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Biomedical subjects

N H Dyer

Publications and source records attributed to N H Dyer.

At least 19 recordsLinked to original sources

Cervical Crohn's disease with oesophago-pulmonary fistula.

We report what we believe to be the first case of Crohn's disease involving the cervical oesophagus with an oesophago-pulmonary fistula to the apex of the lung. The proximal location of the disease prevented radical therapy and the patient eventually died from chronic sepsis.

Crohn Disease

Jejuno-gastric intussusception---gastroscopic diagnosis.

A case of actue jejuno-gastric intussusception diagnosed at gastroscopy is described. The patient had undergone a Polya gastrectomy eight years previously. Other reported cases have been discovered by radiology or at surgery. Endoscopy is the method of choice to diagnose this uncommon, but important condition.

Acute Disease

The diagnosis of iron deficiency in patients with Crohn's disease.

Red cell indices were determined and bone marrow was examined in a selected group of 21 patients with Crohn's disease who had a routine peripheral blood picture suggestive of iron deficiency. Only nine (43%) of these patients had no stainable iron stores in the marrow fragments and could be considered as being definitely iron deficient. All indirect measurements in the diagnosis of iron deficiency, except the total iron-binding capacity (TIBC), appeared likely to result in over-diagnosis. Iron-deficient erythropoiesis, without true deficiency, may be due to the inflammatory disease process and this study indicates that the examination of bone marrow aspirate is necessary for the certain diagnosis of iron deficiency in Crohn's disease.

Adolescent