Subject(s)
Endoscopy , Hypertension/drug therapy , Nifedipine/administration & dosage , Premedication , Administration, Buccal , Aged , Humans , Middle AgedSubject(s)
Gastrointestinal Hemorrhage/diagnosis , Gastroscopy , Stomach Diseases/diagnosis , Aged , Humans , Male , Stomach/pathologyABSTRACT
A retrospective review of five patients with Barrett's esophagus revealed three with an associated active duodenal ulcer. Two patients also had adrenocarcinoma of the esophagus. Any patient with prolonged gastroesophageal reflux should have careful radiologic and endoscopic evaluation of the entire upper gastrointestinal tract.
Subject(s)
Adenocarcinoma/complications , Barrett Esophagus/complications , Duodenal Ulcer/complications , Esophageal Diseases/complications , Esophageal Neoplasms/complications , Adult , Aged , Female , Gastroesophageal Reflux/complications , Humans , Male , Middle Aged , Retrospective StudiesABSTRACT
Appendicitis is the most common acute surgical condition affecting the abdomen. The manner of onset and location of pain depend, to a great extent, upon the different anatomical positions of the appendix and its proximity to the parietal peritoneum which senses the location of the inflammatory process. When perforation occurs, abscess formation or diffuse peritonitis may develop. We wish to report an unusually rare case of perforated appendicitis with abscess formation presenting clinically and radiologically as a sigmoid stricture.
Subject(s)
Appendicitis/diagnosis , Colon, Sigmoid , Abscess/etiology , Adult , Appendicitis/complications , Barium Sulfate , Colonic Diseases/diagnosis , Constriction, Pathologic , Diagnosis, Differential , Enema , Humans , Male , Rupture, SpontaneousSubject(s)
Appendectomy/adverse effects , Cecal Diseases/surgery , Endoscopy , Adult , Cecum , Humans , Male , Ulcer/surgerySubject(s)
Adenoma/diagnosis , Parathyroid Neoplasms/diagnosis , Ultrasonography , Adult , Evaluation Studies as Topic , Female , Humans , Male , Middle AgedSubject(s)
Adenoma/diagnosis , Duodenal Neoplasms/diagnosis , Endoscopy , Female , Humans , Middle AgedABSTRACT
Nonspecific duodenitis exists as a clinical entity distinct from duodenal ulcer disease. Duodenoscopic findings take two general forms: 1. nodularity and erythema, 2. erosions and friability. Both forms usually tend to improve with time but do not necessarily disappear. Although frequently a mild illness, the hemorrhagic erosive form of duodenitis is a potentially serious complication causing marked gastrointestinal bleeding and should be considered in patients taking aspirin-alcohol or following severe physiologic stress. Lastly, most patients initially seem to respond to anticholinergic, tranquilizer or antacid therapy but clinical correlation with long-term treatment will require controlled studies.
Subject(s)
Duodenal Diseases/pathology , Adult , Aged , Duodenal Diseases/diagnosis , Duodenal Diseases/drug therapy , Female , Humans , Inflammation , Male , Middle AgedSubject(s)
Duodenal Diseases/complications , Enteritis/complications , Gastrointestinal Hemorrhage/etiology , Adult , Aged , Female , Humans , Male , Middle AgedSubject(s)
Duodenal Diseases/diagnosis , Adult , Aged , Diazepam/therapeutic use , Duodenal Diseases/drug therapy , Duodenal Diseases/pathology , Endoscopy , Enteritis/diagnosis , Female , Humans , Male , Middle AgedSubject(s)
Endoscopy , Foreign Bodies/therapy , Stomach , Adult , Female , Fiber Optic Technology , HumansSubject(s)
Agammaglobulinemia/complications , Celiac Disease/complications , Adult , Agammaglobulinemia/diagnosis , Celiac Disease/diagnosis , Celiac Disease/pathology , Celiac Disease/therapy , Diet Therapy , Humans , Immunoglobulins/analysis , Intestinal Mucosa/pathology , Male , Tetracycline/therapeutic use , gamma-Globulins/analysisABSTRACT
Because of the potential relationship of increased urinary crystalloid excretion and concentration to stone formation, urinary calcium and uric acid excretion patterns were studied prospectively in 65 patients with inflammatory bowel disease and compared with excretion patterns in patients with functional bowel disease (controls) receiving similar dietary prescriptions. Mean 24-hr urinary calcium excretion was higher in both ulcerative colitis (212 mg, p <0.02) and granulomatous bowel disease (168 mg, p = n.s.) than in controls (118 mg). Urinary calcium excretion exceeded 250 mg/24 hr in 11 of 34 patients with inflammatory bowel disease but in none of the controls. Eight of these 34 patients compared with one of 10 controls excreted urine with calcium concentrations greater than 20 mg/100 ml. Mean 24-hr uric acid excretion was slightly higher in granulomatous bowel disease (520 mg) than in ulcerative colitis (450 mg) or functional bowel disease (451 mg). Eight patients with inflammatory bowel disease but no control subject excreted > 700 mg. The mean urinary uric acid concentration was significantly higher in ulcerative colitis (538 mug/ml, p <0.05) and granulomatous bowel disease (558 mug/ml, p <0.02) than in controls (338 mug/ml). The mean morning urine pH was lower (5.5, p <0.01) in ulcerative colitis than in the other groups.These results indicate increased excretion and higher concentration of calcium and uric acid in some patients with inflammatory bowel disease on the usual treatment programmes. Only very long-term prospective studies of such patients can help to document the true contribution of increased crystalloid concentration and excretion to kidney stone formation in inflammatory bowel disease patients.