The American journal of gastroenterology
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Am. J. Gastroenterol. · Apr 1985
Case ReportsTransition from nutcracker esophagus to diffuse esophageal spasm.
The nutcracker esophagus is a newly defined subset of primary esophageal motility disorders that can be responsible for dysphagia and/or chest pain. Any possible relationship between this entity and diffuse esophageal spasm is poorly understood. Herein we report a case of nutcracker esophagus that showed a transition to classical diffuse esophageal spasm during 1 year follow-up. This transition supports the hypothesis that nutcracker esophagus and diffuse esophageal spasm may be related disorders.
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Am. J. Gastroenterol. · Mar 1985
ReviewThe diagnosis and management of nausea and vomiting: a review.
Nausea and vomiting can result from a wide variety of organic and psychogenic disorders. In evaluating these symptoms, a thorough history with careful attention to their duration and relation to meals, as well as to concomitant drug use and underlying chronic medical problems, often will point to the correct diagnosis. ⋯ Treatment can be symptomatic but is directed at the underlying pathological process whenever possible. Recently developed gastrointestinal "prokinetic" agents have helped to improve the course of patients with identifiable motility disorders.
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Am. J. Gastroenterol. · Feb 1985
Case ReportsSclerosing cholangitis associated with autoimmune hemolytic anemia and hyperthyroidism.
A patient presented with autoimmune hemolytic anemia and sclerosing cholangitis. Six years later he was found to be hyperthyroid. ⋯ Sclerosing cholangitis is a chronic fibrosing inflammatory disease process which may include parts or all of the biliary tree including the gallbladder. Although this disorder has been reported to occur with a variety of autoimmune disorders, it has not been previously associated with autoimmune hemolytic anemia and hyperthyroidism.
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Am. J. Gastroenterol. · Sep 1984
Case ReportsAbdominal epilepsy: an unusual cause of recurrent abdominal pain.
Abdominal epilepsy is an uncommon cause for abdominal pain in children and adults. Although its abdominal symptoms may be similar to those of the irritable bowel syndrome, it may be distinguished from the latter condition by the presence of altered consciousness during some of the attacks, a tendency toward tiredness after an attack, and by an abnormal EEG. Abdominal epilepsy is usually treated with anticonvulsant medication. This unusual cause for abdominal pain should be considered in patients with the appropriate abdominal symptoms who do not respond to the usual symptomatic therapy.
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Am. J. Gastroenterol. · Jan 1984
Comparative StudyDetection of gastrointestinal bleeding by radionuclide scintigraphy.
Scanning with Technetium 99m labeled autologous red blood cells was performed in 59 patients with clinical suspicion of acute and/or intermittent, chronic gastrointestinal bleeding. In 36 patients (61%), a definite site of bleeding could be demonstrated. ⋯ Overall sensitivity of the procedure was 91%; specificity 100% and accuracy 93.3%. It is suggested that radionuclide scintigraphy provides a completely noninvasive, simple, and sensitive procedure which may be routinely used for the detection and localization of gastrointestinal bleeding.