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Biomedical subjects

V Andreica

Publications and source records attributed to V Andreica.

18 recordsLinked to original sources

The prevalence of anti-Helicobacter pylori antibodies in the patients with ischemic heart disease.

The authors proposed to assess the prevalence of anti-Hp antibodies (IgG class) in patients with ischemic heart disease. The study included 93 patients distributed into two groups: a) group A--61 patients with ischemic heart disease; b) group B--32 controls. The Hp infection diagnosis was established by determination of the Hp antibodies in the peripheral blood. Hp infection was correlated with the following factors: (a) smoking, alcohol consumption, antiinflammatory drugs intake and water source; (b) biological parameters (fibrinogen, alpha1-globulins, cholesterol, triglycerides, thrombocyte count). In the patients with ischemic heart disease the prevalence of the Hp infection was 78.3%, and in controls 56.2% (p<0.05). The patients consuming alcohol and smoking had a significantly higher prevalence than controls. Antiinflammatory drugs and water source did not influence the prevalence of the Hp infection. Among the biological parameters, fibrinogen and alpha1 globulins were significantly increased in the Hp-positive patients with ischemic heart disease. In conclusion, the serum prevalence of anti-Hp antibodies was higher in the patients with ischemic heart disease, smokers and alcohol consumers than in health individuals.

Alcohol Drinking↗

[The determination by computed scintigraphy of the evacuation time of the resected stomach under the administration of salbutamol and dopamine].

The evacuation time (T1/2) of the stomach was determined in the patients with partial gastric resection by a sequential computerized scintigraphic method. The effect of Salbutamol and Dopamine was followed on T1/2 and the scintigraphic surface of the stomach (appreciated indirectly by measuring the longitudinal and transversal diameters). Salbutamol prolongs significantly T1/2, from 6.41 +/- 2.72 minutes to 12.33 +/- 6.45 minutes. The scintigraphic surface of the resected stomach is not slightly modified by Salbutamol. Dopamine prolongs very much T1/2, from 13.00 +/- 4.01 minutes to 75.03 +/- 24.36 minutes, in parallel with the increase of the scintigraphic image of the stomach. Our investigations lead to the conclusion that Salbutamol, given per os, may become a new therapeutic mean in the dumping syndrome.

Albuterol↗

Helicobacter-like organisms in gastroduodenal diseases.

The incidence of the Helicobacter-like organisms (HLO) was investigated on biopsy specimens of antral gastric mucosa, stained by the Wayson technique, in 509 patients with various gastric and duodenal diseases. The incidence of HLO was: 72.8 percent in gastric ulcer, 69.6 percent in duodenal ulcer, 69.2 percent in bulbitis, 61.0. percent in chronic gastritis, 37.5 percent in the postoperative stomach, 50 percent in gastric cancer, and 34.3 percent on healthy controls. The HLO were present over the whole year, with a peak in March. Sex and age had little influence on the HLO incidence. The Wayson staining technique proved to be a good technique of detection of HLO on gastric mucosa smears.

Adult↗

The action of glucagon on gastric acid secretion and serum pepsinogen I.

In 39 patients the following were assessed: gastric acid secretion (mmol/hour), gastric juice volume (ml/hour), glycemia (mg%), and in 10 of them also pepsinogen I serum concentration (ng/ml). All these parameters were determined in basal conditions and after administration of glucagon. Glucagon induced achlorhydria in 33.3% of the patients, hypochlorhydria in 33.3%, did not influence HCl in 12.8%, and hyperchlorhydria in 20.5%. The gastric juice volume changed in parallel with chlorhydria. The HCl secretion did not correlate with the glycemia levels. Pepsinogen I was not significantly influenced by glucagon. It may be concluded that glucagon had a two-fold action on HCl secretion: (a) in two thirds of the patients studied it induced hypo- or achlorhydria; (b) in about 20% it induced hyperchlorhydria.

Achlorhydria↗

Biochemical changes induced by Campylobacter pylori in the gastric juice.

The biochemical changes induced in the gastric juice by the presence of Campylobacter pylori (CP) were followed up in 151 patients with various gastric and duodenal diseases. The diagnosis of CP infection was made by the urease test. In the presence of CP urea decreased in the gastric juice and ammonia increased. The sialic acid, fucose and hexoses, glucide components of the mucus glycoproteins dissolved in the gastric juice, underwent no change in the presence of CP. The hexosamines in the gastric mucus increased significantly in CP patients. Urease activity is present in the gastric juice even in the absence of CP, probably due to other microorganisms present in the human stomach. This does not exclude the use of the urease test for the diagnosis of CP infection. However the test can only be used in the bioptically removed gastric mucosa samples, not in the gastric juice.

Biopsy↗

Beta adrenergic regulation of the hydrochloric acid secretion.

Propranolol induces basal achlorhydria in 30.7% of the patients, decreases significantly the HCl secretion in 42.3%, does not change it in 25% and increases it in 1.9%. After histamine stimulation (Kay test) propranolol decreases HCl in 57% and increases it in 43% of the cases. Propranolol induces a significant decrease of carbon anhydrase in the gastric mucosa. Serum gastrin is not significantly decreased after propranolol treatment. Isoprenaline increases the HCl secretion in all the patients investigated. Propranolol suppresses the effect of isoprenaline in 28.6% of the cases, decreases it in 33%, does not change it in 19% and increases it in 19%. The action of isoprenaline is not influenced by atropine, so the mechanism of action of the beta agonist is non-cholinergic. The gastric juice volume is not changed significantly by the blockage or stimulation of beta receptors. The beta adrenergic nervous system stimulates HCl secretion.

Adult↗

[Campylobacter pylori infection in chronic gastritis and gastric cancer].

The present paper analyses, in correlation with histologic lesions, the incidence of infection with Campylobacter pylori (CP) in patients with chronic gastritis, operated stomach, gastric neoplasm and healthy subjects. In chronic gastritis, incidence of infection with CP is 71.6%, significantly increased in comparison with the controls, in whom the positive percentage is 37.5. The most of the patients in this group suffered from superficial chronic gastritis. In the group with operated stomach, the CP infection included 48% of the patients studied; all had superficial chronic gastritis. In gastric cancer, CP bacteria appeared in 50% of cases. CP may represent a pathogenetic ring that starts the gastric process.

Biopsy↗

The gastric 99mTc clearance--a technique for the evaluation of the gastric blood flow.

The gastric mucosa blood flow was investigated using the 99mTc clearance. Besides the clearance the "R" ratio, total radioactivity of the gastric juice and the volume of gastric juice (ml/15 min) were also investigated. The main characteristics of the method are its reproducibility and the parallelism existing between: clearance, the "R" ratio and total radioactivity. The parameters investigated reach a maximum 30-45 min after administration of 99mTc; consequently, to evaluate gastric blood flow, it is sufficient to determine the parameters at this time interval. The 99mTc clearance represents an accessible method for the evaluation blood circulation in the gastric mucosa.

Adult↗

Gastric sequential scintigraphy. Methodology with liquid isotonic meal.

The radioisotopic measurement of gastric emptying offers information about an aspect of gastric motility. A procedure performed in our laboratory is presented. It is based on the ingestion of 500 ml saline including 1 mCi (3.7 MBq)113m In-DTPA or 99Tc-DTPA. The subject is placed in a half-supine position. Radioactive counts of the tracer are collected with a gammacamera and processed with a microcomputer, using a special program. This offers the histograms of the whole stomach and of the regions of interest (proximal and distal stomach), and also the half-time of these curves. Normal values range between 8-25 min for each curve half-time. The method has applications in physiology, pharmacology and clinical diagnosis.

Gastric Emptying↗

Campylobacter pylori infection in gastric and duodenal ulcer.

The incidence of infection with Campylobacter pylori (CP) in gastric ulcer (GU) and duodenal ulcer (DU) and its correlation with the gastritis lesions associated to the two diseases, was investigated. In GU the incidence of CP infection was 76.3%, close to that in DU (71.4), but different from controls (33.3%). Chronic gastritis associated to gastric or duodenal ulcer is of variable severity, CP infection being the more often encountered the higher the severity of gastritis. Presence of CP was also observed in 75% of the cases associated also with intestinal metaplasia from UG. The diameter of CP-positive GU was significantly increased as compared with that in CP-negative GU. Type I GU was associated with CP infection in 81.8% of the cases. The results obtained allowed the conclusion that in GU and DU the incidence of CP infection is significantly higher as compared with that in controls but the pathogenetic relationship ulcer-bacterium is not yet elucidated.

Biopsy↗

Contributions to the study of gastric carcinogenesis.

Investigations were carried out on duodeno- and jejunogastric reflux, gastric juice acidity, microbial population and the concentration of nitrites in 199 subjects. In gastric cancer patients or those with gastric ulcer, chronic atrophic gastritis, stomach resection or more seldom with removal of the gallbladder, a significant increase over normal values of the pH, duodenogastric reflux, microbial flora contamination (especially intestinal) and nitrite concentration was found. In smokers the salivary nitrite concentration was greater than in non-smokers and in direct relationship to gastric concentrations. The parallelism of these alterations suggests a causative relation between them and their presence in diseases or conditions of notorious increased incidence in gastric cancer highlights the direction to be followed in the primary prophylaxis of this disease.

Cholecystectomy↗