ABSTRACT
Con el objeto de evaluar el procedimiento de biopsia-succión de la mucosa del intestino delgado dirigida bajo control endoscópico, fueron estudiados 47 pacientes. Sobre un total de 121 muestras obtenidos resultaron adecuadas para diagnóstico 114 muestras (94,2%). Este procedimiento resultó ser efectivo, rápido y seguro para el estudio de la patología de la mucosa yeyunal (AU)
Subject(s)
Adult , Middle Aged , Humans , Intestine, Small/pathology , Biopsy, Needle/instrumentation , Intubation/methods , EndoscopyABSTRACT
Con el objeto de evaluar el procedimiento de biopsia-succión de la mucosa del intestino delgado dirigida bajo control endoscópico, fueron estudiados 47 pacientes. Sobre un total de 121 muestras obtenidos resultaron adecuadas para diagnóstico 114 muestras (94,2%). Este procedimiento resultó ser efectivo, rápido y seguro para el estudio de la patología de la mucosa yeyunal
Subject(s)
Adult , Middle Aged , Humans , Biopsy, Needle/instrumentation , Endoscopy , Intestine, Small/pathology , IntubationABSTRACT
The technical difficulties of the procedures for jejunal biopsy are a waste of time. In the present paper we consider the suction biopsy of small bowel with the Olympus equipment, under endoscopic control. We studied 47 patients, mean age 46 years old (range 22-70) with clinical suggestion of malabsorption. In all patients, we tried to obtain 3 samples, in 31 (66%) we obtained the 3, in 8 (17%) we obtained 2 and in 2 (4.2%) no samples. With this procedure we had 121 samples; from these 114 (94.2%) were useful for diagnosis. We had no complications. The small bowel biopsy with Olympus system was fast, sure and effective.
Subject(s)
Biopsy, Needle/methods , Endoscopy , Jejunum/pathology , Adult , Aged , Biopsy, Needle/instrumentation , Humans , Malabsorption Syndromes/pathology , Middle AgedABSTRACT
The technical difficulties of the procedures for jejunal biopsy are a waste of time. In the present paper we consider the suction biopsy of small bowel with the Olympus equipment, under endoscopic control. We studied 47 patients, mean age 46 years old (range 22-70) with clinical suggestion of malabsorption. In all patients, we tried to obtain 3 samples, in 31 (66
) we obtained the 3, in 8 (17
) we obtained 2 and in 2 (4.2
) no samples. With this procedure we had 121 samples; from these 114 (94.2
) were useful for diagnosis. We had no complications. The small bowel biopsy with Olympus system was fast, sure and effective.
ABSTRACT
The TAE C14 has been evaluated as a diagnostic method of small bowel contamination in a group of patients operated for gastric disturbances. It has been compared with bacterial culture and bile salts chromatogrpahy of jejunum liquid and therapeutic response. 36 patients have been studied and divided in 3 groups: a) negative control: 8 subjects without pathology; b) positive control: 6 patients with intestinal resection and 1 with intestinal scleroderma, all of them with steatorrhea; c) gastric operated patients: 16 BII with and without vagotomy, 3 gastroenteroanastomosis and vagotomy, 1 superselective vagotomy and pyloroplasty and 1 B I, all the patients had steatorrhea, except one with BII. The period elapsed between the operation and the studies varied from 1 to 17 years (X: 4.9 +/- 4.1). The average value of steatorrhea was 23.9 +/- 10.2 g/24 hs. 100% of group b and 80% of group c had abnormal TAE C14. In 80% of the patients of the group c chromatogrpahy was performed and it agreed with TAE C14 in 80% of the studies. Bacteriology was positive in 100% of 18 studies, coinciding with TAE C14 in 70% patients. Therapeutic control of 100% of group c was positive in 90%.
Subject(s)
Bacterial Infections/diagnosis , Breath Tests/methods , Gastrointestinal Diseases/diagnosis , Glycocholic Acid , Postoperative Complications/diagnosis , Stomach/surgery , Bacterial Infections/drug therapy , Bacterial Infections/etiology , Bile Acids and Salts/metabolism , Carbon Radioisotopes , Demeclocycline/therapeutic use , Female , Gastrectomy , Humans , Intestinal Absorption , MaleABSTRACT
Intestinal protein loss was determined in a group of patients with gastric resection by measuring the faecal radioactivity in the stools of 4 days, after intravenous administration of Cl3Cr51. The patients studied were divided in three groups: a) 10 healthy control subjects, b) 5 patients with gastrectomy BII without steatorrhoea, c) 15 patients with gastrectomy BII with steatorrhoea. In group (a) faecal radioactivity was 0.36 +/- 0.26% of the administrated dosis; in group (b) the value was 1.24 +/- 1.07% and in group (c) the activity was 1.40 +/- 1%. Statistically significative difference between groups (a) and (b) ((p less than 0.05) was found between groups (a) and (c) the difference was highly significative (p less than 0.001). However there was no significative difference between groups (b) and (c) (p less than 0.8). We think that serum protein intestinal loss may be, one of the causes of the hipoalbuminemia present in some patients who underwent partial gastrectomy because of gastroduodenal ulcer. Otherwise we did not find a relation between protein loss and steatorrhoea.
Subject(s)
Celiac Disease/etiology , Gastrectomy/adverse effects , Intestinal Absorption , Protein-Losing Enteropathies/etiology , Adult , Chromium Radioisotopes , Feces/analysis , Homeostasis , Humans , Hypoproteinemia/etiology , Middle Aged , Serum Albumin/metabolismABSTRACT
The TAE C14 has been evaluated as a diagnostic method of small bowel contamination in a group of patients operated for gastric disturbances. It has been compared with bacterial culture and bile salts chromatogrpahy of jejunum liquid and therapeutic response. 36 patients have been studied and divided in 3 groups: a) negative control: 8 subjects without pathology; b) positive control: 6 patients with intestinal resection and 1 with intestinal scleroderma, all of them with steatorrhea; c) gastric operated patients: 16 BII with and without vagotomy, 3 gastroenteroanastomosis and vagotomy, 1 superselective vagotomy and pyloroplasty and 1 B I, all the patients had steatorrhea, except one with BII. The period elapsed between the operation and the studies varied from 1 to 17 years (X: 4.9 +/- 4.1). The average value of steatorrhea was 23.9 +/- 10.2 g/24 hs. 100
of group b and 80
of the patients of the group c chromatogrpahy was performed and it agreed with TAE C14 in 80
of the studies. Bacteriology was positive in 100
of 18 studies, coinciding with TAE C14 in 70
patients. Therapeutic control of 100
of group c was positive in 90
ABSTRACT
Intestinal protein loss was determined in a group of patients with gastric resection by measuring the faecal radioactivity in the stools of 4 days, after intravenous administration of Cl3Cr51. The patients studied were divided in three groups: a) 10 healthy control subjects, b) 5 patients with gastrectomy BII without steatorrhoea, c) 15 patients with gastrectomy BII with steatorrhoea. In group (a) faecal radioactivity was 0.36 +/- 0.26
of the administrated dosis; in group (b) the value was 1.24 +/- 1.07
and in group (c) the activity was 1.40 +/- 1
. Statistically significative difference between groups (a) and (b) ((p less than 0.05) was found between groups (a) and (c) the difference was highly significative (p less than 0.001). However there was no significative difference between groups (b) and (c) (p less than 0.8). We think that serum protein intestinal loss may be, one of the causes of the hipoalbuminemia present in some patients who underwent partial gastrectomy because of gastroduodenal ulcer. Otherwise we did not find a relation between protein loss and steatorrhoea.
ABSTRACT
The TAE C14 has been evaluated as a diagnostic method of small bowel contamination in a group of patients operated for gastric disturbances. It has been compared with bacterial culture and bile salts chromatogrpahy of jejunum liquid and therapeutic response. 36 patients have been studied and divided in 3 groups: a) negative control: 8 subjects without pathology; b) positive control: 6 patients with intestinal resection and 1 with intestinal scleroderma, all of them with steatorrhea; c) gastric operated patients: 16 BII with and without vagotomy, 3 gastroenteroanastomosis and vagotomy, 1 superselective vagotomy and pyloroplasty and 1 B I, all the patients had steatorrhea, except one with BII. The period elapsed between the operation and the studies varied from 1 to 17 years (X: 4.9 +/- 4.1). The average value of steatorrhea was 23.9 +/- 10.2 g/24 hs. 100
of group b and 80
of group c had abnormal TAE C14. In 80
of the patients of the group c chromatogrpahy was performed and it agreed with TAE C14 in 80
of the studies. Bacteriology was positive in 100
of 18 studies, coinciding with TAE C14 in 70
patients. Therapeutic control of 100
of group c was positive in 90
.
ABSTRACT
Intestinal protein loss was determined in a group of patients with gastric resection by measuring the faecal radioactivity in the stools of 4 days, after intravenous administration of Cl3Cr51. The patients studied were divided in three groups: a) 10 healthy control subjects, b) 5 patients with gastrectomy BII without steatorrhoea, c) 15 patients with gastrectomy BII with steatorrhoea. In group (a) faecal radioactivity was 0.36 +/- 0.26
of the administrated dosis; in group (b) the value was 1.24 +/- 1.07
and in group (c) the activity was 1.40 +/- 1
. Statistically significative difference between groups (a) and (b) ((p less than 0.05) was found between groups (a) and (c) the difference was highly significative (p less than 0.001). However there was no significative difference between groups (b) and (c) (p less than 0.8). We think that serum protein intestinal loss may be, one of the causes of the hipoalbuminemia present in some patients who underwent partial gastrectomy because of gastroduodenal ulcer. Otherwise we did not find a relation between protein loss and steatorrhoea.