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Query: UMLS:C0000737 (abdominal pain)
 31,184 document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)

The efficacy of Ventrisol treatment in gastritis and duodenitis in children infected with Helicobacter pylori was evaluated. Eighty-six children aged 3 to 18 years with chronic abdominal pain were examined. All children underwent gastrofiberoscopic examination. H. pylori infection was diagnosed on the bases of two of three diagnostic tests (urease, bacteriological, histological). H. pylori was detected in 50 children (56.4%). After a 4 week course of Ventrisol treatment, H. pylori eradication was obtained in 41 children (82%). Twenty-one children (42%) were completely cured, whereas in 20 children (40%) elimination of HP was observed although macroscopic and histological inflammatory changes were still present. The drug was well tolerated by 92.5% of children and its accumulation was not observed.
Pediatr Pol 1995 Jan
PMID:[Evaluation of treatment efficacy in gastritis and duodenitis in children with Helicobacter pylori infection]. 762 70

The authors discuss their own 14-year experience with surgical treatment of the chronic pancreatitis. They treated 64 patients of a mean age of 43 years. An abdominal pain, persisting in all patients, constituted the main indication to surgery. Forty patients underwent pancreatic enterostomy with Puestow technique, 19 patients resections of various extension, and 5 patients underwent pancreatic duodenostomy. Mortality rate in pancreatic enterostomy and pancreatic duodenostomy was 2.5% whereas mortality rate in resections was 5.3%. Complications were noted in 27.5% and 36.8% of patients, respectively. Pain was completely abolished or markedly reduced in 90% of patients. Forty eight (77.4%) out of 62 patients were identified and followed up. According to commonly used criteria, positive late results were achieved in 56.2% of patients, moderate in 29.2%, and poor result in 14.6% of the treated patients.
Pol Tyg Lek
PMID:[14-year experience with surgical treatment of chronic pancreatitis]. 767

Diagnostic and therapeutical problems associated with chronic abdominal pain in children have been discussed, basing on an analysis of 19 children hospitalized for such a pain. Prevalence of psychic origin has been stressed. However, it may sometimes co-exist with organic disorders as well as maintain pain after successful treatment of the underlying disease. Therefore, diagnostic examination should be repeated in every case in which pain changes its character or the additional alarming symptoms appear. The treatment of the chronic abdominal pain of psychogenic origin requires long-term psychotherapy with the active participation of parents and sick child.
Pol Tyg Lek
PMID:[Chronic abdominal pain in children as a diagnostic and therapeutic problem]. 767 1

Analysis of the efficacy and tolerability of gemfibrozil (Gevilon-Parke Davis) was performed including 29 patients aged 19-69 years with primary hyperlipoproteinemia (HLP) type IIb-16 persons, IV-13 persons. All patients got dietary recommendations and received gemfibrozil 450-900 mg/day for 3 months. In both types of HLP a significant reduction of serum cholesterol (TCh)--15.5% triglycerides (TG)--32.1% VLDL-Ch--34.9% and VLDL-TG concentration--36.6% was observed as well as an increase of HDL3 fraction-16.3%. The greatest reduction of serum TCh concentration and VLDL-Ch were observed in type IIb, while that of TG and VLDL-TG in type IV HLP. The best therapeutic effect was obtained during the first month of treatment. The percent of TCh, TG, VLDL-Ch, VLDL-TG reduction correlated with their initial level. Tolerability of gemfibrozil was very good. Only in 2 patients transient abdominal pain was observed.
Pol Arch Med Wewn 1994 Jan
PMID:[Evaluation of the efficiency of gemfibrozil in treating hyperlipidemia type IIb and IV]. 819 Jun 59

The case simultaneous intrauterine and ectopic pregnancy was presented. The patient was admitted to the clinic, because of abdominal pain and vaginal bleeding. The curettage was performed and the trophoblastic tissue was removed. Five days later she was operated because of the rupture of the tube caused by ectopic pregnancy. The diagnosis was confirmed by histopathological examination.
Ginekol Pol 1993 Jan
PMID:[Simultaneous ectopic and intrauterine pregnancy]. 835 23

Food allergy has been implicated lately in the etiopathogenesis of abdominal pain in children, with particular attention pain to gastritis and/or duodenitis. The aim of the study was to analyse the cause-and-effect relationship between chronic abdominal pain in children, endoscopic and histopatological picture, and food allergy, as well as to evaluate the applied elimination diet and/or antiallergic treatment on the improvement of both the clinical status and endoscopic picture. In 71 children gastrofiberoscopic examinations, food skin tests, and specific and total IgE allergen serum tests were performed. In the majority of examined children one could observe an improvement of clinical status and of the endoscopic-histopatological picture of the stomach mucous membrane after application an elimination diet and/or treatment with sodium cromoglycate.
Pediatr Pol 1995 Apr
PMID:[Food allergy in pathogenesis of chronic abdominal pain in children]. 868 58

13.5-year-old girl who was admitted to hospital because of anorexia nervosa started to complain of abdominal pain in her 3-rd week of hospitalization. She underwent 24-hour pH-metry and upper GI endoscopy. These procedures showed that GER was the cause of anorexia. Therapeutic management led to marked improvement.
Pediatr Pol 1996 May
PMID:[Anorexia as the main symptom of gastroesophageal reflux: case study of a 13.5-year-old girl]. 871 Apr 33

Non-ulcer dyspepsia (NUD) means the presence of upper abdominal pain and discomfort and also nausea, vomiting, flatulence, heartburn and belching. It is estimated, that about 20-30% of all patients refer to a doctor because of dyspeptic symptoms. Helicobacter pylori (Hp) infections are diagnosed in about 60% of persons with NUD and in 80-100% of patients with clinical, endoscopic and histological diagnosis of gastritis. The authors decided to investigate a correlation between gastritis and Hp infection and a relationship between the influence of antibacterial therapy and Hp eradication from gastric mucus and to observe gastric mucosa condition. We examined 73 patients (range age 16-73): 40 females and 33 males. We employed the Sydney System for evaluation of gastric mucosa condition. The patients were divided into two groups: Hp-positive 50 persons and Hp-negative-23 persons. Hp infected subjects were treated with antibacterial drugs (bismuth + metronidazol + amoxycillin or bismuth + metronidazol + tetracycline) and Hp-negative only with bismuth. Hp eradication was obtained in 72.7% of patients treated with bismuth + metronidazol + amoxycillin and 76.4% of persons treated with bismuth + metronidazol + tetracycline. A statistically significant difference between these two kinds of antibacterial therapy was not noted. Both methods are equally effective. We observed also and improvement of the histological state of antrum and corpus gastric mucosa after therapy in comparison to changes before treatment. We noticed a decrease of dyspeptic complaint in 89.2% of Hp infected persons in whom Hp had been eradicated. Among Hp-negative 23 patients gastric mucosa was normal in 30% and chronic gastritis was found in 70% of subjects. Based upon the present results it seems very important and suitable to detect Hp organisms in gastric mucus of all dyspeptic patients who are endoscopically examined and biopsied at the same time. We would suggest to do an urease test and to take histological samples together with full endoscopic examination according to the Sydney System guidelines.
Pol J Pathol 1996
PMID:Non-ulcer dyspepsia and Helicobacter pylori infection--morphological analysis according to the Sydney system--changes before and after treatment. 885 27

The aim of the study was to verify the hypothesis of complete recovery after acute gallstone pancreatitis (a.g.p) and to correlate findings of different diagnostic techniques. Thirty patients, aged 23-82 (mean 53.4 +/- 16.7), underwent a secretin-cerulein test (SCT), ultrasound (US) and computed tomography (CT) of the pancreas 6-12 months and 3-5 years after an attack of a.g.p. Exocrine pancreatic function impairment in SCT was found in 19 (63.3%) patients 6-12 months after a.g.p and in 9 (30%) patients 3-5 years after a.g.p. Imaging techniques revealed pancreatic structure abnormalities (pancreas enlargement, pseudocysts, Wirsung duct dilatation or calcifications) in 33.3% patients (US) and in 56.6% patients (CT) 6-12 months after a.g.p and in 13.3% (both US and CT) in patients 3-5 years after a.g.p. Nevertheless, the combination of recurrent attacks of abdominal pain, severe exocrine pancreatic function impairment requiring enzyme supplementation and pancreatic calcifications in imaging techniques 3-5 years after a.g.p. have been observed only in 4 (13.3%) patients. Those were the patients after multiple attacks of clinically severe, necrotic a.g.p., in which cholecystectomy has not been performed. We conclude that in most cases after acute gallstone pancreatitis pancreatic structure and function gradually return to normal. Nevertheless, patients after multiple episodes of clinically severe a.g.p., with gallbladder in situ should undergo a prospective pancreatic function and structure evaluation in order to early recognize and treat the revealed changes.
Mater Med Pol
PMID:The natural course of acute gallstone pancreatitis. 908 19

The aim of the study was to determine the late outcome of acute alcoholic pancreatitis (a.a.p.), as assessed by clinical examination, functional tests and imaging techniques. 47 patients, 4-7 years after a.a.p. of moderate clinical course underwent a secretin-cerulein test (SCT), glucose tolerance test (GTT), ultrasound (US) and computed tomography (CT) of the pancreas. Exocrine pancreatic function impairment was found in 63.8%, glucose impaired tolerance (GIT)-in 12.8% overt diabetes-in 17.0%. GIT and overt diabetes were found only in patients with severe exocrine function impairment requiring enzyme supplementation. Ultrasound revealed pancreatic structure abnormalities mostly pancreas enlargement, pseudocysts, structural heterogeneity, contour irregularity, Wirsung duct dilatation and calcifications in 36.21% patients and computed tomography in 44.7%. Out of 16 patients with concomittant pathology found in SCT, US and CT 14 (29.8%) suffered from attacks of abdominal pain. We conclude that, as reflected by clinical symptoms, exo- and endocrine pancreatic function tests and imaging techniques, in about one third of patients even a moderate attack of a.a.p may lead to chronic pancreatitis. We suggest that patients after acute alcoholic pancreatitis should undergo prospective evaluation including both the function and structure estimation in order to early recognize and treat the revealed changes.
Mater Med Pol
PMID:Acute alcoholic pancreatitis does not lead to complete recovery. 908 29


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