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Target Concepts:
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Query: UMLS:C0021831 (
enteropathy
)
4,403
document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)
We report two cases of a syndrome related to the bowel bypass surgical procedure. This syndrome consists of a flu-like illness, with temperatures from 38.3 to 39.4 degrees C (101 to 103 degrees F), chills,
malaise
, and inflammatory papules and pustules, 2 to 4 mm in diameter, on the extremities and upper part of the trunk. The illness lasts two to six days, and then recurs in one to six weeks. During some episodes, myalgia and polyarthralgia occur; between episodes, joints are normal. In both patients, extensive evaluations had been made to determine the cause of the persistent illness before this distinctive syndrome, related to the bowel bypass surgical procedure, was recognized. These two cases are also illustrative of the two therapeutic approaches that may be of value: administration of antibiotics, esecially metronidazole, or reconstitution of the normal bowel anatomy. The relationship of this syndrome to the arthritis associated with bowel bypass and to bypass
enteropathy
is discussed.
...
PMID:Bowel bypass syndrome. 45 91
A random sample of 170 patients (88 men) with chronic inflammatory bowel disease (75 ulcerative colitis) were first interviewed in 1978 about their employment status, problems at work, and influence of surgery. Surgery had been carried out on 120 and 53 had an ileostomy. After six years 144 (92%) of the 156 survivors replied to a follow up postal questionnaire. Of the initial sample, 122 (72%) were working and there were only three (1%) registered unemployed. After six years a similar proportion were working and only seven (5%) were unemployed. Continuity of employment was good with 57% in the same job. Changes in work because of health had been made by 72 patients mainly caused by
bowel disease
. After surgery 10% completely changed and 22% modified their work while a few had to retrain or retire. Panproctocolectomy and ileostomy resulted in more changes and longer time off work after surgery than colectomy and ileorectal anastomosis, with 35% and 17% respectively off work after one year. Problems at work, in particular general
malaise
and arthritis were experienced by 34 (28%) patients. Fewer problems were experienced by patients with a stoma who also had less sickness absence than those without a stoma. Colleagues and employers were usually supportive although some patients encountered discrimination especially those with a stoma or working in the food industry. Few patients had been counselled on their work. In general employment prospects and time off work were good and employers should be encouraged to take an optimistic and supportive role. Doctors should consider that convalescence after surgery may be longer than they perceive and must provide better counselling for patients.
...
PMID:Employment problems and prospects for patients with inflammatory bowel disease. 319 97
By combining textual research on Bing Zhong Zuo (Poet Composed When Falling
Ill
) in Lu You's Jiannan shigao (Jiannan's Poetry Anthology), with other related historical materials, the geographical and climatic features of Nanchang area in the Southern Song Dynasty and epidemo1ogical characteristics of common diseases such as rheumatism, gastro-
enteropathy
and pulmonary diseases et al. thus happened can be clearly understood. It reflects the customs of the belief on witchery in medical treatment and the low medical level in Nanchang at that time. Meanwhile, it also reflects Lu You's optimistic attitude on his illness and his quiet, simple and open-minded idea of keeping fit.
...
PMID:[Textual research on Lu You's poet on diseases during his trip to Nanchang]. 1555 53