surgeon</image:loc>
      <image:title>Home - Surgical Procedures</image:title>
      <image:caption>All surgeries will be discussed in detail during consultation. + Pancreaticoduodenectomy + Left pancreatectomy + Surgery for pancreatitis + Liver resection + Liver ablation + Bile duct repair/bypass + Common bile duct exploration + Gastroscopy</image:caption>
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    <loc>https://www.hpbspecialist.co.za/consent-forms</loc>
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    <priority>0.75</priority>
    <lastmod>2022-01-13</lastmod>
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      <image:loc>https://images.squarespace-cdn.com/content/v1/6162acd4dcf8b409ba8344bb/e03e2af0-8b4f-460b-a417-b2e117f24264/AdobeStock_93245150.jpeg</image:loc>
      <image:title>Consent Forms - Download the patient consent form for your surgery. Hydatid cyst drainage Laparoscopic cholecystectomy Laparotomy Open cholecystectomy and bile duct exploration Open cholecystectomy</image:title>
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  <url>
    <loc>https://www.hpbspecialist.co.za/contact</loc>
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    <lastmod>2022-06-06</lastmod>
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      <image:title>Contact</image:title>
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      <image:title>Contact</image:title>
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      <image:title>Contact</image:title>
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    <loc>https://www.hpbspecialist.co.za/procedures</loc>
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    <lastmod>2024-10-21</lastmod>
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      <image:title>Procedures</image:title>
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      <image:title>Procedures</image:title>
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      <image:title>Procedures</image:title>
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      <image:title>Procedures</image:title>
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      <image:title>Procedures</image:title>
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      <image:title>Procedures</image:title>
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      <image:title>Procedures</image:title>
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  <url>
    <loc>https://www.hpbspecialist.co.za/pancreaticoduodenectomy</loc>
    <changefreq>daily</changefreq>
    <priority>0.75</priority>
    <lastmod>2022-01-10</lastmod>
  </url>
  <url>
    <loc>https://www.hpbspecialist.co.za/donate</loc>
    <changefreq>daily</changefreq>
    <priority>0.75</priority>
    <lastmod>2022-01-12</lastmod>
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  <url>
    <loc>https://www.hpbspecialist.co.za/endoscopy</loc>
    <changefreq>daily</changefreq>
    <priority>0.75</priority>
    <lastmod>2024-11-19</lastmod>
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      <image:loc>https://images.squarespace-cdn.com/content/v1/6162acd4dcf8b409ba8344bb/774f7efa-da4f-4f12-ac42-3c28cc3472b3/Gastroscopy</image:loc>
      <image:title>Endoscopy</image:title>
      <image:caption>As described above, gastroscopy is aimed at looking for diseases of the esophagus, stomach or duodenum (first part of the small bowel). Common diagnoses include peptic ulcer disease, reflux of gastric fluid into the esophagus, herniation of the stomach into the chest cavity, or even gastric cancer. These usually present as upper abdominal pain or reflux, bloatedness, or sometimes vomiting of blood.  Gastroscopy is usually a short procedure taking about 20 minutes to complete, and is most commonly done as an outpatient. It is very safe and is usually well tolerated, especially when done under conscious sedation. Adverse events are rare. A helpful Q&amp;A guide on Gastroscopy can be found below.</image:caption>
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      <image:title>Endoscopy</image:title>
      <image:caption>The most common endoscopic procedures include gastroscopy (which visualizes the gastrointestinal tract from the mouth to the start of the small bowel), and colonoscopy (from the anus to end of the small bowel). In addition to the abovementioned procedures, we also offer endoscopic retrograde cholangiopancreatography (ERCP), which is a procedure done for evaluation and treatment of diseases of the ducts of the liver, including obstruction due to cancer or even gallstones that pass into the ducts via the gallbladder.</image:caption>
    </image:image>
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      <image:title>Endoscopy - Colonoscopy</image:title>
      <image:caption>Colonoscopy is concerned with detection and treatment of diseases of the lower gastrointestinal tract, extending from the terminal ileum (last part of the small bowel), through the colon and rectum all the way to the anus. It is often done to evaluate for the presence of polyps, which are often forerunners of cancer of the colon. The main aim here is early detection of lesions which are not yet malignant, thus enabling preventative treatment. The procedure usually takes about 45 mins and is most commonly done under conscious sedation.</image:caption>
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      <image:title>Endoscopy - Endoscopic retrograde cholangiopancreatography (ERCP)</image:title>
      <image:caption>ERCP is a complex procedure that is done to evaluate diseases of the bile ducts and nearby organs. It is done using an endoscope passed through the mouth, whereafter instruments are passed into the bile ducts, which is then visualized using x-ray localization. After cannulation of the ducts, different devices can then be utilized to remove obstructing gallstones or other objects within the ductal system, or stents can be used to relieve obstruction due to cancer. In the case of malignancy (cancer), ERCP can sometimes be used to obtain tissue in the form if brushing the inside of the bile duct, or even taking a biopsy of offending lesions if possible. This procedure is done under general anaesthetic, and one can expect to overnight in hospital (although it can sometimes be done as an outpatient procedure).</image:caption>
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  <url>
    <loc>https://www.hpbspecialist.co.za/links</loc>
    <changefreq>daily</changefreq>
    <priority>0.75</priority>
    <lastmod>2022-06-06</lastmod>
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      <image:title>Links - Make it stand out</image:title>
      <image:caption>Whatever it is, the way you tell your story online can make all the difference.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/6162acd4dcf8b409ba8344bb/29ba0e19-f090-457e-b5d4-681660cd0e6a/download.jpg</image:loc>
      <image:title>Links - Make it stand out</image:title>
      <image:caption>Whatever it is, the way you tell your story online can make all the difference.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/6162acd4dcf8b409ba8344bb/1654500378990-ZO55FWH34VUA4AJ3UKIS/Synceruscare+Logo.png</image:loc>
      <image:title>Links - Make it stand out</image:title>
      <image:caption>Whatever it is, the way you tell your story online can make all the difference.</image:caption>
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