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3,100 | 4,026 | Witzel pneumatic dilation for achalasia: safety and long-term efficacy
Forceful dilation of the lower esophageal sphincter is considered primary therapy for achalasia.
The Witzel pneumatic balloon dilator, unlike fluoroscopically placed dilators, is placed over a standard gastroscope allowing positioning and dilatio... | C06 |
3,101 | 690 | Diagnostic value of brush cytology in the diagnosis of bile duct carcinoma: a study in 65 patients with bile duct strictures.
Malignant strictures of the extrahepatic bile ducts are difficult to distinguish from benign strictures, particularly in patients with primary sclerosing cholangitis.
Because attempts at diagn... | C06 |
3,102 | 8,157 | Stress-related mucosal damage: review of drug therapy.
The increased awareness of stress-related mucosal damage (SRMD) that accompanied the widespread use of fiberoptic endoscopy and the increased incidence of SRMD that accompanied the advances in caring for critically ill patients resulted in the recognition that the... | C06 |
3,103 | 5,488 | Aspiration in bilateral stroke patients.
Seventy patients with bilateral strokes underwent neurologic and videofluoroscopic barium swallowing examinations; 34 (48.6%) aspirated.
Patients with aspiration were more likely to have posterior circulation strokes, abnormal cough, abnormal gag, and dysphonia.
However, pati... | C06 |
3,104 | 8,456 | Surgery for acute and chronic cholecystitis.
Cholecystostomy and cholecystectomy remain appropriate and effective therapy for acute and chronic cholecystitis.
Cholecystectomy is the gold standard against which all alternative methods of treatment of inflammatory biliary stone disease should be judged.
The pathogenes... | C06 |
3,105 | 4,624 | Evaluation of WC3 rotavirus vaccine and correlates of protection in healthy infants.
The safety, immunogenicity, and efficacy of WC3 rotavirus vaccine was evaluated in a double-blind, placebo-controlled trial of healthy infants 2-12 months of age; 103 received one dose of vaccine and 103 received placebo.
Vaccination... | C06 |
3,106 | 6,742 | Cecal diverticulitis presented as a cecal tumor.
Seven patients diagnosed as having acute appendicitis were operated on and a cecal wall mass due to cecal diverticulitis was found.
In two patients the mass could not be separated from the cecal wall and right colectomy was performed.
In five patients, in whom the mas... | C06 |
3,107 | 635 | Comparison of omeprazole and cimetidine in reflux oesophagitis: symptomatic, endoscopic, and histological evaluations.
Symptomatic patients with endoscopically verified reflux oesophagitis were randomised to a double blind trial in which they received either omeprazole (20 mg once daily) or cimetidine (400 mg four tim... | C06 |
3,108 | 9,366 | Cholangiocarcinoma in association with multiple biliary microhamartomas.
The rarity of cholangiocarcinoma occurring in von Meyenburg complexes is well appreciated.
We describe the case of a 35-year-old man found to have cholangiocarcinoma in association with multiple biliary microhamartomas of the liver.
Areas of du... | C06 |
3,109 | 7,995 | Geographic variation of inflammatory bowel disease within the United States.
One approach to learn about possible environmental risks in inflammatory bowel disease relates to studying its geographic pattern of occurrence.
The geographic variation of inflammatory bowel disease within the United States was analyzed usi... | C06 |
3,110 | 426 | The freckle sign--an endoscopic feature of the cecum.
Mucosal spots, or "freckles," surrounding the appendiceal orifice are an endoscopic feature of the cecum.
These are clusters of 1 to 2 mm round or oval slightly raised spots, each with a pale center and an erythematous border.
They correlate microscopically with ... | C06 |
3,111 | 9,238 | Current status of duplex Doppler ultrasound in the examination of the abdominal vasculature.
Duplex Doppler ultrasound has come to play a central role in the diagnosis of a broad spectrum of vascular diseases such as carotid artery occlusive disease and deep vein thrombosis.
The role of duplex Doppler in the evaluati... | C06 |
3,112 | 8,156 | Cimetidine 800 mg twice daily for healing erosions and ulcers in gastroesophageal reflux disease.
Although H2-receptor antagonists have been the mainstay of therapy for gastroesophageal reflux disease (GERD), none of these agents has been approved by the FDA as effective in healing lesions.
Since proton pump inhibito... | C06 |
3,113 | 9,761 | Carbohydrate malabsorption. Its measurement and its contribution to diarrhea.
The major purpose of this research was to gain insight into the effect of carbohydrate malabsorption on fecal water output.
To do this we measured daily fecal output of total carbohydrate, reducing sugars, and organic acids (a product of ba... | C06 |
3,114 | 445 | Gastric dysrhythmias following pylorus-preserving pancreaticoduodenectomy. Possible mechanism for early delayed gastric emptying.
Transient delayed gastric emptying is reported as a frequent complication following pancreas-preserving pancreaticoduodenectomy (PPW).
We placed serosal electrodes on the stomach of a pati... | C06 |
3,115 | 9,694 | Esophageal adenocarcinoma in a patient with surgically treated achalasia.
Although squamous cell carcinoma of the esophagus occurs with increased incidence in primary achalasia, esophageal adenocarcinoma has been considered rare in this condition.
We report a patient with long-standing achalasia in whom adenocarcinom... | C06 |
3,116 | 5,550 | Pelvic pain and infections.
Infectious etiologies of both acute and chronic pelvic pain are common and may involve multiple organ systems.
In the evaluation of the acute pain, it is important to remember that rapidity of diagnosis is important because of the possibility of significant morbidity and even death if a co... | C06 |
3,117 | 2,967 | Risk of gastric cancer after gastric surgery for benign disorders.
The objective of this review was to evaluate published evidence for the association between gastric resection for benign disorders and subsequent cancer of the gastric remnant.
We searched the literature through Medline (1970 to 1988) and through the ... | C06 |
3,118 | 8,464 | Congenital biliary tract disease.
Jaundice in the pediatric patient requires prompt and directed evaluation.
This dictum is highlighted in infants with biliary atresia, in whom the progressive sclerosing process results in complete obliteration of patent but microscopic hilar biliary structures by 4 months of age.
K... | C06 |
3,119 | 9,684 | Pyloric deformation from peptic disease. Radiographic evidence for incompetence rather than obstruction.
We have used double-contrast radiographic techniques to clarify what changes in the configuration and movements of the gastroduodenal junction result when peptic lesions involve the distal gastric segment between t... | C06 |
3,120 | 6,422 | Hemoperitoneum as a result of coital injury without associated vaginal injury.
Hemoperitoneum as a result of coital injury without associated vaginal injury is an extremely rare entity, and evidence by only five cases that have been reported in the medical literature to date.
We report five additional cases encounter... | C06 |
3,121 | 7,594 | Genital and anal conditions confused with child sexual abuse trauma.
Examination of a child with genital or anal disease may give rise to suspicion of sexual abuse.
Dermatologic, traumatic, infectious, and congenital disorders may be confused with sexual abuse.
Seven children referred to us are representative of suc... | C06 |
3,122 | 6,298 | Inflammatory myofibroblastic tumor (plasma cell granuloma). Clinicopathologic study of 20 cases with immunohistochemical and ultrastructural observations.
Twenty cases of inflammatory myofibroblastic tumor (IMT) were studied; 19 involved the lung and 1 the esophagus only.
The patients' ages ranged from 3 to 72 years.... | C06 |
3,123 | 3,090 | Endocrine consequences of alcohol abuse.
The recognized endocrine consequences of alcohol abuse are reviewed on an organ by organ basis.
The organ systems for which the most information is available (liver, heart, brain) are presented first followed by those where the information base is less. | C06 |
3,124 | 6,902 | Congenital tracheoesophageal fistula associated with carcinoma of the lung in an adult.
A rare case of adult congenital H-type tracheoesophageal fistula was diagnosed.
Subsequently, at operation, large cell, undifferentiated carcinoma of the right middle lobe with extension to the right lobe and adherence to the diap... | C06 |
3,125 | 9,668 | The Indian experience with hypertrophic pyloric stenosis.
A study of 58 consecutive Indian infants operated for congenital hypertrophic pyloric stenosis revealed an accentuated male predominance in the incidence of the disease and far less preoperative hemetemesis as compared to that in their Western counterparts.
'P... | C06 |
3,126 | 4,517 | Crohn's disease: what about the pancreas? [editorial]
Crohn's disease (CD) is now accepted as a systemic illness.
The importance of extraintestinal manifestations is underlined by the fact that such "complications" can be more prominent and even more difficult to control than the intestinal disease itself.
Lately, e... | C06 |
3,127 | 4,042 | Human hepatic regenerative stimulator substance: partial purification and biological characterization of hepatic stimulator substance from human fetal liver cells.
Current support or replacement therapies for fulminant acute hepatic failure are frequently very disappointing.
In this study, human hepatic stimulator su... | C06 |
3,128 | 8,004 | Conjugates of ursodeoxycholate protect against cholestasis and hepatocellular necrosis caused by more hydrophobic bile salts. In vivo studies in the rat.
The protective effect of ursodeoxycholate conjugates against bile salt hepatotoxicity was studied in chronic bile fistula rats.
Taurochenodeoxycholate or taurodeoxy... | C06 |
3,129 | 2,447 | Disseminated, nonmeningeal gastrointestinal cryptococcal infection in an HIV-negative patient.
Gastrointestinal cryptococcosis is extremely rare, especially in patients with no involvement of the central nervous system.
We describe a 63-yr-old man undergoing prednisone therapy for chronic hepatitis and cirrhosis who ... | C06 |
3,130 | 6,848 | Acquired benign esophagorespiratory fistula: report of 16 consecutive cases.
Sixteen cases of acquired benign esophagorespiratory fistula were treated in a 20-year period.
A delay in diagnosis was usual, and most patients were first seen with a pulmonary infection already developed.
Contrast esophageal x-ray studies... | C06 |
3,131 | 977 | Effect of epidermal growth factor in combination with sucralfate or omeprazole on the healing of chronic gastric ulcers in the rat.
Epidermal growth factor (EGF) has been shown to enhance healing of experimental gastric ulcers when given subcutaneously or orally in the drinking water.
This effect of EGF occurs withou... | C06 |
3,132 | 9,689 | Endoscopic comparison of cimetidine and sucralfate for prevention of naproxen-induced acute gastroduodenal injury. Effect of scoring method.
Nonsteroidal antiinflammatory drug-induced gastroduodenal mucosal damage observed endoscopically is usually categorized as hemorrhages, erosions, or ulcerations.
We undertook th... | C06 |
3,133 | 2,926 | The role of prostanoids in the production of acute acalculous cholecystitis by platelet-activating factor.
Gallbladder tissue from patients with acute acalculous cholecystitis contains increased amounts of prostanoids when compared to normal gallbladder tissue.
Platelet-activating factor (PAF) is a potent stimulus of... | C06 |
3,134 | 3,987 | Acute and chronic stress in duodenal ulcer disease.
Acute and chronic life event stressors were objectively assessed in a sample of duodenal ulcer patients and community controls.
Stress was assessed on two dimensions, "personal threat" and "goal frustration." Chronic stressors (those of 6 months' duration or more) i... | C06 |
3,135 | 3,031 | Blunt intestinal injury. Keys to diagnosis and management.
Fifty-six patients with blunt intestinal injury seen during 39 months were reviewed for keys to diagnosis and treatment.
Motor vehicle accidents were involved in 80% of the cases and seat/lap belts were in use 69% of the time.
Blunt intestinal injury was the... | C06 |
3,136 | 9,136 | Complete jejunoileal necrosis due to torsion of the superior mesenteric artery.
We have reported a case of small-bowel volvulus in which complete jejunoileal necrosis resulted from torsion of the superior mesenteric artery.
This case was unusual not only because of the extent of necrosis but also because primary smal... | C06 |
3,137 | 6,467 | A clinicopathologic study of the eyes in familial adenomatous polyposis with extracolonic manifestations (Gardner's syndrome).
The eyes of a 51-year-old woman with familial adenomatous polyposis and extracolonic manifestations (Gardner's syndrome) were obtained postmortem and studied by light microscopy and by transmi... | C06 |
3,138 | 2,263 | Pleuropulmonary manifestations of hepatic amebiasis
Pleuropulmonary manifestations of hepatic amebiasis occurred in 30 patients; 18 (60%) presented with at least 1 pulmonary complaint and 10 (33%) had multiple pulmonary symptoms.
In 14 patients (47%), abnormalities were found on examination of the chest.
In 16 ches... | C06 |
3,139 | 8,459 | Nonoperative management of bile duct stones.
The treatment of choice for most retained bile duct stones is by nonoperative means.
If a T-tube is in place, percutaneous techniques via the T-tract are indicated.
Percutaneous access via puncture of a Roux-en-Y loop is also practical.
In the absence of a T-tube, retrog... | C06 |
3,140 | 4,626 | Properties of strains of Escherichia coli O26:H11 in relation to their enteropathogenic or enterohemorrhagic classification.
Thirty-seven strains of Escherichia coli O26:H11 from infants and calves with diarrhea were examined for properties associated with enteropathogenic (EPEC) or enterohemorrhagic E.
coli (EHEC).
... | C06 |
3,141 | 9,175 | Hemodynamic changes in splenic blood flow during and after distal splenorenal shunt.
The purpose of this study was to examine the hemodynamic changes of the spleen and the subsequent influence on the numbers of blood cells both during and 1 month after distal splenorenal shunt (DSRS) with splenopancreatic disconnectio... | C06 |
3,142 | 3,806 | Corticosteroid treatment reduces mast cell numbers in inflammatory bowel disease.
Mast cell degranulation in the gut causes mucus secretion, mucosal edema, and increased gut permeability and may be responsible for some of the symptoms and signs of inflammatory bowel disease.
We have used a novel monoclonal antibody (... | C06 |
3,143 | 4,417 | Abnormal cardiac sensitivity in patients with chest pain and normal coronary arteries.
The causes of chest pain in patients found to have angiographically normal coronary arteries during cardiac catheterization remain controversial.
Cardiac sensitivity to catheter manipulation, pacing at various stimulus intensities ... | C06 |
3,144 | 6,768 | Ondansetron compared with high-dose metoclopramide in prophylaxis of acute and delayed cisplatin-induced nausea and vomiting. A multicenter, randomized, double-blind, crossover study.
OBJECTIVE: To compare the efficacy and side effects of ondansetron with those of high-dose metoclopramide in treating acute and delayed... | C06 |
3,145 | 2,935 | Relief of tracheal compression by aortopexy.
We have performed aortopexy in 12 children with tracheal compression.
Six infants had compression secondary to a vascular anomaly (group 1), and the other 6 had previous repair of esophageal atresia (group 2).
Eleven of the 12 children are alive after a mean follow-up of ... | C06 |
3,146 | 9,522 | Complications of Tenckhoff catheters post removal.
Complications due to Tenckhoff catheters can occur at prolonged intervals after their removal.
From January 1979 to October 1989, 431 patients at our center began continuous ambulatory peritoneal dialysis (CAPD), 278 of whom subsequently transferred to another form o... | C06 |
3,147 | 8,155 | Gastroesophageal reflux disease: an update on management.
Gastroesophageal reflux is commonplace; all humans experience it.
For many patients, gastroesophageal reflux disease (GERD) is a manageable condition.
For others, GERD can progress to severe symptoms, inflammation, and disruption of the mucosal lining.
Effec... | C06 |
3,148 | 2,445 | Exacerbation of chronic active hepatitis type B after short-term corticosteroid therapy resulting in fatal liver failure.
The case of a 36-yr-old male with chronic active type B hepatitis in whom 4-wk prednisone therapy resulted in prolonged and fatal exacerbation of liver disease is described.
Thus, short-term corti... | C06 |
3,149 | 2,807 | Management of the acute abdomen complicating oral anticoagulation therapy.
Acute abdominal pain in the patient receiving oral anticoagulants poses a difficult diagnostic and therapeutic challenge.
We describe two cases of peritonitis requiring laparotomy in anticoagulated patients, and review 49 similar case reports ... | C06 |
3,150 | 2,919 | Congenital diaphragmatic hernia: impact of prostanoids in the perioperative period.
A prospective study of 10 neonates with congenital diaphragmatic hernia and five controls to determine the importance of prostanoid concentrations perioperatively and the relation with persistent pulmonary hypertension (PPH) is reporte... | C06 |
3,151 | 8,531 | Penetration of the pericardium by a gastric ulcer--survival after pericardiocentesis.
Elderly patients often have unusual manifestations of common illnesses.
We describe a geriatric patient having a pneumopericardium from pericardial penetration by a gastric ulcer.
Benign gastric ulceration causing perforation of th... | C06 |
3,152 | 9,703 | Epstein-Barr virus associated oesophageal ulcers in AIDS.
Epstein-Barr virus (EBV) associated ulceration has not previously been included in the differential diagnosis of oesophageal ulcers in AIDS.
We report five cases of oesophageal ulceration in homosexual men with advanced human immunodeficiency virus infection i... | C06 |
3,153 | 591 | Bile duct emptying in response to fat: a validation study.
Fatty meal sonography has been suggested to assess patients with biliary pain after cholecystectomy, but the effects of gallbladder removal on biliary dynamics has not been studied prospectively.
Before elective cholecystectomy, 25 patients had their common h... | C06 |
3,154 | 4,010 | Idiopathic biliary ductopenia in adults: a report of five cases.
The clinical and pathological findings of five adult cases of idiopathic nonsyndromatic paucity of interlobular bile ducts are reported.
Patients were 18-32 years old at the onset of the disease; four presented with pruritus and/or jaundice and one with... | C06 |
3,155 | 2,257 | From Leningrad to the day-care center. The ubiquitous Giardia lamblia.
Giardiasis is recognized as a worldwide public health problem.
Seroprevalence data from both the developing and developed world show high rates of carriage in populations at risk for fecal-oral transmission, such as children in day-care centers.
... | C06 |
3,156 | 2,010 | Segmented turboFLASH: method for breath-hold MR imaging of the liver with flexible contrast.
A method called segmented turboFLASH imaging allows high-resolution, multisection, short-inversion-time (TI) inversion-recovery (STIR), T1- or T2-weighted magnetic resonance (MR) studies of the liver to be completed within a b... | C06 |
3,157 | 6,354 | Adult and pediatric peritonitis rates in a home dialysis program: comparison of continuous ambulatory and continuous cycling peritoneal dialysis.
We reviewed our 115-month experience with continuous ambulatory peritoneal dialysis (CAPD) and continuous cycling peritoneal dialysis (CCPD) in adult and pediatric patients ... | C06 |
3,158 | 7,165 | Anal ulcerations due to cytomegalovirus in patients with AIDS. Report of six cases.
Lesions due to cytomegalovirus (CMV) are frequent in the immunocompromised patient.
This is particularly the case in patients with AIDS, where the colon and rectum are the regions most often involved.
The authors report six cases of ... | C06 |
3,159 | 434 | Short-term chemoprophylaxis with ceftizoxime vs. five-day aminoglycoside with metronidazole in 'contaminated' lower gastrointestinal surgery.
In a prospective, open, randomized controlled trial, 173 patients requiring surgery for potentially "contaminated" lower gastrointestinal surgery were allocated to receive eithe... | C06 |
3,160 | 2,529 | Pregnancy-induced hypertension and acute fatty liver of pregnancy: atypical presentations.
Severe pregnancy-induced hypertension and markedly elevated levels of serum alkaline phosphatase developed in a 29-year-old-woman in whom one pregnancy resulted in intrauterine death.
Acute fatty liver of pregnancy developed wi... | C06 |
3,161 | 996 | Pelvic pain: lessons from anatomy and physiology.
Pelvic pain is often a difficult differential diagnosis in the emergency department.
For physiologic reasons, pain in the pelvis is difficult to localize to a specific organ, and pelvic peritonitis is hard to recognize.
On the other hand, differences in types of pain... | C06 |
3,162 | 359 | Prospective trial comparing a combination pH probe-nasogastric tube with aspirated gastric pH in intensive care unit patients.
Upper GI bleeding related to stress ulcer syndrome is estimated to affect as much as 15% of patients in an ICU.
Since the occurrence of bleeding after ICU admission may be associated with inc... | C06 |
3,163 | 8,640 | Normal small bowel biopsy followed by coeliac disease.
We report four patients (two children, one adolescent, and one adult) having normal small bowel mucosa shown on a biopsy specimen taken before the initial diagnosis of coeliac disease was made.
The first biopsy was undertaken in two cases because of suspected mal... | C06 |
3,164 | 4,021 | Sphincter of Oddi manometry: decreased risk of clinical pancreatitis with use of a modified aspirating catheter.
This study was undertaken to determine whether routine use of a modified triple-lumen five French sphincter of Oddi manometry catheter would reduce the frequency and severity of post-manometry pancreatitis ... | C06 |
3,165 | 430 | The starved colon--diminished mucosal nutrition, diminished absorption, and colitis.
Nutrition of colonic epithelial cells is mainly from short chain fatty acids (SCFAs) produced by bacterial fermentation in the colonic lumen.
n-Butyrate contributes more carbon of oxidation to epithelial cells than glucose or glutami... | C06 |
3,166 | 4,007 | Microprocessor-assisted solvent-transfer system for gallstone dissolution. In vitro and in vivo validation.
To improve the efficacy, safety, and convenience of contact dissolution of gallbladder stones, a microprocessor-assisted solvent transfer system was developed.
The system's two pumps simultaneously infuse and a... | C06 |
3,167 | 5,267 | Increased cholecystectomy rates in Saudi Arabia
Gallstones have become increasingly prevalent in Saudi Arabia, where cholecystectomy is now one of the commonest major abdominal operations.
2854 people underwent cholecystectomy in the 14 hospitals of the country's Eastern Province in the years 1977 to 1986.
During t... | C06 |
3,168 | 4,535 | Morphological study of cholesterol hepatolithiasis. Report of three cases.
Three cases of pure cholesterol intrahepatic stones are compared morphologically to those of calcium bilirubinate stones.
Cholesterol stones were found in the intrahepatic bile duct of the left lateral lobe in two cases and in both the left la... | C06 |
3,169 | 8,763 | Response to treatment of detrusor instability in relation to psychoneurotic status.
A total of 53 females who entered a double-blind crossover trial of oxybutynin and placebo for idiopathic detrusor instability were questioned about life events and associated medical disorders and were given a psychometric test.
Thei... | C06 |
3,170 | 9,171 | Failure of hepatitis B immunization in liver transplant recipients: results of a prospective trial.
Twenty patients with advanced liver disease, in need of transplantation, were given three injections of 20 micrograms and three injections of 40 micrograms hepatitis B vaccine to see if an antibody response could be obt... | C06 |
3,171 | 2,429 | Comparison of coffee intake and coffee-induced symptoms in patients with duodenal ulcer, nonulcer dyspepsia, and normal controls.
Coffee and decaffeinated coffee stimulate acid secretion.
In addition, many patients experience dyspepsia after coffee ingestion.
Therefore, coffee is often prohibited by physicians in pa... | C06 |
3,172 | 5,687 | Colonoscopy in critically ill patients. What conditions call for it?
Indications for colonoscopy in the intensive care unit include acute lower intestinal bleeding, sigmoid volvulus, pseudo-obstruction of the colon, and suspicion of pseudomembranous colitis.
Although the incidence of cardiorespiratory complications m... | C06 |
3,173 | 3,995 | Glucose disposal, beta-cell secretion, and hepatic insulin extraction in cirrhosis: a minimal model assessment.
Factors controlling glucose metabolism after IV load were studied in nine patients with compensated cirrhosis and in six age-matched controls.
The time courses of glucose, insulin, and C peptide were analyz... | C06 |
3,174 | 569 | A small animal model of human Helicobacter pylori active chronic gastritis.
Isolation of a spiral-shaped bacterium closely related to Helicobacter pylori from the cat stomach made it possible to investigate new small animal models of gastric infection.
Pure cultures of this bacterium, provisionally named "Helicobacte... | C06 |
3,175 | 3,783 | Accumulation and pepsin solubility of collagens in the bowel of patients with Crohn's disease.
The collagen content of resected strictured intestine, with and without fistulas, from patients with Crohn's disease has been compared with that in macroscopically normal intestine removed from the same patients and from oth... | C06 |
3,176 | 6,833 | The acutely affected abdomen in paraplegic spinal cord injury patients.
The records of 145 paraplegic or quadriplegic patients were reviewed to identify those factors useful in the correct diagnosis of the acute abdomen in this population.
Twenty-one patients had 22 episodes of acute or subacute abdominal problems.
... | C06 |
3,177 | 9,478 | (A)typical symptoms during single needle dialysis.
In 5 elderly patients, an abnormally high occurrence of some symptoms was noted during dialysis.
All patients were dialyzed with biocompatible membranes, bicarbonate dialysate, and a blood flow of 250 to 300 ml/min by a single needle system, on a fistula 14 Gauge cat... | C06 |
3,178 | 9,625 | Pancreatic ischaemia in experimental acute pancreatitis: mechanism, significance and therapy.
Much clinical and experimental evidence suggests that pancreatic ischaemia in the early phase of acute pancreatitis is important in the development of pancreatic necrosis.
While depletion of intravascular volume has often be... | C06 |
3,179 | 9,639 | Gallstone clearance: a randomized study of extracorporeal shock wave lithotripsy and chemical dissolution
Following extracorporeal shock wave lithotripsy it is not known whether gallstone fragments are cleared from the gallbladder without the use of oral dissolution therapy.
To assess the efficacy of lithotripsy and... | C06 |
3,180 | 4,572 | Cellular immune response to hepatitis B virus-encoded antigens in acute and chronic hepatitis B virus infection.
The proliferative response of PBMC to hepatitis B virus (HBV) envelope, core, and e Ag was analyzed prospectively in 21 patients with acute self-limited HBV infection and compared with the response of patie... | C06 |
3,181 | 971 | "Healed" experimental gastric ulcers remain histologically and ultrastructurally abnormal.
The present study was designed to assess histologic and ultrastructural features of gastric mucosa in the areas of grossly healed ulcers (acetic acid-induced gastric ulcers) in rats.
The specific question we studied was whether... | C06 |
3,182 | 2,138 | Ascending cholangitis: surgery versus endoscopic or percutaneous drainage.
A retrospective review of 61 patients with calculous cholangitis was carried out.
There were 31 men and 30 women and their mean age was 75.8 years.
All patients had abdominal pain, 87% had chills and fever, 65% had clinical jaundice, 23% were... | C06 |
3,183 | 969 | Possible role of leukotrienes in gastritis associated with Campylobacter pylori.
This study was done to evaluate the role of leukotrienes (LTs) in gastritis associated with Campylobacter pylori.
Biopsy specimens of gastric mucosa were obtained endoscopically from 18 patients with nonulcer dyspepsia for bacteriologica... | C06 |
3,184 | 2,542 | Antenatal spontaneous perforation of the extrahepatic biliary tree.
Spontaneous perforation of the biliary system is an unusual neonatal phenomenon that is rarely recognized at birth.
To date, it has not been reported antenatally.
A 16-year-old pregnant adolescent had an ultrasonogram at 25 weeks of pregnancy that r... | C06 |
3,185 | 7,158 | A combined electromyographic and cineradiologic investigation in patients with defecation disorders.
Records from 20 patients on whom defecography and electromyography were performed simultaneously because of defecation disorders were analyzed.
According to the electromyographic investigation, the patients could be d... | C06 |
3,186 | 6,747 | Jejunal-rectal fistula as a complication of postoperative radiotherapy.
We present the case of a patient with an unusual, complex enteric fistula with multiple tracts and associated abscesses.
The fistula was a late complication of radiotherapy, administered three years earlier, after resection for carcinoma of the s... | C06 |
3,187 | 6,067 | The role of gastric resection in the management of multicentric argyrophil gastric carcinoids.
A patient with pernicious anemia, atrophic non-antral gastritis, hypergastrinemia, and widespread hyperplasia of enterochromaffin-like cells and manifest enterochromaffin-like cell carcinoma was followed up during 39 months,... | C06 |
3,188 | 2,810 | A five-year U.S. Army experience with 36,250 abdominal hernia repairs.
Thirty-six thousand two hundred fifty abdominal hernia repairs were performed in U.S.
Army medical treatment facilities during a five-year period.
This study presents data about the type of hernia, incidence of complications by obstruction or str... | C06 |
3,189 | 6,074 | Incisional parapubic hernias.
A parapubic hernia, distinct from other lower abdominal wall hernias, is identified as a particular type of incisional hernia.
This hernia results from the disruption of the musculotendinous elements of the abdominal wall as they insert into the pubis.
This disruption is brought about b... | C06 |
3,190 | 9,720 | Lipid peroxidation and hepatic antioxidants in alcoholic liver disease.
The generation of hepatic liver peroxidation by free radicals has been proposed as a mechanism for ethanol induced hepatotoxicity.
To investigate this hypothesis, lipid extracts from hepatic needle biopsy specimens from alcoholic subjects were ex... | C06 |
3,191 | 7,688 | Amelioration of cholinergic-induced pancreatitis with a selective cholecystokinin receptor antagonist.
Acute edematous pancreatitis follows excessive cholinergic stimulation in patients exposed to anticholinesterase-containing insecticides.
We describe the role of cholecystokinin and the benefits of cholecystokinin r... | C06 |
3,192 | 8,020 | Screening colonoscopy in asymptomatic average-risk persons with negative fecal occult blood tests.
Colonoscopy was performed on 210 asymptomatic average-risk persons, aged 50-75 years, who had negative fecal occult blood test results.
Colonoscopy was complete to the cecum in 209 subjects.
Fifty-three subjects (25%) ... | C06 |
3,193 | 6,020 | Traumatic diaphragmatic hernia and intestinal obstruction due to penetrating trunk wounds.
We have reported two cases of intestinal obstruction due to traumatic diaphragmatic hernia, both resulting from apparently trivial knife wounds.
When TDH is due to a penetrating injury, it tends to produce symptoms of intestina... | C06 |
3,194 | 2,460 | Peritoneal dialysis in the geriatric patient.
Elderly patients on chronic peritoneal dialysis (CPD) from two large chronic peritoneal dialysis programs were compared with younger patients in regard to peritonitis rates, catheter problems, hospital days, transfers to other forms of therapy, and mortality.
Peritonitis ... | C06 |
3,195 | 8,660 | Reproducibility of 24 hour oesophageal pH studies in infants.
Thirteen infants who had undergone 24 hour oesophageal pH monitoring to diagnose gastro-oesophageal reflux had a second study carried out to see if the results were reproducible.
The studies were done without restricting the babies' activities.
Appreciabl... | C06 |
3,196 | 628 | Inter- and intraindividual variation in pressure-volume relations of the rectum in normal subjects and patients with the irritable bowel syndrome.
The relation between intrarectal volume and pressure during increasing rectal distension by a latex balloon were studied on repeated occasions in 10 healthy adult volunteer... | C06 |
3,197 | 3,792 | Plasma neurotransmitters and cortisol in duodenal ulcer patients. Role of stress.
Levels of noradrenaline, adrenaline, dopamine, free serotonin, platelet serotonin, and cortisol were measured in the plasma of duodenal ulcer patients and controls.
All subjects received antacids, and these substances were also measured... | C06 |
3,198 | 396 | Esophageal contribution to chest pain in patients with coronary artery disease.
We conducted a prospective study to determine the role of the esophagus in causing chest pain in patients with established CAD on optimum therapy.
Thirty-two men with documented CAD who complained of frequent and usually daily retrosterna... | C06 |
3,199 | 604 | Endoscopic cholangiopancreatography in hepatic clonorchiasis--a follow-up study.
Cholangiographic changes of the biliary system in 16 patients with proven hepatic clonorchiasis, diagnosed by positive stool or bile ova isolates, were studied.
All patients presented with epigastric pain.
Other symptoms included jaundi... | C06 |
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