Colonic involvement in chronic ulcerative non-granulomatous ileo-jejunitis.
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Biomedical subjects
Publications and source records attributed to R S Kadian.
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Colonic pH was continuously monitored by a pH electrode implanted in the transverse colon of rats over a 24-hour period. Lactulose significantly reduced the colonic pH to 5.37 +/- .39 from a fasting value of 6.77 +/- .75. Pretreatment with neomycin or concomitant use of a nonabsorbable antacid prevented lactulose-induced reduction in the colonic pH. The clinical implication of the study is that combined use of lactulose with neomycin or high doses of non-absorbable antacids in the treatment of chronic portasystemic encephalopathy may be undesirable.
Six cases of gastric phytobezoars were seen on fiberoptic gastroscopy over a period of four years during which time 1,400 gastroscopies were done. Four of these cases showed complete resolution of bezoars on repeat endoscopy during a follow-up period ranging from two weeks to one year. Our experience shows that, in the absence of gastric outlet obstruction, small bowel obstruction or other serious problems due to bezoars, they may not need surgical or aggressive medical treatment.
The case of a 77-year old white male on anticoagulant therapy who developed sudden onset of gastrointestinal bleeding is presented. A benign esophageal papilloma was a fortuitous finding. The papilloma was removed in toto by fiberoptic endoscopic polypectomy. A brief review of this rare lesion is presented and the importance of a careful endoscopic examination as well as the therapeutic/curative potentialities of the procedure are stressed.
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