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P Fleckenstein

Publications and source records attributed to P Fleckenstein.

28 records · Page 2Linked to original sources
PubMed1978

Electrical spike activity in the human small intestine. A multiple electrode study of fasting diurnal variations.

An intraluminal probe with 10 pairs of bipolar electrodes was used for continuous recording of myoelectric activity along the entire small intestine during 24 hr in 2 normal fasting human subjects. Two types of regular migrating activity were observed: (1) Bands of a great number of spike potentials appearing at hourly intervals migrating through the entire small intestine. This activity corresponds to phase III of the "interdigestive myoelectric complex" described in animal experiments. (2) Bursts of a few spike potentials appearing with minute intervals migrating only through the jejunum. This activity has not previously been demonstrated in man nor in intact animals, but corresponds to the "minute-rhythm" described from in vitro experiments.

Action Potentials↗
PubMed1978

Urolithiasis in chronic inflammatory bowel disease.

In a selected material of 228 patients with chronic inflammatory bowel disease (CIBD) the incidence of urolithiasis was 15% (95% confidence limit 11-21). The tendency to urolithiasis is significantly correlated to small-bowel resection and its extent and to obstruction in the urinary tract. On the other hand, there is no definite correlation to the duration or extent of the bowel disease. The significant correlation between urolithiasis and ileal resection is in agreement with the hyperabsorption of oxalate as an important cause of stone formation demonstrated by others. That local factors too play an essential role in the formation of urinary calculi is apparent from the increased incidence of urolithiasis in obstruction of the urinary tract. The incidence of urolithiasis was particularly high (22-25%) among patients with ileostomies. The few and negligible symptoms of and sequelae to, urolithiasis in CIBD encourage a conservative attitude.

Adolescent↗
PubMed1977

Effects of cholecystokinin on the motility of the distal duodenum and the proximal jujunum in man.

Electrical spike potentials and intraluminal pressure variations were recorded in the distal part of the duodenum and proximal part of the jejunum in 5 normal human subjects before and after a bolus injection of cholecystokinin. A considerable increase in activity was observed in the jejunum after the hormone, whereas there was no response in the distal duodenum. Absence of reaction in the proximal duodenum and an increase in the motility in the distal ileum has previously been demonstrated after cholecystokinin administration. It is concluded that the human duodenum differs from the rest of the small intestine in its reaction to cholecystokinin. The change in reaction appears to occur on a level with the ligament of Treitz.

Cholecystokinin↗
PubMed1977

Obstructive uropathy in chronic inflammatory bowel disease.

On the basis of intravenous pyelography the frequency of ureteral obstruction was elucidated in retrospect in 140 patients with Crohn's disease and 88 patients with ulcerative colitis. The findings were related to X-ray examination of the gastrointestinal tract and to the clinical condition at the time of examination. 19% of the Crohn patients had ureteral obstruction, typically affecting the right ureter on a level with the linea terminalis. There was a close topographic relationship between radiologically demonstrated intestinal changes and a mass in the homolateral iliac fossa. There was no relation to duration or activity of the disease, urinary tract infections, surgery, or steroid medication. 14% of the patients with ulcerative colitis had ureteral obstruction of varying localization and nearly always arising after colectomy. Renal calculi were found in 13% of the patients with Crohn's disease and in 18% of those with ulcerative colitis. I.v. pyelography is recommended before and after intestinal resection in chronic inflammatory bowel disease to demonstrate the relatively common and often fairly silent urinary tract complications.

Adolescent↗
PubMed1976

Electrical spike potentials of the small bowel: a comparative study of recordings obtained from muscular implanted and intraluminal suction electrodes.

Electrical spike potentials from the canine duodenum have been recorded from intramuscular implanted and intraluminal suction electrodes. There was a significantly greater amplitude of the spike potentials recorded from implanted electrodes, otherwise the potentials were identical in number, duration and time of onset. Thus spike potentials recorded from suction electrodes, as used in clinical motility studies, accurately represent the event within the muscular layer.

Action Potentials↗
PubMed1975

The value of the duodenal intubation method (sellink modification) for the radiological visualization of the small bowel.

X-ray examination of the small bowel was performed in 52 patients by means of the conventional barium meal as well as the duodenal intubation method - Sellink modification - as a comparative study. The visualization of the jejunum and ileum except the terminal ileum was significantly better by the Sellink method compared to the routine examination. The intubation modification seems to be a valuable diagnostic supplement.

Barium Sulfate↗
PubMedDate not supplied

Radiologic findings and weight loss following gastroplasty for morbid obesity.

Gastroplasty aimed at treatment of morbid obesity creates a small proximal pouch and a narrow stoma to the remainder of the stomach. In 11 consecutive obese patients subjected to gastroplasty radiologic examinations of the stomach were performed before operation and one week, 3 and 12 months postoperatively. All stomachs were normal before operation. A significant decrease in pouch area and increase in stoma diameter were registered over the observation period. There were no statistically significant correlations between postoperative weight loss and stoma diameter or pouch area. Nor was retention in the pouch one week after gastroplasty related to weight loss. Radiographic evidence of gastroesophageal reflux was present in only one patient. The described method of follow-up is evidently not suited to predict the outcome of gastroplasty.

Adult↗