Hepato Gastroenterol
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Hepato Gastroenterol · Dec 1991
Estimate of gastric acid output by evaluation of fasting gastric juice collected endoscopically.
Using an endoscope we collected fasting gastric juice for estimation of gastric acid in subjects examined by upper gastrointestinal endoscopy. Subjects were 53 in- and out-patients (46 males and 7 females) at our hospital. ⋯ There was a statistically significant correlation between them. Thus, an estimation of gastric acid secretion can be obtained from the fasting gastric juice which we usually aspirate and discard during the routine endoscopic examination.
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Hepato Gastroenterol · Oct 1991
Effect of bile on liver function tests in experimental E. coli peritonitis in the rat.
Hepatic dysfunction is a frequent finding in sepsis and peritonitis. In the present study, hepatic function in experimental peritonitis in the rat was determined by measuring serum levels of bilirubin, alkaline phosphatase (ALP), glutamic-oxaloacetic transaminase (GOT) and glutamic-pyruvic transaminase (GPT), together with antipyrine (AP) clearance as a determinant of microsomal function. Peritonitis was induced by intraperitoneal injection of 3 x 10(8) colony-forming units of E. coli together with either 1.0 ml bile or saline. ⋯ In contrast, no reduction of AP clearance was observed in the peritonitis models. On the contrary, AP clearance was enhanced at 10 hours after induction of peritonitis by E. coli alone. In conclusion, hepatic dysfunction as revealed by routine laboratory tests is seen early in experimental peritonitis in the rat, but this is not accompanied by a reduced AP clearance rate.
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The clinical course of a patient with pyrosis and intractable hiccups is presented. Hiccups persisted six years after an effective fundoplication had cured pyrosis, and the patient was eventually treated with baclofen. Esophageal function during and after hiccups was studied in detail by means of esophageal manometry and 24-hour-pH monitoring. The relationship between hiccups and gastro-esophageal reflux is discussed.
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Hepato Gastroenterol · Dec 1990
Case ReportsAneurysm of the common hepatic artery diagnosed by ultrasonography.
The authors report on their observation of a patient with an aneurysm of the common hepatic artery, the diagnosis of which had been previously established by ultrasonography. Verification of the finding by angiography was followed by timely surgery including aneurysm resection. The potential of ultrasonography in diagnosing this rare vascular abnormality, the CT scan of which had been erroneously interpreted as an inoperable tumour, is pointed out.