abstract：:We looked for factors predicting the therapeutic outcome in 66 patients with severe ulcerative colitis treated with intravenous hydrocortisone or corticotropin (ACTH) for 10 days. Patients were randomized before therapy within strata defined by whether they had received oral corticosteroids continuously before the stu...

journal_title：Journal of clinical gastroenterology

authors： Meyers S,Lerer PK,Feuer EJ,Johnson JW,Janowitz HD

更新日期：1987-02-01 00:00:00

abstract：:We report a patient in whom cyproheptadine-induced hepatitis was followed by prolonged cholestasis marked by elevation of serum alkaline phosphatase levels, gammaglutamyltransferase and bile acid levels, and disappearance of small bile ducts. Chlorpromazine and imipramine, which can induce a similar acute hepatitis fo...

journal_title：Journal of clinical gastroenterology

authors： Larrey D,Geneve J,Pessayre D,Machayekhi JP,Degott C,Benhamou JP

更新日期：1987-02-01 00:00:00

abstract：:In four of five patients with gastric cancer who also had a chronic duodenal ulcer, the histologic type was "early gastric cancer," which offers a better prognosis than the more common type. Patients with duodenal ulcer who develop gastric cancer may have a better prognosis than patients with gastric cancer without du...

journal_title：Journal of clinical gastroenterology

authors： Neeman A,Shoenfeld Y,Kadish U

更新日期：1987-02-01 00:00:00

abstract：:A 2-year-old boy presented with sexual precocity secondary to a hormone-producing hepatoblastoma. The tumor demonstrated an aggressive histologic pattern and stained immunohistochemically for alpha-fetoprotein and beta-subunit human chorionic gonadotrophin. After a successful liver transplant these tumor markers were ...

journal_title：Journal of clinical gastroenterology

authors： Heimann A,White PF,Riely CA,Ritchey AK,Flye MW,Barwick KW

更新日期：1987-02-01 00:00:00

abstract：:Eighty-four patients who were endoscopically confirmed to have healed duodenal ulcers were entered into this 1-year, double-blind, placebo-controlled trial of sucralfate, 1g twice daily, in the prevention of duodenal ulcer recurrence. Patients remained in the study until recurrence of ulceration was endoscopically con...

journal_title：Journal of clinical gastroenterology

authors： Behar J,Roufail W,Thomas E,Keller F,Dernbach W,Tesler MA

更新日期：1987-01-01 00:00:00

abstract：:Forty cases of nongangrenous ischemic colitis were studied to find the different clinical features between stricturing form and transient form. Clinical and laboratory findings were compared between two groups, 15 cases of stricturing form and 25 of transient form, which were diagnosed by follow-up barium enema radiog...

journal_title：Journal of clinical gastroenterology

authors： Iida M,Matsui T,Fuchigami T,Iwashita A,Yao T,Fujishima M

更新日期：1986-12-01 00:00:00

abstract：:We report a 50-year-old woman with alpha 1 antitrypsin deficiency (PiSZ phenotype) who developed clinical features of malabsorption after vagotomy and pyloroplasty. The intestinal biopsy demonstrated total villous atrophy with hypertrophy of the crypts. After gluten withdrawal, digestive function and the appearance of...

journal_title：Journal of clinical gastroenterology

authors： Pons Romero F,Casafont F,Rodriguez de Lope C,San Miguel G,Artiñano E,Cagigas J

更新日期：1986-10-01 00:00:00

abstract：:We have found 20 cases of ectopic gastric mucosa in the proximal esophagus. Five patients had symptoms, usually a burning sensation in the neck and/or dysphagia. We report the results of immunoperoxidase staining of this tissue for gastrin, somatostatin, vasoactive intestinal peptide, and bombesin. In 85% of biopsy sp...

journal_title：Journal of clinical gastroenterology

authors： Shah KK,DeRidder PH,Shah KK

更新日期：1986-10-01 00:00:00

abstract：:In black patients seen at Baragwanath Hospital, Johannesburg, appendicitis occurs most frequently in the 10-19-year-old age group. There is a pronounced male bias. Parasitic ova in the appendix are very seldom observed (3.6%). Fecaliths, present in 20% of diseased appendices, are noted far less frequently than are rep...

journal_title：Journal of clinical gastroenterology

authors： Segal I,Paterson A,Walker AR

更新日期：1986-10-01 00:00:00

abstract：:One hundred forty-six consecutive specimens of excised bowel from patients with Crohn's disease were studied to determine the relationships between strictures, sinuses, and "fissures." A significant coincidence of sinuses and strictures was observed and sinuses tended to arise proximal to the point of maximal strictur...

journal_title：Journal of clinical gastroenterology

authors： Kelly JK,Siu TO

更新日期：1986-10-01 00:00:00

abstract：:Inflammatory bowel diseases (IBD) has been characterized as having an autoimmune background. We studied the presence of immune interferon in the sera of a small number of patients with IBD. Antiviral activity was detectable in the sera of our patients with well-controlled IBD but it was mainly weak-positive (50% inhib...

journal_title：Journal of clinical gastroenterology

authors： Christodoulopoulou G,Havredaki M,Christodoulopoulos J

更新日期：1986-10-01 00:00:00

abstract：:We undertook a prospective study of the effect of incidental appendectomy on the safety of cholecystectomy in patients under the age of 50 years. One hundred twenty patients were randomized to have either cholecystectomy alone or cholecystectomy and appendectomy. All patients received preoperative antibiotic cover. Bo...

journal_title：Journal of clinical gastroenterology

authors： O'Malley VP,Finch DR,Powley PH

更新日期：1986-08-01 00:00:00

abstract：:Over a 3-year period, arteriovenous malformations (angiodysplasia) were identified at upper gastrointestinal endoscopy in 41 patients. The lesions were multiple in one-third of patients and were predominantly situated in the proximal stomach. We considered angiodysplasia to be the cause of upper gastrointestinal bleed...

journal_title：Journal of clinical gastroenterology

authors： Marwick T,Kerlin P

更新日期：1986-08-01 00:00:00

abstract：:A 26-year-old man had a massive intraabdominal hemorrhage from a hepatocellular adenoma (HCA). The tumor arose within a liver that demonstrated generalized nodular regenerative hyperplasia. The patient had no factors predisposing to either HCA or nodular regenerative hyperplasia (NRH) of the liver. Although rare, HCA ...

journal_title：Journal of clinical gastroenterology

authors： Nguyen TD,Oakes D,Fogel MR,Williams L,Sherck JP,Kozar M

更新日期：1986-08-01 00:00:00

abstract：:A randomized, multicenter, double-blind, placebo-controlled study was conducted to determine whether ranitidine 150 mg b.i.d. for 6 weeks would expedite endoscopic healing or relief of symptoms in patients with benign gastric ulcer. Of 203 patients enrolled, 101 received ranitidine and 102 received placebo. Endoscopic...

journal_title：Journal of clinical gastroenterology

authors： Hirschowitz BI,DeLuca V,Graham D,Lorber S,Bright-Asare P,Katon R

更新日期：1986-06-01 00:00:00

abstract：:A 24-year-old man with addisonian pernicious anemia, adult celiac disease and selective IgA deficiency is presented to emphasize the differential diagnosis of vitamin B12 deficient megaloblastic anemia in association with small intestinal mucosal abnormalities and the relationships between immunoglobulin deficiency, p...

journal_title：Journal of clinical gastroenterology

authors： Quigley EM,Carmichael HA,Watkinson G

更新日期：1986-06-01 00:00:00

abstract：:A patient with cirrhosis developed hemoperitoneum, lactic acidosis, and hyperphosphatemia in the absence of shock. At post-mortem examination occult multicentric hepatocellular carcinoma eroding the liver capsule was present. The case emphasizes the central role of the liver in lactic acidosis, indicates that hemoperi...

journal_title：Journal of clinical gastroenterology

authors： Berenson MM,Lee RG

更新日期：1986-04-01 00:00:00

abstract：:Although our current understanding is limited, epidemiologic investigation of Crohn's disease holds great promise. Certain aspects of the epidemiology are clear. The incidence of Crohn's disease, which has increased over the past few decades, may have reached a plateau. The disease has its peak onset in early life, wi...

journal_title：Journal of clinical gastroenterology

authors： Sandler RS,Golden AL

更新日期：1986-04-01 00:00:00

abstract：:A 35-year-old man developed leg edema, marked hypoalbuminemia, and proteinuria. Subsequent renal biopsy revealed a diffuse membranoproliferative glomerulonephritis and, on electron microscopy, typical electron-dense deposits characteristic of an immune complex pathogenesis. Although protein wasting might have readily ...

journal_title：Journal of clinical gastroenterology

authors： Scholey J,Freeman HJ

更新日期：1986-04-01 00:00:00

abstract：:Thirty-five consecutive patients with acute hematochezia, negative gastric aspirates, and negative sigmoidoscopy underwent urgent colonoscopy after Golytely purgation. Mucosal visualization was excellent. Colonic bleeding lesions were identified in 24 of 35 patients, and hemorrhage originating proximal to the ileoceal...

journal_title：Journal of clinical gastroenterology

authors： Caos A,Benner KG,Manier J,McCarthy DM,Blessing LD,Katon RM,Gogel HK

更新日期：1986-02-01 00:00:00

abstract：:A 62-year-old man with carcinoma of the tongue had two separate asymptomatic carcinomas of the esophagus, one squamous and the other adenocarcinoma arising from Barrett's mucosa. We review the multicentric origin and synchronous occurrence of tumors in the oropharyngoesophageal area with and without Barrett's mucosa t...

journal_title：Journal of clinical gastroenterology

authors： Sheahan DG,Berman MA

更新日期：1986-02-01 00:00:00

abstract：:Juvenile chronic pancreatitis presenting with painless obstructive jaundice is extremely rare. Pancreatic disease in association with multiple somatic abnormalities presenting in late childhood is uncommon. We report such a case. ...

journal_title：Journal of clinical gastroenterology

authors： Isaacs JD,Keshavarzian A,Blumgart LH,Hodgson HJ

更新日期：1985-12-01 00:00:00

abstract：:Patients with recently healed duodenal ulcers were enrolled at 14 participating centers in a 12-month study comparing the effectiveness of ranitidine and cimetidine, two H2-receptor blockers, for maintenance therapy. Patients were randomly assigned to take bedtime doses of 150 mg of ranitidine (n = 60) or 400 mg of ci...

journal_title：Journal of clinical gastroenterology

authors： Silvis SE

更新日期：1985-12-01 00:00:00

abstract：:A patient with long-standing Waldenström's disease and cryoglobulinemia, treated with chlorambucil, developed hepatocellular carcinoma. Although HBs antigen, anti-HBs, and anti-HBc antibodies were not detected in his serum by conventional polyclonal radioimmunoassays, immunofluorescence techniques showed HBs antigen t...

journal_title：Journal of clinical gastroenterology

authors： Lotz JP,Colbert N,Degott C,Pariente EA

更新日期：1985-10-01 00:00:00

abstract：:Jejunal varices were a cause of recurrent gastrointestinal hemorrhage in an 18-year-old man with common variable immunodeficiency and nodular lymphoid hyperplasia of the small intestine. Despite numerous procedures, including upper gastrointestinal endoscopy, colonoscopy, arteriography, and exploratory laparotomy no a...

journal_title：Journal of clinical gastroenterology

authors： Freiman JS,Gallagher ND

更新日期：1985-10-01 00:00:00

abstract：:We describe a patient with primary biliary cirrhosis associated with Graves' disease and discuss the possible autoimmune connections between the two disorders. ...

journal_title：Journal of clinical gastroenterology

authors： Nieri S,Riccardo GG,Salvadori G,Surrenti C

更新日期：1985-10-01 00:00:00

abstract：:A 65-year-old Japanese woman had primary biliary cirrhosis (PBC) and chronic pancreatitis associated with ulcerative colitis. The association of PBC and ulcerative colitis may prove to be valid. ...

journal_title：Journal of clinical gastroenterology

authors： Kato Y,Morimoto H,Unoura M,Kobayashi K,Hattori N,Nakanuma Y

更新日期：1985-10-01 00:00:00

abstract：:Vitamin A intoxication was diagnosed in a 14-year-old girl who presented with massive exudative ascites and right pleural effusion, impaired liver enzymes, and hypertriglyceridemia. Electron microscopy of liver biopsy material demonstrated numerous perisinusoidal lipid-filled Ito cells. The patient had taken 100-200,0...

journal_title：Journal of clinical gastroenterology

authors： Noseda A,Adler M,Ketelbant P,Baran D,Winand J

更新日期：1985-08-01 00:00:00

abstract：:We describe four patients with a benign hepatic malformation most consistent with the rarely described anomaly known as corset liver. Three of these patients were extensively evaluated to rule out a malignancy because of an abdominal mass. These patients illustrate several features which may help in making the diagnos...

journal_title：Journal of clinical gastroenterology

authors： Philips DM,LaBrecque DR,Shirazi SS

更新日期：1985-08-01 00:00:00

abstract：:Five patients with hepatorenal syndrome were treated with the orally active angiotensin-converting enzyme inhibitor captopril (25 or 50 mg 6 hourly) for up to 48 hours. Only one patient showed a significant increase in urinary sodium concentration (from less than 10 to 70 mmol/liter), but without associated diuresis; ...

journal_title：Journal of clinical gastroenterology

authors： Cobden I,Shore A,Wilkinson R,Record CO

更新日期：1985-08-01 00:00:00

abstract：:Adhesive tape wound around the shaft of an upper GI endoscope serves as a simple method to dilate upper GI strictures under endoscopic control. This technique avoids the need for guidewires and fluoroscopy. ...

journal_title：Journal of clinical gastroenterology

authors： Lehman GA,O'Connor KW

更新日期：1985-06-01 00:00:00

abstract：:Twelve patients with obstruction of the extrahepatic portal venous system were seen at the Tufts-New England Medical Center between 1970 and 1979; a cause for the portal vein thrombosis was detected in 11. These included pancreatic disease (4); hematologic disorders (2); postoperative complications of laparotomy (3); ...

journal_title：Journal of clinical gastroenterology

authors： Brown KM,Kaplan MM,Donowitz M

更新日期：1985-04-01 00:00:00

abstract：:Kidney stones in patients with inflammatory bowel disease are usually composed of calcium oxalate. Two factors are important in the increased absorption of dietary oxalate which is responsible for those stones: 1) increased absorption of oxalate in the presence of steatorrhea, and 2) increased permeability of the colo...

journal_title：Journal of clinical gastroenterology

authors： Dobbins JW

更新日期：1985-02-01 00:00:00

abstract：:Lower gastrointestinal bleeding colonic varices is infrequent. We report a patient in whom the diagnosis was made by angiography and in whom portosystemic shunt has been helpful. We believe that the treatment of choice for colonic varices is portosystemic shunt, as attempts at resection, judged by the reports in the l...

journal_title：Journal of clinical gastroenterology

authors： Katz LB,Shakeed A,Messer J

更新日期：1985-02-01 00:00:00

abstract：:Aortoesophageal fistula is a rare cause of massive gastrointestinal hemorrhage, and may occur as a sequela to prosthetic replacement of the thoracic aorta. Esophageal compression necrosis with leakage of microorganisms into the proximal suture line is probably central to pathogenesis. Like the more common aortoduodena...

journal_title：Journal of clinical gastroenterology

authors： Tierney LM Jr,Wall SD,Jacobs RA

更新日期：1984-12-01 00:00:00

abstract：:A 69-year old woman suffered from severe dysphagia, abdominal pain, and weight loss. The dysphagia was accompanied by nasal speech, nasal regurgitation of food, weakness, and wasting of the proximal muscles of the upper and lower girdles. Laboratory data revealed T3 sephadex uptake 65.2%; T4 15.1 mcg%; and T3 250 ng%....

journal_title：Journal of clinical gastroenterology

authors： Branski D,Levy J,Globus M,Aviad I,Keren A,Chowers I

更新日期：1984-10-01 00:00:00

abstract：:The response of plasma cyclic AMP to glucagon was investigated in 18 patients with acute liver injury to determine its value as a marker for the severity of the hepatic damage. We also investigated the interrelationship between plasma cyclic AMP response and the hyperglucagonemia often seen in this disease. Plasma cyc...

journal_title：Journal of clinical gastroenterology

authors： Miyakoshi H,Noda Y,Uchida S,Tanaka N,Noto Y,Kato Y,Kawai K,Hayakawa H,Kobayashi K,Hattori N

更新日期：1984-08-01 00:00:00

abstract：:We report a patient with long-standing ulcerative colitis who developed carcinoma of the colon, sclerosing cholangitis, pericholangitis, and bronchiectasis over the course of 10-15 years. Occurrence of these rare conditions in the same patient supports their reported association and reemphasizes that there may be mult...

journal_title：Journal of clinical gastroenterology

authors： Pang JA,Vicary FR

更新日期：1984-08-01 00:00:00

abstract：:In this paper, I have focused on the issue of the clinical gastroenterologist who refuses to evaluate and endoscope the patient with AIDS. The discussion centers around the legal and ethical properties of such a decision, and the legal doctrine of abandonment. Finally, I have reviewed recent recommendations regarding ...

journal_title：Journal of clinical gastroenterology

authors： Plumeri PA

更新日期：1984-06-01 00:00:00

abstract：:The role of the anorectal band in the genesis of hemorrhoids is studied. The anorectal band is a fibroepithelial tube which is a remnant of the anorectal sinus. Seventy-six hemorrhoid patients and 32 controls were studied. Rectal neck pressure recording was done for all subjects. Two biopsies were taken from the lower...

journal_title：Journal of clinical gastroenterology

authors： Shafik A

更新日期：1984-04-01 00:00:00