Showing papers in "The American Journal of Gastroenterology in 1989"
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TL;DR: Establishment of normal 3-cpm gastric myoelectric activity and resolution of dysrhythmias, not normalization of emptying rates, was associated with improvement in upper gastrointestinal symptoms in these diabetic patients.
321 citations
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TL;DR: Occult GER, predominantly in the upright position, appears to be common and severe in patients with chronic hoarseness, who have laryngeal lesions suggestive of GER, and the 24-h esophageal pH monitor is useful in screening this potentially treatable problem.
264 citations
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TL;DR: It is concluded that nutritional status may represent a major determinant of survival in AIDS and the rate of albumin decrease may define a function limiting survival of individual patients with AIDS.
233 citations
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TL;DR: Endoscopy and/or splenoportovenography and a high index of suspicion are required for the diagnosis of gastric varices and in acute bleeding from gastroesophageal varices, sclerotherapy could be attempted successfully.
233 citations
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TL;DR: The 180 mM solution resulted in a significant fall in serum free-fatty acids (FFA) and a significant rise in serum total cholesterol and triglyceride, with no change in beta-hydroxybutyrate levels.
227 citations
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TL;DR: This rare disease affects predominantly males in the sixth decade of life or later and the clinical and radiologic features are indistinguishable from those of more common oesophageal carcinomas, and the tumours are often polypoid.
205 citations
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TL;DR: The pathophysiological and clinical implications of the suboptimal vitamin status observed in acute inflammatory bowel disease are unknown, and further studies on long-term vitamin status and clinical outcome in these patients are necessary.
197 citations
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TL;DR: Saccharomyces boulardii, a nonpathogenic yeast, was found to be effective in preventing clindamycin cecitis recurrence in an animal model and may have a role in treating recurrent C. difficile diarrhea and colitis.
189 citations
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TL;DR: The authors' experience does not support the routine use of vagotomy when a bypass procedure is performed, and gastroduodenal disease generated considerably less morbidity than did distal Crohn's disease.
182 citations
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TL;DR: In this paper, the ambulatory 24-hour pH monitor was used to assess esophageal acid exposure in 10 normal subjects and 10 symptomatic gastroesophagus reflux patients following low and high fat meals.
154 citations
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TL;DR: The development of an endoscopic procedure for the placement of a gastrostomy feeding tube has revived interest in the use of this technique for nutritional support and the adequacy of nutritional support should be the final measure of successful PEG placement.
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TL;DR: It is suggested that gastrointestinal symptoms occurring in diabetic patients are poorly related to neuropathic complications and may often represent gastrointestinal syndromes commonly associated with psychiatric illness.
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TL;DR: On medical treatment, the severity of esophagitis as judged by endoscopic criteria in BE patients was reduced, but there was no increase in lower esophageal sphincter pressure and no regression of the columnar epithelium.
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TL;DR: The study supports the view of a very low prevalence of gallstone disease in people younger than 20 and provides information on GB size in relation to age, sex, and BMI.
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TL;DR: It is concluded that patients with a previous history of pneumonia are a high risk group in which alternative forms of enteral alimentation (i.e., jejunostomy feedings) should be explored.
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TL;DR: Polyethylene glycol-electrolyte lavage solution seems ideal for those with renal or cardiovascular disease who must undergo colon cleansing, and seems safe and well tolerated by patients.
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TL;DR: A series of 169 consecutive patients from low socioeconomic strata attending the gastroenterology clinic of Charity Hospital in New Orleans were evaluated clinically and endoscopically, and results suggest a high prevalence of chronic infection of C. pylori in this clinic population.
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TL;DR: The jejunal fluid concentrations of histamine and hyaluronan exceeded their respective concentrations in plasma, indicating that local intestinal secretion/synthesis is mainly responsible for their appearance in jeJunal fluid.
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TL;DR: Colonic transit in women was slower than in men, but this was not statistically significant, and a single standard for normal values can be used for both men and women.
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TL;DR: Nifedipine reduces symptoms of achalasia, but substantial symptoms do remain during such therapy; the suboptimal effect results from the limited, although statistically significant, effect of nifedine on reduction of lower esophageal sphincter pressure; and it cannot be recommended as a standard alternative to these other modalities.
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TL;DR: The results show that the values obtained with RUS do not differ grossly from the ones obtained with scintigraphy, which suggests that the ultrasonographic determination of gastric dimensions with a single section of the stomach may be a valuable method for use in the evaluation of Gastric emptying of liquids.
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TL;DR: Absence of a history of nonsteroidal use and antibody to C. pylori identify individuals with a low probability of ulcer disease and smoking increases this risk in subjects with C. Pylori.
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TL;DR: Mesenteric angiography is an integral part of the diagnostic evaluation of patients with gastrointestinal bleeding, although the frequency of positivity varies with the pattern of bleeding.
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TL;DR: It is concluded that GI tract infection with MAIC in AIDS patients is frequently associated with systemic infection with the agent, and may be accompanied by a characteristic gross lesion, that of fine white nodules on the mucosa.
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TL;DR: It is concluded that US-PEIT may be a potentially effective treatment for HCC and appeared to be effective in cases of capsular invasion.
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TL;DR: Nine patients with chronic watery diarrhea and nonspecific colonic mucosal inflammation followed for 1-5 yr are presented, and histological variability of collagenization and inflammation during the course of collagenous colitis and microscopic Colitis and the clinical feature of watery diarrhoea suggest that these two entities be grouped together as theWatery diarrhea-colitis syndrome.
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TL;DR: An association and a temporal relationship between cigarette smoking and Crohn's disease is demonstrated and the exposure to be considered an etiologic factor for disease, biologic plausibility and pathophysiologic mechanisms require elucidation.
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TL;DR: The excellent results obtained with this system, as well as the distinct advantages of durability, presence of three reliable sizes, and ease of use, make this an attractive alternative to other dilating systems in the treatment of achalasia.
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TL;DR: Immediate cessation of smoking decreases the number of daily reflux episodes, but does not significantly affect total esophageal acid exposure in symptomatic patients with endoscopic evidence of gastro-esophageaal reflux disease.
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TL;DR: This paper reviews the current understanding of the extraesophageal manifestations of gastrointestinal reflux and focuses on the potential relationship between pulmonary diseases (cough, asthma, recurrent pneumonia), chest pain, and hypopharyngeal or oral disease.