Comparison of pancreatic morphology and exocrine functional impairment in patients with chronic pancreatitis.

Abstract:

:A comparative analysis of pancreatic morphology and exocrine function was performed prospectively in 48 patients. All patients had transabdominal ultrasound, computed tomography, endoscopic retrograde pancreatography, and a secretin-caerulein test. Classification of ultrasound, computed tomography, and pancreatogram findings was based on the Cambridge classification. In 10 patients, no pancreatic duct changes were detected on pancreatography. Equivocal (Cambridge I), mild to moderate (Cambridge II), and considerable ductal changes (Cambridge III) were found in 10, 12, and 16 patients, respectively. Computed tomography and ultrasound changes were found to correlate in 40-50%, 67%, and 94-100% of patients with Cambridge I, II, and III abnormal duct morphology, respectively. In patients with a normal pancreatogram, no patient had a functional impairment. Seventy per cent of the patients with equivocal pancreatic duct changes had dissociated, and 30% global, pancreatic insufficiency, while 50% of those with mild to moderate abnormal duct morphology manifested dissociated, and 50% global, functional impairment. All patients with considerable pancreatic duct changes had global pancreatic insufficiency. The results of this study confirm that normal endoscopic retrograde pancreatographic findings and Cambridge III ductal changes on endoscopic retrograde pancreatography correlate extremely well with normal pancreatic function and advanced functional insufficiency, respectively. As diagnostic tools, ultrasound and computed tomography are as sensitive as pancreatography only in chronic pancreatitis with considerable morphological changes.

journal_name

Gut

journal_title

Gut

authors

Bozkurt T,Braun U,Leferink S,Gilly G,Lux G

doi

10.1136/gut.35.8.1132

subject

Has Abstract

pub_date

1994-08-01 00:00:00

pages

1132-6

issue

8

eissn

0017-5749

issn

1468-3288

journal_volume

35

pub_type

杂志文章

相关文献

GUT文献大全
  • Helicobacter pylori test and eradicate versus prompt endoscopy for management of dyspeptic patients: 6.7 year follow up of a randomised trial.

    abstract:BACKGROUND:Dyspepsia is a chronic disease with significant impact on the use of health care resources. A management strategy based on Helicobacter pylori testing has been recommended but the long term effect is unknown. AIM:To investigate the long term effect of a test and treat strategy compared with prompt endoscopy...

    journal_title:Gut

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1136/gut.2004.043570

    authors: Lassen AT,Hallas J,Schaffalitzky de Muckadell OB

    更新日期:2004-12-01 00:00:00

  • Analgesic ingestion and other factors preceding relapse in ulcerative colitis.

    abstract::To investigate factors which predispose to relapse in patients with ulcerative colitis, we conducted a survey to compare the events occurring in the four weeks preceding the clinic attendance of 62 outpatients in remission with those taking place in the same period before the onset of relapse in 21 patients attending ...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gut.24.3.187

    authors: Rampton DS,McNeil NI,Sarner M

    更新日期:1983-03-01 00:00:00

  • Glucagon-like peptide-1: a potent regulator of food intake in humans.

    abstract:BACKGROUND/AIMS:Studies in animals suggest a physiological role for glucagon-like peptide-1-(7-36)-amide (GLP-1) in regulating satiety. The role of GLP-1 in regulating food intake in man has, however, not been investigated. Subjects-Sixteen healthy male subjects were examined in a double blind placebo controlled fashio...

    journal_title:Gut

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1136/gut.44.1.81

    authors: Gutzwiller JP,Göke B,Drewe J,Hildebrand P,Ketterer S,Handschin D,Winterhalder R,Conen D,Beglinger C

    更新日期:1999-01-01 00:00:00

  • Ferritin in Crohn's disease tissue: detection by electron microscopy.

    abstract::Using immune electron microscopy, an attempt has been made to visualise viral particles in Crohn's disease tissue and faeces. No particles resembling viruses were observed, but in the absence of a specific antiserum a negative result does not exclude the presence of a virus, particularly if it is sparsely distributed....

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gut.17.9.696

    authors: Whorwell PJ,Baldwin RC,Wright R

    更新日期:1976-09-01 00:00:00

  • Effect of Helicobacter pylori eradication on the treatment of gastro-oesophageal reflux disease.

    abstract::The important issue of whether Heliobacter pylori eradication leads to increased reflux has been the subject of many apparently contradictory publications, but when we asked two leading authorities to give us their views, there turned out to be considerable consensus, as you can read below. ...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gut.2003.019844

    authors: Richter JE

    更新日期:2004-02-01 00:00:00

  • Split-dose preparation for colonoscopy increases adenoma detection rate: a randomised controlled trial in an organised screening programme.

    abstract:OBJECTIVE:Although a split regimen of bowel preparation has been associated with higher levels of bowel cleansing, it is still uncertain whether it has a favourable effect on the adenoma detection rate (ADR). The present study was aimed at evaluating whether a split regimen was superior to the traditional 'full-dose, d...

    journal_title:Gut

    pub_type: 杂志文章,多中心研究,随机对照试验

    doi:10.1136/gutjnl-2015-310685

    authors: Radaelli F,Paggi S,Hassan C,Senore C,Fasoli R,Anderloni A,Buffoli F,Savarese MF,Spinzi G,Rex DK,Repici A

    更新日期:2017-02-01 00:00:00

  • Controlled randomised trial of visual biofeedback versus muscle training without a visual display for intractable constipation.

    abstract::Training to contract the abdominal muscles effectively and to relax the pelvic floor during defecation straining helps some patients with severe constipation. Hitherto all such training has used a visible or audible signal of sphincter muscle activity as a biofeedback method to assist in relaxation. A randomised contr...

    journal_title:Gut

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1136/gut.37.1.95

    authors: Koutsomanis D,Lennard-Jones JE,Roy AJ,Kamm MA

    更新日期:1995-07-01 00:00:00

  • Ulcerative colitis--a disease characterised by the abnormal colonic epithelial cell?

    abstract::The leakiness of the cell membranes of colonic epithelial cells isolated by the collagenase/Dispase technique from normal or diseased colons was assessed in a 4 h 51Cr release assay. Cells from normal, adenoma bearing or cancer bearing colons showed 51Cr release of 8% or less in almost all of 46 cell populations teste...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gut.29.4.516

    authors: Gibson PR,van de Pol E,Barratt PJ,Doe WF

    更新日期:1988-04-01 00:00:00

  • Effect of omeprazole on intragastric bacterial counts, nitrates, nitrites, and N-nitroso compounds.

    abstract::Previous studies have suggested that profound inhibition of gastric acid secretion may increase exposure to potentially carcinogenic N-nitroso compounds. The aim of this study was to find out if the proton pump inhibitor omeprazole (20 mg daily) is associated with increased concentrations of potentially carcinogenic N...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gut.35.4.455

    authors: Verdu E,Viani F,Armstrong D,Fraser R,Siegrist HH,Pignatelli B,Idström JP,Cederberg C,Blum AL,Fried M

    更新日期:1994-04-01 00:00:00

  • Nerve activity recordings in routine human intestinal biopsies.

    abstract:BACKGROUND:Most direct understanding of enteric nerve (patho)physiology has been obtained by electrode and imaging techniques in animal models and human surgical samples. Until now, neuronal activity recordings from a more accessible human tissue source have remained a true challenge. OBJECTIVES:To record nerve activi...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gutjnl-2011-301777

    authors: Cirillo C,Tack J,Vanden Berghe P

    更新日期:2013-02-01 00:00:00

  • Management of hepatic coma complicating viral hepatitis.

    abstract::The treatment is described of 17 patients with presumed viral hepatitis who developed hepatic coma unresponsive to standard conservative measures. Five patients were considered for treatment by exchange transfusion. Four were treated, with transient improvement in two, but all died. Nine patients were considered for t...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gut.10.11.898

    authors: Pirola RC,Ham JM,Elmslie RG

    更新日期:1969-11-01 00:00:00

  • Tripotassium dicitrato bismuthate (TDB) versus two different dosages of cimetidine in the treatment of resistant duodenal ulcers.

    abstract::The use of tripotassium dicitrato bismuthate (TDB) has been suggested recently for cimetidine resistant duodenal ulcers. This study compares the efficacy of TDB with two different cimetidine dosages in the treatment of duodenal ulcer patients who failed to respond to an eight week therapy with H2-blockers. Fifty two p...

    journal_title:Gut

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1136/gut.28.7.907

    authors: Bianchi Porro G,Parente F,Lazzaroni M

    更新日期:1987-07-01 00:00:00

  • 13C labelled cholesteryl octanoate breath test for assessing pancreatic exocrine insufficiency.

    abstract:BACKGROUND:A non-invasive test for assessment of fat digestion has been developed based on the intraluminal hydrolysis of cholesteryl-[1-13C]octanoate by pancreatic esterase. AIMS:To determine the diagnostic performance of this breath test in the assessment of exocrine pancreatic function. METHODS:The test was perfor...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gut.42.1.81

    authors: Ventrucci M,Cipolla A,Ubalducci GM,Roda A,Roda E

    更新日期:1998-01-01 00:00:00

  • Qualitative and quantitative evaluation of internal anal sphincter function in the newborn.

    abstract::One-hundred-and-one normal neonates were examined manometrically in the first day of life to assess anorectal function. In order to overcome some of the difficulties in subjective interpretation of results, the stimuli used and the response pattern seen in the anal canal were measured. In the unstimulated state, all s...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gut.18.12.1036

    authors: Boston VE,Cywes S,Davies MR

    更新日期:1977-12-01 00:00:00

  • Cerebral processing of painful oesophageal stimulation: a study based on independent component analysis of the EEG.

    abstract:BACKGROUND AND AIMS:Independent component analysis (ICA) of the electroencephalogram (EEG) overcomes many of the classical problems in EEG analysis. We used ICA to determine the brain responses to painful stimulation of the oesophagus. METHODS:Twelve subjects with a median age of 41 years were included. With a nasal e...

    journal_title:Gut

    pub_type: 临床试验,杂志文章

    doi:10.1136/gut.2005.068460

    authors: Drewes AM,Sami SA,Dimcevski G,Nielsen KD,Funch-Jensen P,Valeriani M,Arendt-Nielsen L

    更新日期:2006-05-01 00:00:00

  • Effect of somatostatin on the sphincter of Oddi in patients with acute non-biliary pancreatitis.

    abstract:BACKGROUND:Somatostatin has been used to prevent pancreatitis after endoscopic retrograde cholangiopancreatography but its effect on acute non-biliary pancreatitis is still unclear. AIM:The purpose of this study was to evaluate the function of the sphincter of Oddi (SO) and the effect of somatostatin on patients with ...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gut.49.6.843

    authors: Lai KH,Lo GH,Cheng JS,Fu MT,Wang EM,Chan HH,Wang YY,Hsu PI,Lin CK

    更新日期:2001-12-01 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

  • Collagen proline hydroxylase activity and 35S sulphate uptake in human liver biopsies.

    abstract::In an effort to assess connective tissue biosynthetic activity in human liver disease, collagen proline hydroxylase (a key enzyme in collagen biosynthesis) and the uptake of (35)S sulphate (a precursor of sulphated mucopolysaccharides) were measured in hepatic tissue obtained mainly by percutaneous biopsy.A procedure ...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gut.15.4.260

    authors: McGee JO,Patrick RS,Rodger MC,Luty CM

    更新日期:1974-04-01 00:00:00

  • Technical hazards of using nutritive mixtures in bags for cyclical intravenous nutrition: comparison with standard intravenous nutrition in 48 gastroenterological patients.

    abstract::Three methods for dispensing nutritional solutions are compared in 48 patients with gastrointestinal diseases on intravenous nutrition during 3582 days. The protocol for intravenous nutrition applied by the nursing team and the solutions used were the same in the three groups. In group A standard bottles were used, wh...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gut.23.4.297

    authors: Messing B,Beliah M,Girard-Pipau F,Leleve D,Bernier JJ

    更新日期:1982-04-01 00:00:00

  • Extramedullary haemopoiesis in the small bowel.

    abstract::A patient with myelofibrosis developed repeated gastrointestinal haemorrhage from the small intestine, which was found to be infiltrated with extramedullary haemopoiesis. Nineteen months later he presented with subacute intestinal obstruction; radiology and laparotomy documented progressive infiltration of the small b...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gut.27.7.873

    authors: Sharma BK,Pounder RE,Cruse JP,Knowles SM,Lewis AA

    更新日期:1986-07-01 00:00:00

  • Inflammatory bowel disease and risk of small bowel cancer: a binational population-based cohort study from Denmark and Sweden.

    abstract:OBJECTIVE:Crohn's disease (CD) is associated with increased risk of small bowel cancer (SBC), but previous studies have been small. We aimed to examine the risk of incident SBC and death from SBC in patients with inflammatory bowel disease (IBD). DESIGN:In a binational, population-based cohort study from Sweden and De...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gutjnl-2020-320945

    authors: Axelrad JE,Olén O,Sachs MC,Erichsen R,Pedersen L,Halfvarson J,Askling J,Ekbom A,Sørensen HT,Ludvigsson JF

    更新日期:2021-02-01 00:00:00

  • Differing acute phase responses in Crohn's disease and ulcerative colitis.

    abstract::Thirty eight patients with Crohn's disease and 30 patients with ulcerative colitis have been assessed using the technique of faecal excretion of 111Indium granulocytes to quantify precisely acute inflammatory activity. At the time of each faecal granulocyte measurement the serum concentration of the acute phase protei...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gut.27.7.809

    authors: Saverymuttu SH,Hodgson HJ,Chadwick VS,Pepys MB

    更新日期:1986-07-01 00:00:00

  • Insulin resistance is a cause of steatosis and fibrosis progression in chronic hepatitis C.

    abstract:BACKGROUND:Insulin resistance is a frequent feature of chronic hepatitis C. Whether insulin resistance could be the cause or consequence of steatosis and fibrosis is unknown. The ability of HCV genotype 3 to promote steatosis by itself provides an unique opportunity to answer this question. AIMS:The aim of the present...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gut.2004.050302

    authors: Fartoux L,Poujol-Robert A,Guéchot J,Wendum D,Poupon R,Serfaty L

    更新日期:2005-07-01 00:00:00

  • Interchange between collagenous and lymphocytic colitis in severe disease with autoimmune associations requiring colectomy: a case report.

    abstract:BACKGROUND:Collagenous colitis and lymphocytic colitis present with a similar clinical picture. Whether these conditions are separate entities or whether they represent different pathological stages of the same condition is an unresolved issue. PATIENT:This is a case of collagenous colitis following a fulminant course...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gut.38.5.788

    authors: Bowling TE,Price AB,al-Adnani M,Fairclough PD,Menzies-Gow N,Silk DB

    更新日期:1996-05-01 00:00:00

  • Association of insulin and insulin-like growth factors with Barrett's oesophagus.

    abstract:BACKGROUND:It is postulated that high serum levels of insulin and insulin growth factor 1 (IGF-1) mediate obesity-associated carcinogenesis. The relationship of insulin, IGF-1 and IGF binding proteins (IGFBP) with Barrett's oesophagus (BO) has not been well examined. METHODS:Serum levels of insulin and IGFBPs in patie...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gutjnl-2011-300641

    authors: Greer KB,Thompson CL,Brenner L,Bednarchik B,Dawson D,Willis J,Grady WM,Falk GW,Cooper GS,Li L,Chak A

    更新日期:2012-05-01 00:00:00

  • Metagenomics analysis of gut microbiota in response to diet intervention and gestational diabetes in overweight and obese women: a randomised, double-blind, placebo-controlled clinical trial.

    abstract:OBJECTIVE:Gut microbiota and diet are known to contribute to human metabolism. We investigated whether the metagenomic gut microbiota composition and function changes over pregnancy are related to gestational diabetes mellitus (GDM) and can be modified by dietary supplements, fish oil and/or probiotics. DESIGN:The gut...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gutjnl-2020-321643

    authors: Mokkala K,Paulin N,Houttu N,Koivuniemi E,Pellonperä O,Khan S,Pietilä S,Tertti K,Elo LL,Laitinen K

    更新日期:2021-02-01 00:00:00

  • Metabolic adaptation to a high-fat diet is associated with a change in the gut microbiota.

    abstract:OBJECTIVE:The gut microbiota, which is considered a causal factor in metabolic diseases as shown best in animals, is under the dual influence of the host genome and nutritional environment. This study investigated whether the gut microbiota per se, aside from changes in genetic background and diet, could sign different...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gutjnl-2011-301012

    authors: Serino M,Luche E,Gres S,Baylac A,Bergé M,Cenac C,Waget A,Klopp P,Iacovoni J,Klopp C,Mariette J,Bouchez O,Lluch J,Ouarné F,Monsan P,Valet P,Roques C,Amar J,Bouloumié A,Théodorou V,Burcelin R

    更新日期:2012-04-01 00:00:00

  • Serum hepatocyte growth factor as an index of extensive catabolism of patients awaiting liver transplantation.

    abstract:BACKGROUND:Whole body catabolism as the result of intrahepatic metabolic derangement is common in liver transplant candidates. However, individual nutritional assessment parameters lack sensitivity and specificity in determining energy status of these patients. Recently, serum hepatocyte growth factor (HGF) has been sh...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gut.44.6.862

    authors: Miki C,Mayer AD,Buckels JA,Iriyama K,Suzuki H,McMaster P

    更新日期:1999-06-01 00:00:00

  • The histamine H3 receptor agonist N alpha-methylhistamine produced by Helicobacter pylori does not alter somatostatin release from cultured rabbit fundic D-cells.

    abstract:BACKGROUND:The mechanisms underlying the suppression of somatostatin dependent reflexes in Helicobacter pylori infection are not fully determined. The H pylori product N alpha-methylhistamine and inflammatory mediators such as tumour necrosis factor-alpha (TNF-alpha) may be responsible for the alterations in somatostat...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gut.43.2.176

    authors: Beales IL,Calam J

    更新日期:1998-08-01 00:00:00

  • Effect of long-term treatment with cimetidine and antacids in Barrett's oesophagus.

    abstract::The effect of a long-term treatment (one to two years) with cimetidine (1.6 g per day) and an antacid (Regla pH) was evaluated in nine patients with a Barrett's oesophagus. The results showed that such long-term treatment had a beneficial effect on the symptoms and endoscopic signs of oesophagitis and on the healing o...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gut.22.9.724

    authors: Wesdorp IC,Bartelsman J,Schipper ME,Tytgat GN

    更新日期:1981-09-01 00:00:00