PRE-COLONOSCOPY BOWEL PREPARATION INTOLERANCE: A SIGN OF UPPER GASTROINTESTINAL PATHOLOGY

1991 ◽  
Vol 61 (10) ◽  
pp. 796-797 ◽  
Author(s):  
James M. Church
2011 ◽  
Vol 14 (2) ◽  
pp. 94-97
Author(s):  
Irina Alekseevna Kurnikova ◽  
Tatiana Evgen'evna Chernyshova ◽  
Irina Vladimirovna Gur'eva ◽  
Guzyal' Ilgisovna Kliment'eva

Aim. To estimate dynamics of secretory and motor-evacuational functions of the stomach in patients with type 1 diabetes mellitus and gastrointestinalform of diabetic neuropathy. Materials and methods. 32 patients with DM1 without gastrointestinal pathology allocated to different groups depending on DM duration (gr. 1 lessthan 10 yr, gr. 2 over 10 yr). Vegetative equilibrium was estimated from the Kerdo index, rehabilitative potential from its basic constituent (morphophysiologicalindex). The motor-evacuational function of the stomach was studied with the use of a scintillation gamma-chamber, the gastric secretoryfunction by pH measurements. Results. Half of the patients in gr 2 presented with hypersympathicotony. The frequency of hypertonic form of gastric tone increased with durationof DM while the acid-producing and evacuational functions of the stomach decreased (as estimated by pH-measurement and gastroscintiographyrespectively). The propulsive function most significantly decreased in the pyloric part. The efficacy of rehabilitation of diabetic patients with gastrointestinalform of diabetic neuropathy was much lower than in those with preserved vegetative function of the stomach. Conclusion. Impairment of evacuational function of the stomach and duodenum with DM1 duration may be a cause of unstable blood glucose level.Hypomotor dyskinesia of the upper gastrointestinal tract due to DM1 and deficit of parasympathetic innervation occurs more frequently in patientswith low rehabilitative potential. Functional changes in the gastrointestinal tract of DM1 patients do not depend on the quality of compensation ofmetabolic disorders but correlate (r=-0.39) with DM duration. It is concluded that the gastrointestinal form of diabetic neuropathy impairs rehabilitativepotential of fhe patients.


2000 ◽  
Vol 20 (3-4) ◽  
pp. 328-330 ◽  
Author(s):  
Mohammed A. Al-Karawi ◽  
Faisal M. Sanai ◽  
Abdallah Al-Madani ◽  
Hala Kfoury ◽  
Mohammed I. Yasawy ◽  
...  

2018 ◽  
Vol 1 (2) ◽  
pp. 38-41
Author(s):  
Dhiraj Gurung ◽  
S. Khati

Introduction: Dyspepsia is a common problem faced in our country and elsewhere. Benign causes predominate with occasional incidences of carcinoma of the stomach, esophagus. The presence of warning signs helps indicate the presence of such carcinomas though various studies differ as to its usefulness. Methods: Patients presenting with dyspepsia were investigated with a gastroscope to see the etiological pattern seen in the Karnali region and the usefulness of the warning signs. This study included the initial 100 patients undergoing upper gastrointestinal endoscopy for dyspepsia evaluation in our institution. Results: The majority of the patients (53%) showed normal findings on visual examination despite being symptomatic suggestive of functional dyspepsia. The most common warning sign was weight loss which had a positive predictive value of only 4%. Malena was present in 10% of the patients with a positive predictive value of 30%. Conclusions: Significant weight loss as a warning sign to screen patients for gastrointestinal pathology seems unsuitable in the rural setting.  


1996 ◽  
Vol 43 (4) ◽  
pp. 348
Author(s):  
FR Burton ◽  
CH Andrus ◽  
ME Pesti ◽  
CL Schratz ◽  
PJ Garvin ◽  
...  

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