PubMed HealthSearch

Biomedical subjects

I Duris

Publications and source records attributed to I Duris.

At least 19 recordsLinked to original sources

[Serum gastrin and somatostatin in diseases of the stomach].

Gastrin and somatostatin are enterohormones which influence several physiological processes in the gastrointestinal tract. Gastrin has a pro-malignant and pro-ulcerogenic effect, while somatostatin deficiency has a similar effect. The authors examined in their investigation the 24-hour secretion of both hormones in patients with gastric ulcer and atypical gastric conditions. They revealed a significant difference in the 24-hour somatostatin level which was higher in patients with atypical gastric conditions (p < 0.05). The finding may suggest a more intense reaction of somatostatin to malignant than to non-malignant disease. In the other compared parameters no statistically significant difference was revealed.

Adult

[Cortisol and diseases of the gastrointestinal tract].

Cortisol is the hormone reacting to endogenous and exogenous stress. An important role is ascribed to stress in the genesis and development of malignant and inflammatory diseases of the GIT. The authors examined in their investigation the 24-hour secretion of cortisol in patients with gastric affections, polyps of the large bowel and compared them mutually and with groups of patients with ulcerative colitis and healthy probands. In all investigated groups a 24-hour rhythm of cortisol secretion was confirmed. The only significant difference between the investigated groups was a lower 24-hour amplitude in patients with ulcerative colitis, as compared with healthy probands. The results do not suggest a significant role of cortisol in the development of premalignant diseases of the GIT.

Female

Plasma somatostatin levels in ulcerative colitis.

The circadian (24 hour) rhythmicity of somatostatin in healthy subjects and patients with ulcerative colitis (UC) was studied and established. UC patients were found to have a higher 24-hour amplitude, a higher average level and a longer peak level phase of plasma somatostatin. This finding may indicate a defensive role of somatostatin in inflammatory bowel disease.

Adult

[Gastrointestinal motility and possibilities of influencing it].

The authors discuss factors which influence the motility of the smooth muscles in the pancreatobiliary region. They investigated some clinical and laboratory parameters after administration of the selective antagonist of calcium influx-Pineverium bromide-Dicetel. The drug influenced significantly in a positive way nausea, flatulence, pain and chronically elevated amylases. The authors mention a cycle of possible neurohumoral changes with which specific calcium channel antagonists could interfere.

Adult

Circadian rhythmicity and cross correlation of plasma gastrin, cortisol and somatostatin levels in ulcerative colitis patients and healthy subjects.

Gastrin, somatostatin and cortisol circadian (24 hours) rhythmicity was confirmed in healthy subjects. Gastrin and cortisol circadian rhythmicity was studied and also established in patients with ulcerative colitis (UC). UC patients were found to have a lower 24-hour amplitude of plasma cortisol and a shorter acrophase of plasma gastrin. Gastrin correlated positively with somatostatin and negatively with cortisol.

Adult

[Early diagnosis of gastric cancer].

Endoscopic diagnosis completed by biopsy achieved remarkable accuracy. New trends--endoscopy with the use of ultrasound orange red porphyrin fluorescence elicited by blue light e. g. krypton laser and strip biopsy not only greater accuracy of endoscopic methods but also open up new therapeutic possibilities. Histochemical and histoenzymatic methods allow to classify histological findings of the norm (presence of pepsinogen and neutral glycoprotein) of atrophic gastritis with intestinal metaplasia (acid glycoprotein, activity of sucrose, alkaline phosphatase-AP, leucin-aminopeptidase-LAP) and of dysplasia (presence of sulfomucin, decrease of AF, LAP, sucrose and trehalase activity) and to divide them into well defined groups. We are able to distinguish which mucosal changes are suspect, we know that malignant transformation can after a certain period of time be expected approximately 2-14% yet we still do not know whether the period from dysplastic change to malignant transformation is not longer than malignant change in resected stomach. Epidemiologic and experimental data gives us enough reasons for dietary and chemopreventive measures (apart of other treatment) especially in risk groups patients.

Humans

[Internal medicine at the crossroads].

General internal medicine is falling into subspecialities as the scope presented by individual specialities is no longer manageable. With respect to the patient, however, particularly concerning indications for medication and surgical treatment of polymorbid patients, as well as in solving problems of the aged, general internal medicine is a necessary and expedient branch. The training of specialists in this branch requires the presentation of classified information aimed at diagnosis and therapy. To fulfill the tasks expected of a specialist in internal medicine he has to build up a bank of diagnostic and therapeutic data of high quality.

Internal Medicine

[Gastrointestinal hormones--clinical significance].

The author gives an account of clinical syndromes which develop as a result of overproduction of gastrointestinal hormones. From the various diagnostic approaches, which are not always available or are expensive, the author summarizes the importance of thin-needle biopsy under sonographic control, the argentaffine technique (Grimelius) and histoenzymatic examination for neuron specific enolase. In addition to surgical treatment treatment with streptozotocine, 5-FU, dimethyl triazenoimidazole carboxamide and somatostatin is possible. The author draws attention to the possibility of using somatostatin not only in the treatment of apudomas but also of haemorrhage into the gastrointestinal tract and in the treatment of fistulae. Neuroendocrine factors probably play a significant role in the pathophysiology of irritable colon, Crohn's disease, achalasia and Hirschsprung's disease.

Gastrointestinal Diseases

Computer recognition of gastric (pre)malignancy with the aid of some biochemical, immunological and cytological data.

17 patients with gastric pre-malignancy and 26 without it were correctly classified on the basis of the data from gastric juice (amount, pH, diphenylamine extinction, immunoglobulin A concentration, and total, parietal and surface epithelial cell counts) and from serum (immunoglobulin A concentration) using a kybernetic method of pattern recognition. The most decisive indices appear to be the diphenylamine extinction and immunoglobulin A concentration of gastric juice. Although X-rays, endoscopy and biopsy are the substantial diagnostic methods for gastric (pre-) malignancy a wide screening is desirable to recognize those people who are still asymptomatic but need the special examinations. We propose for this purpose a set of a few simple tests from blood serum and gastric juice, evaluated by method of pattern recognition.

Adult

Morphologic changes in the gastric mucosa of rats after administration of N-methyl-N'-nitro-N-nitrosoguanidine. Electronmicroscopic study.

Electron microscopic findings of the effects of exposure to the cancerogenic substance N-methyl-N'-nitro-N-nitrosoguanidine (MNNG) upon the gastric mucosa of rats are presented. MNNG was administered in drinking water at a concentration of 83 mg/l over a period of eight weeks. The resulting findings included occurrence of myelin figures in membrane structures of epithelial cells, occasional disappearance of nuclear membrane, numerous intranuclear cytoplasmic pseudoinclusions, and increased number of perichromatin and interchromatin granules and of nuclear corpuscles. Narrowing of the layer of peripheral condensed chromatin and broadening of the layer of dispersed chromatin were frequently observed. In the cytoplasm of epithelial cells, production of autophagous vacuoles was detected in differentiated types of cells, the presence of great amount of polysomes and profiles of rough endoplasmic reticulum diversely deformed was seen in the undifferentiated neck cells. These cells presented a marked proliferative activity. Some of the changes described in the nuclei of epithelial cells were also observed in different mesenchymal elements in the lamina propria mucosae. The demonstrated changes are indicative of both regressive and progressive effects of the cancerogen used in our experiment.

Animals

Experimental ultrastructural study on stimulation of the rat gastric endocrine cells. In vitro distension of the stomach by air inflation.

The effect of distension of the stomach by air (in vitro) upon the ultrastructural picture of gastric endocrine cells in rats starved for 72 hours was investigated. Distension of the stomach by air in vitro, lasting for 5, 10, 15 and 20 minutes, resulted in massive dissolution of gastrin granules that had accumulated in the course of starvation. In AL, D1, EC and ECL cells distension of the stomach by air failed to induce dissolution of granular content or release of granules by any other mechanism. In AL and D1 cells accumulation of secretory granules caused by starvation was observed, the ultrastructure of EC and ECL cells remained unchanged both under the effect of starvation and distension. Dilatation of endoplasmic reticulum profiles as well as other changes on some cell organelles observed on endocrine cells after distension of the stomach by air in vitro are due to the effect of autolysis.

Air