ABSTRACT
Two cases of South American Blastomycosis are presented; the disease is not frequent in our country; the cases are a segmentary and difuse type primitive localized in the colon. In both of them the colonoscopy was a very important aid in the diagnosis.
Subject(s)
Colonic Diseases/diagnosis , Endoscopy , Paracoccidioidomycosis/diagnosis , Adult , Colonic Diseases/diagnostic imaging , Colonic Diseases/pathology , Diagnosis, Differential , Humans , Male , Middle Aged , Paracoccidioidomycosis/diagnostic imaging , Paracoccidioidomycosis/pathology , RadiographyABSTRACT
120 patients with upper gastrointestinal symptoms were studied and submitted to gastric secretory tests, upper gastrointestinal X-rays and endoscopy. Gastroesophageal reflux was assessed by means of a Heidelberg telemetric capsule. 60 patients had hiatal hernia. Gastroesophageal reflux was present in 63.33%. 76% of the patients with hiatal hernia had gastroesophageal reflux, especially on those with small hernias and on the 5th and 6th decade of life. Gastric hiperacidity facilitates the incidence and presence of reflux. X-rays and endoscopy allowed us to diagnose diseases at the gastroesophageal junction. The correlation between these 2 methods and the presence or not of reflux, allowed differentiation between patients with organic diseases and patients with "functional" symptoms.
Subject(s)
Gastroesophageal Reflux/diagnosis , Hernia, Diaphragmatic/diagnosis , Hernia, Hiatal/diagnosis , Telemetry/methods , Age Factors , Endoscopy , Esophagitis, Peptic/diagnosis , Esophagogastric Junction/physiopathology , Gastric Juice/metabolism , Gastroesophageal Reflux/diagnostic imaging , Gastroesophageal Reflux/etiology , Hernia, Hiatal/diagnostic imaging , Humans , RadiographyABSTRACT
A combination of 4,4-diphenyl-N-isopropyl-cyclohexylamine-hydrochloride (pramiverine, Sistalgin) and N-methyl-N-(2,3-dimethyl-5-oxo-1-phenyl-3-pyrazolin-4-yl)-aminomethanesulfonate (metamizole) (Sistalgin comp.) was injected in 250 patients with severe colic pain. In 94% of the cases prompt relief from pain was observed. In addition to the reliable effect in colics of the gastrointestinal tract and the biliary duct, the high rate of success in colics of the urinary tracts should be mentioned. Good therapeutic results were also observed in pancreatitis. Only isolated cases of slight undesirable anticholinergic concomitant effects were noted. There was no effect on blood pressure and pulse rate.
