Cryptosporidium, chronic diarrhoea and the proximal small intestinal mucosa.

Abstract:

:The association between Cryptosporidium, chronic diarrhoea and a proximal small intestinal mucosal enteropathy was reviewed over a six and a half year period. One hundred and twenty three children with cryptosporidiosis and no clinical evidence of immune deficiency were identified. 50% of children excreting only Cryptosporidium had chronic diarrhoea. Most cases (63%) of chronic diarrhoea occurred in the first two years of life. A mild to moderate enteropathy was present in all nine children undergoing a small intestinal biopsy and seven showed the presence of Cryptosporidium adhering to villous epithelium. All patients eventually recovered spontaneously. Cryptosporidium is a cause of chronic diarrhoea and a proximal small intestinal mucosal enteropathy in children without immune deficiency. Screening for the parasite should be part of the investigative procedures in children with chronic diarrhoea.

journal_name

Gut

journal_title

Gut

authors

Phillips AD,Thomas AG,Walker-Smith JA

doi

10.1136/gut.33.8.1057

keywords:

subject

Has Abstract

pub_date

1992-08-01 00:00:00

pages

1057-61

issue

8

eissn

0017-5749

issn

1468-3288

journal_volume

33

pub_type

杂志文章

相关文献

GUT文献大全
  • Activated eosinophils in adult coeliac disease: evidence for a local release of major basic protein.

    abstract::The eosinophil population is increased in the jejunal mucosa of patients with coeliac disease. Eosinophils may participate in the mucosal damage by releasing their granule components that have cytotoxic properties such as eosinophil cationic protein (ECP) and major basic protein (MBP). This study aimed to assess the p...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gut.33.9.1190

    authors: Colombel JF,Torpier G,Janin A,Klein O,Cortot A,Capron M

    更新日期:1992-09-01 00:00:00

  • Fatty acid ethyl ester synthase inhibition ameliorates ethanol-induced Ca2+-dependent mitochondrial dysfunction and acute pancreatitis.

    abstract:OBJECTIVE:Non-oxidative metabolism of ethanol (NOME) produces fatty acid ethyl esters (FAEEs) via carboxylester lipase (CEL) and other enzyme action implicated in mitochondrial injury and acute pancreatitis (AP). This study investigated the relative importance of oxidative and non-oxidative pathways in mitochondrial dy...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gutjnl-2012-304058

    authors: Huang W,Booth DM,Cane MC,Chvanov M,Javed MA,Elliott VL,Armstrong JA,Dingsdale H,Cash N,Li Y,Greenhalf W,Mukherjee R,Kaphalia BS,Jaffar M,Petersen OH,Tepikin AV,Sutton R,Criddle DN

    更新日期:2014-08-01 00:00:00

  • Differential preventive activity of sulindac and atorvastatin in Apc+/Min-FCCCmice with or without colorectal adenomas.

    abstract:OBJECTIVE:The response of subjects to preventive intervention is heterogeneous. The goal of this study was to determine if the efficacy of a chemopreventive agent differs in non-tumour-bearing animals versus those with colorectal tumours. Sulindac and/or atorvastatin was administered to Apc+/Min-FCCC mice with known tu...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gutjnl-2017-313942

    authors: Chang WL,Jackson C,Riel S,Cooper HS,Devarajan K,Hensley HH,Zhou Y,Vanderveer LA,Nguyen MT,Clapper ML

    更新日期:2018-07-01 00:00:00

  • Effect of ranitidine bismuth citrate on postprandial plasma gastrin and pepsinogens.

    abstract::Ranitidine bismuth citrate was compared with an equipotent dose of ranitidine, to determine whether the former, by an anti-Helicobacter pylori activity, would counteract the rise of gastrin resulting from ranitidine's gastric acid antisecretory activity. Twenty four men with duodenal ulcers were studied before and on ...

    journal_title:Gut

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1136/gut.34.3.338

    authors: Fraser AG,Lam WM,Luk YW,Sercombe J,Sawyerr AM,Hudson M,Samloff IM,Pounder RE

    更新日期:1993-03-01 00:00:00

  • Enterochromaffin cell and 5-hydroxytryptamine responses to the same infectious agent differ in Th1 and Th2 dominant environments.

    abstract:BACKGROUND/AIM:5-Hydroxytryptamine (5-HT) released from enterochromaffin cells influences intestinal homeostasis by altering gut physiology and is implicated in the pathophysiology of various gut disorders. The mechanisms regulating 5-HT production in the gut remain unclear. This study investigated the T helper (Th) 1/...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gut.2007.129296

    authors: Motomura Y,Ghia JE,Wang H,Akiho H,El-Sharkawy RT,Collins M,Wan Y,McLaughlin JT,Khan WI

    更新日期:2008-04-01 00:00:00

  • CDP571, a humanised monoclonal antibody to tumour necrosis factor alpha, for moderate to severe Crohn's disease: a randomised, double blind, placebo controlled trial.

    abstract:BACKGROUND:Targeting tumour necrosis factor alpha (TNF-alpha) has demonstrated efficacy in Crohn's disease. AIM:To evaluate CDP571, a humanised antibody to TNF-alpha, for treating active Crohn's disease. PATIENTS:A total of 396 patients with moderate to severe Crohn's disease. METHODS:In a 28 week, randomised, doubl...

    journal_title:Gut

    pub_type: 临床试验,杂志文章,多中心研究,随机对照试验

    doi:10.1136/gut.2003.035253

    authors: Sandborn WJ,Feagan BG,Radford-Smith G,Kovacs A,Enns R,Innes A,Patel J

    更新日期:2004-10-01 00:00:00

  • Lipid peroxidation in rats chronically fed ethanol.

    abstract::Chronic alcohol consumption induces cytochrome P450IIE1, enabling habitual abusers to consume far greater quantities of alcohol than normal subjects. This pathway of metabolism leads to the production of free radical species, which cause tissue damage through peroxidation of cell membranes. Groups of Wistar rats of eq...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gut.35.11.1644

    authors: Teare JP,Greenfield SM,Watson D,Punchard NA,Miller N,Rice-Evans CA,Thompson RP

    更新日期:1994-11-01 00:00:00

  • Brain-derived neurotrophic factor contributes to abdominal pain in irritable bowel syndrome.

    abstract:OBJECTIVE:Brain-derived neurotrophic factor (BDNF), a member of the neurotrophin family, may play a critical role in many chronic pain conditions. The possible involvement of BDNF in the altered gut sensation in patients with irritable bowel syndrome (IBS) was investigated in the present study. METHODS:Rectosigmoid bi...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gutjnl-2011-300265

    authors: Yu YB,Zuo XL,Zhao QJ,Chen FX,Yang J,Dong YY,Wang P,Li YQ

    更新日期:2012-05-01 00:00:00

  • Clonal chromosomal abnormalities in congenital bile duct dilatation (Caroli's disease).

    abstract:BACKGROUND:Caroli's disease is a rare congenital disorder characterised by cystic dilatation of the intrahepatic bile ducts and an increased risk of cholangiocellular carcinoma. The cause is unknown, but occasional familial clustering suggests that some cases are inherited, in particular when occurring in association w...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gut.45.5.780

    authors: Parada LA,Hallén M,Hägerstrand I,Tranberg KG,Johansson B

    更新日期:1999-11-01 00:00:00

  • Inflammatory gradient in Barrett's oesophagus: implications for disease complications.

    abstract:INTRODUCTION:Barrett's oesophageal epithelium (BE) is clinically important due to the associated inflammatory and malignant complications which are unevenly distributed throughout the BE segment. As the immunoregulatory environment may influence disease manifestations, we analysed the inflammatory and cytokine response...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gut.51.3.316

    authors: Fitzgerald RC,Abdalla S,Onwuegbusi BA,Sirieix P,Saeed IT,Burnham WR,Farthing MJ

    更新日期:2002-09-01 00:00:00

  • Factors influencing morbidity and mortality in acute pancreatitis; an analysis of 279 cases.

    abstract::Of 279 patients admitted to a specialist unit with acute pancreatitis, 210 were admitted directly and 69 were transferred for treatment of local or systemic complications. Outcome was assessed in terms of mortality and morbidity and in relation to aetiology, predicted severity of disease (modified Glasgow score), orga...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gut.37.1.121

    authors: de Beaux AC,Palmer KR,Carter DC

    更新日期:1995-07-01 00:00:00

  • Modulation of human dendritic cell phenotype and function by probiotic bacteria.

    abstract:BACKGROUND:"Probiotic" bacteria are effective in treating some inflammatory bowel diseases. However which bacteria confer benefit and mechanisms of action remain poorly defined. Dendritic cells, which are pivotal in early bacterial recognition, tolerance induction, and shaping of T cell responses, may be central in med...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gut.2003.037325

    authors: Hart AL,Lammers K,Brigidi P,Vitali B,Rizzello F,Gionchetti P,Campieri M,Kamm MA,Knight SC,Stagg AJ

    更新日期:2004-11-01 00:00:00

  • Evaluation of the efficacy and safety of flumazenil in the treatment of portal systemic encephalopathy: a double blind, randomised, placebo controlled multicentre study.

    abstract:BACKGROUND:Portal systemic encephalopathy (PSE) is a complex neuropsychiatric syndrome associated with hepatic failure. Small scale studies have shown the benzodiazepine receptor antagonist flumazenil to be effective in ameliorating PSE. AIMS:To determine the efficacy of flumazenil in patients with non-comatous mild t...

    journal_title:Gut

    pub_type: 临床试验,杂志文章,多中心研究,随机对照试验

    doi:10.1136/gut.39.2.319

    authors: Gyr K,Meier R,Häussler J,Boulétreau P,Fleig WE,Gatta A,Holstege A,Pomier-Layrargues G,Schalm SW,Groeneweg M,Scollo-Lavizzari G,Ventura E,Zeneroli ML,Williams R,Yoo Y,Amrein R

    更新日期:1996-08-01 00:00:00

  • Influence of nutritional status on immune functions in patients with Crohn's disease.

    abstract::Nutritional status and immune function were correlated with clinical features in 56 patients with Crohn's disease. These were divided arbitrarily into either undernourished or well nourished groups according to whether their midarm circumference was below or above 90% of ideal standard. Results were also compared with...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gut.25.5.465

    authors: Harries AD,Danis VA,Heatley RV

    更新日期:1984-05-01 00:00:00

  • Adenoma detection with cap-assisted colonoscopy versus regular colonoscopy: a randomised controlled trial.

    abstract:OBJECTIVE:Conventional colonoscopy (CC) is considered the reference standard for detection of colorectal neoplasia, but it can still miss a substantial number of adenomas. The use of a transparent plastic cap may improve colonic visualisation. Cap-assisted colonoscopy (CAC) was compared with CC for adenoma detection. S...

    journal_title:Gut

    pub_type: 杂志文章,多中心研究,随机对照试验

    doi:10.1136/gutjnl-2011-301327

    authors: de Wijkerslooth TR,Stoop EM,Bossuyt PM,Mathus-Vliegen EM,Dees J,Tytgat KM,van Leerdam ME,Fockens P,Kuipers EJ,Dekker E

    更新日期:2012-10-01 00:00:00

  • Campylobacter colitis: histological immunohistochemical and ultrastructural findings.

    abstract::The colonic biopsy specimens of 22 patients with colitis and positive stool cultures for Campylobacter jejuni were studied in order to obtain histological and immunohistochemical criteria to differentiate Campylobacter colitis from chronic inflammatory bowel disease. In addition we tried to identify Campylobacter incl...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gut.26.9.945

    authors: van Spreeuwel JP,Duursma GC,Meijer CJ,Bax R,Rosekrans PC,Lindeman J

    更新日期:1985-09-01 00:00:00

  • Peptic ulcer bleeding: accessory risk factors and interactions with non-steroidal anti-inflammatory drugs.

    abstract:AIMS:To determine risk factors for peptic ulcer bleeding other than non-steroidal anti-inflammatory drugs (NSAIDs). Methods-Data on possible antecedent risk factors obtained in a large case control study of 1121 patients admitted to hospitals in Glasgow, Newcastle, Nottingham, Oxford, and Portsmouth with bleeding pepti...

    journal_title:Gut

    pub_type: 杂志文章,多中心研究

    doi:10.1136/gut.46.1.27

    authors: Weil J,Langman MJ,Wainwright P,Lawson DH,Rawlins M,Logan RF,Brown TP,Vessey MP,Murphy M,Colin-Jones DG

    更新日期:2000-01-01 00:00:00

  • Immunoelectrophoretic studies on human small intestinal brush border proteins: cellular alterations in the levels of brush border enzymes after jejunoileal bypass operation.

    abstract::The amounts of lactase (EC 3.2.1.23), sucrase (EC 3.2.1.48), maltase (EC 3.2.1.20), microvillus aminopeptidase (microsomal EC3.4.11.2), and dipeptidyl peptidase IV (EC 3.4.14.X) in biopsies from proximal jejunum and distal ileum were studied by quantitative crossed immunoelectrophoresis and enzymatic assays in obese p...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gut.21.8.662

    authors: Skovbjerg H,Gudmand-Høyer E,Norén O,Sjöström H

    更新日期:1980-08-01 00:00:00

  • A ne method for studying gut transit times using radioopaque markers.

    abstract::A simple technique for measuring gastrointestinal transit times using radioopaque pellets of barium-impregnated polythene has been developed and validated. A normal range has been established by studying 25 normal subjects; all passed the first marker within three days and most passed 80% of the markers within five da...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gut.10.10.842

    authors: Hinton JM,Lennard-Jones JE,Young AC

    更新日期:1969-10-01 00:00:00

  • Why portal hypertensive varices bleed and bleed: a hypothesis.

    abstract::Continued bleeding or early rebleeding is associated with a poor prognosis in patients with variceal haemorrhage. It is not clear why bleeding stops in some patients and continues or restarts in others. It is suggested that secondary haemodynamic changes in the splanchnic circulation after a bleed may contribute to th...

    journal_title:Gut

    pub_type: 杂志文章,评审

    doi:10.1136/gut.36.1.100

    authors: McCormick PA,Jenkins SA,McIntyre N,Burroughs AK

    更新日期:1995-01-01 00:00:00

  • Effect of ursodeoxycholic acid on methionine adenosyltransferase activity and hepatic glutathione metabolism in rats.

    abstract:BACKGROUND AND AIMS:Both bile salts and glutathione participate in the generation of canalicular bile flow. In this work, we have investigated the effect of different bile salts on hepatic glutathione metabolism. METHODS:Using the isolated and perfused rat liver, we studied hepatic glutathione content, and metabolism ...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gut.50.5.701

    authors: Rodríguez-Ortigosa CM,Cincu RN,Sanz S,Ruiz F,Quiroga J,Prieto J

    更新日期:2002-05-01 00:00:00

  • Absence of Fer protein tyrosine kinase exacerbates endotoxin induced intestinal epithelial barrier dysfunction in vivo.

    abstract:BACKGROUND AND AIMS:Fer kinase is activated by a number of growth factors and cytokines, and phosphorylates cortactin during cell shape change induced cortical actin reorganisation. In addition, Fer participates in cytoskeletal interactions mediated by cadherins, platelet endothelial cell adhesion molecule 1 (PECAM-1),...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gut.2004.061887

    authors: Qi W,Ebbert KV,Craig AW,Greer PA,McCafferty DM

    更新日期:2005-08-01 00:00:00

  • Personalised surveillance for serrated polyposis syndrome: results from a prospective 5-year international cohort study.

    abstract:BACKGROUND AND AIMS:Serrated polyposis syndrome (SPS) is associated with an increased risk of colorectal cancer (CRC). International guidelines recommend surveillance intervals of 1-2 years. However, yearly surveillance likely leads to overtreatment for many. We prospectively assessed a surveillance protocol aiming to ...

    journal_title:Gut

    pub_type: 临床试验,杂志文章,多中心研究

    doi:10.1136/gutjnl-2018-318134

    authors: Bleijenberg AG,IJspeert JE,van Herwaarden YJ,Carballal S,Pellisé M,Jung G,Bisseling TM,Nagtegaal ID,van Leerdam ME,van Lelyveld N,Bessa X,Rodríguez-Moranta F,Bastiaansen B,de Klaver W,Rivero L,Spaander MC,Koornstra JJ,B

    更新日期:2020-01-01 00:00:00

  • Distribution and metabolism in healthy volunteers of disodium azodisalicylate, a potential therapeutic agent for ulcerative colitis.

    abstract::A series of experiments has been performed in healthy male volunteers to investigate the disposition of orally administered disodium azodisalicylate, a potentially useful drug for the treatment of ulcerative colitis. The drug was given by mouth in doses of up to 2 g a day for six weeks and there were no adverse effect...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gut.23.12.1081

    authors: Willoughby CP,Aronson JK,Agback H,Bodin NO,Truelove SC

    更新日期:1982-12-01 00:00:00

  • MIP-2 secreted by epithelial cells increases neutrophil and lymphocyte recruitment in the mouse intestine.

    abstract:BACKGROUND:Invasion of the intestinal mucosa by leucocytes is a characteristic of intestinal inflammation but the role of the epithelium in orchestrating this recruitment has not been examined in vivo. Cultured intestinal epithelial cells secrete a wide variety of chemokines, often in response to agents present in the ...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gut.49.4.526

    authors: Ohtsuka Y,Lee J,Stamm DS,Sanderson IR

    更新日期:2001-10-01 00:00:00

  • Interval sampling of end-expiratory hydrogen (H2) concentrations to quantify carbohydrate malabsorption by means of lactulose standards.

    abstract::Lactulose H2 breath tests are widely used for quantifying carbohydrate malabsorption, but the validity of the commonly used technique (interval sampling of H2 concentrations) has not been systematically investigated. In eight healthy adults we studied the reproducibility of the technique and the accuracy with which 5 ...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gut.31.1.37

    authors: Rumessen JJ,Hamberg O,Gudmand-Høyer E

    更新日期:1990-01-01 00:00:00

  • Gli1, downregulated in colorectal cancers, inhibits proliferation of colon cancer cells involving Wnt signalling activation.

    abstract:BACKGROUND:Early events in the progression of 90% of sporadic colorectal cancers depend on constitutive activation of Wnt signalling. Recent data also indicate a close association between the Hedgehog (Hh) and Wnt pathways in colonic epithelial cell differentiation. AIMS:To investigate whether expression of Gli1, a tr...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gut.2005.080333

    authors: Akiyoshi T,Nakamura M,Koga K,Nakashima H,Yao T,Tsuneyoshi M,Tanaka M,Katano M

    更新日期:2006-07-01 00:00:00

  • Studies on the effect of vagotomy on small intestinal motility using the radiotelemetering capsule.

    abstract::The radio-telemetering capsule (radio-pill) has been used to study the return of motility in the small bowel after vagotomy with a drainage procedure, gastric operations not involving vagotomy, and non-gastric operations. Small intestinal movements returned in about 10 hours after vagotomy, about four hours after the ...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gut.4.1.77

    authors: ROSS B,WATSON BW,KAY AW

    更新日期:1963-03-01 00:00:00

  • Aminoacid constitution of two gastrins isolated from Zollinger-Ellison tumour tissue.

    abstract::Two peptides which are potent stimulants of gastric acid secretion are isolated from Zollinger-Ellison tumour tissue. They have aminoacid constitutions identical with those of human gastrin types I and II as isolated from human antral mucosa, and they are present in similar proportions. Their electrophoretic and chrom...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gut.10.8.603

    authors: Gregory RA,Tracy HJ,Agarwal KL,Grossman MI

    更新日期:1969-08-01 00:00:00

  • Sex differences in colonic function: a randomised trial.

    abstract::There are sex differences in large bowel cancer rates and a variety of other gastrointestinal disorders possibly because of differences in gut biology. To determine whether men and women have different gastrointestinal responses when consuming identical intakes of dietary fibre, 16 women and 18 men consumed liquid for...

    journal_title:Gut

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1136/gut.34.4.531

    authors: Lampe JW,Fredstrom SB,Slavin JL,Potter JD

    更新日期:1993-04-01 00:00:00