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Biomedical subjects

K Gyr

Publications and source records attributed to K Gyr.

At least 235 records · Page 13Linked to original sources
PubMed1978

[Conservative therapy of acute ulcer hemorrhage using somatostatin. Pilot study].

Somatostatin (SST) infusion was used to treat severe upper intestinal hemorrhage in 10 patients with peptic ulcer disease. Bleeding ceased in all patients 4-8 h after start of infusion. In one case bleeding recurred when SST infusion was discontinued; SST was given again and the hemorrhage definitively halted. Another patient suffered a recurrence while under SST infusion and had to be operated upon. SST appears to be effective in controlling hemorrhage from peptic ulcer, though further studies are required.

Adult↗
PubMed1978

Chymotrypsinlike activity of some intestinal bacteria.

Some tests of exocrine pancreatic function are based on the estimation of intestinal chymotryptic activity by using specific substrates such as N-benzoyl-L-tyrosyl-PABA (BT-P). In this study the action of a number of bacteria isolated from human or monkey intestines on BT-P was investigated. The monkeys studied had an intestinal flora closely resembling that of man. Except for Bacteroides, Proteus vulgaris No. 73, Proteus morgani No. 202, and Pseudomonas aeruginosa No. 76, significant splitting of BT-P did not take place when the common enteric microorganisms were tested. It was concluded that with the possible exception of bacterial overgrowth of the small bowel, microbial chymotryptic activity is not of importance.

4-Aminobenzoic Acid↗
PubMed1978

Comparison of the biological potency of a new synthetic preparation of secretin with that of natural porcine secretin in the dog.

The biological activity of the new synthetic secretin, Roche, on exocrine pancreatic secretion was determined in conscious dogs with chronic gastric and duodenal fistulae and compared with that of pure porcine secretin (GIH, Karolinska Institutet, Stockholm). The two secretin preparations were found to be equipotent as to pancreatic volume and bicarbonate response on a molar basis. It was concluded that the new synthetic secretin is useful for clinical and research purposes.

Animals↗
PubMed1978

Effect of somatostatin on exocrine pancreatic secretion stimulated by pancreozymin-secretin or by a test meal in the dog.

In 4 dogs with chronic duodenal and gastric fistulae, exocrine pancreatic function was assessed by cannulating the pancreatic duct and collecting the duodenal contents. Both methods were applied in each animal. Pancreatic secretion was stimulated by infusion of 2 CHR units of pancreozymin and secretin or by administration of a liquid test meal, injected into the stomach through the gastric fistula. During both experiments 3.5 microgram/kg somatostatin was given as bolus injection followed by an infusion of 3.5 microgram/kg/h. Somatostatin caused a significant reduction in protein and amylase output and in the bicarbonate concentration during stimulation with pancreozymin-secretin. Volume and bicarbonate slightly decreased but not to a significant extent. Duodenal volume and the duodenal activities of trypsin and amylase were significantly reduced during test meal stimulation and somatostatin infusion. Somatostatin is a potent inhibitor of exocrine pancreatic function mainly influencing enzyme secretion.

Amylases↗
PubMed1978

The endogenous release of pancreatic polypeptide by acid and meal in dogs. Effect of somatostatin.

The response of pancreatic polypeptide (PP) to testmeal (5 ml/kg) and intraduodenal acid (4 mEq HCl/5min) and its reaction to somatostatin (3.5 microgram/kg/h following bolus injection of 3.5 microgram/kg) was studied in dogs with chronic duodenal and gastric fistulae. In addition the influence of atropin (0.5 mg/kg/h) on acid-induced PP response was examined. PP was measured by radioimmunoassay pancreatic secretion by determinating volume, bicarbonate, protein, and enzyme in duodenal contents and pancreatic juice. Plasma PP increased significantly following intraduodenal application of testmeal and hydrochloric acid. Its release was completely suppressed by SST. Furthermore, PP response to intraduodenal acid was blocked by atropin. Exocrine pancreatic secretion of bicarbonate and protein was inhibited by somatostatin as well as atropin. Since PP was released following administration of testmeal and acid, both potent stimulators of pancreatotropic duodenal hormones, it may play an important role in the control of the entero-pancreatic axis. The effect of atropin indicates a cholinergic nervous component of PP release.

Amylases↗
PubMed1978

[The oral administration of N-benzoyl-L-tyrosyl-paraaminobenzoic acid (PFT) in the assessment of exocrine pancreatic function and its value within the diagnostic approach to pancreatic disease (author's transl)].

Exocrine pancreatic function was determined by the oral administration of N-benzoyl-L-tyrosyl-PABA in 343 persons, including controls, patients with diseases of the pancreas, and patients with non-pancreatic disease. The results revealed a sensitivity of 85% in chronic pancreatitis and of 78% in carcinoma of the pancreas. The specificity of the PFT amounted to 92%. No toxic side effects were noted. The PFT is likely to be a useful screening procedure for pancreatic disease.

4-Aminobenzoic Acid↗
PubMed1978

Effect of oral pancreatic enzymes on the course of cholera in protein-deficient vervet monkeys.

The effect of pancreatic extract on the course of cholera infection in protein-deficient vervet monkeys (Cercopithecus aethiops) was studied. Eleven animals were made protein deficient by diet. Thier intestinal pancreatic enzyme concentration decreased as they became protein depleted. These animals were then challenged with Vibrio cholerae. Four control animals given a standard diet were similarly challenged. Immediately after challenge, 6 of the protein-deficient monkeys were given a highly purified pancreatic extract at a dose of 500 mg per day, and the other 5 protein-deficient animals received heat-inactivated pancreatic extract. Pancreatic extract significantly reduced the severity and duration of diarrhea in the treated animals so that they resembled the controls. The period of fecal excretion of vibrios was prolonged in the group of monkeys which received inactivated pancreatic extract. In addition, the response of intestinal antibody titers to cholera toxin was also significantly lower in this latter group. These observations suggest that exocrine pancreatic secretion is involved in the local defense mechanism against cholera during prtein deficiency.

Animals↗
PubMed1977

[Falciparum malaria in Switzerland: a problem of intensive care?].

In the period 1972-1976, 5 of 17 patients admitted to the Cantonal Hospital, Basel, for falciparum malaria had to be treated in the intensive care unit. Two patients died. None had performed regular chemoprophylaxis and in all of them several days had elapsed between onset of symptoms and diagnosis. The importance of information on malaria to tourists and physicians is stressed.

Adult↗
PubMed1977

[Prospective study of the 1st 197 endoscopic retrograde cholangio-pancreatographies (ERCP) in Basel (1973-1975)].

Cannulation of the papilla has been successful in 144 out of 197 ERCPs. The rate of success increases with the experience of the endoscopist. The intended filling of the pancreatic duct was successful in 87%, of the bile ducts in 64% and of both duct systems in 28%. The correct diagnosis was made in 77% of pancreatic affections, 71% of biliary diseases and in 43% when both duct systems had to be evaluated. 10 ERCP findings disagreed with the final diagnosis, mainly because the distinction between acute and chronic pancreatitis was not correct. The differentiation of chronic pancreatitis from pancreatic carcinoma is not easy and the evaluation of processes localized to the papilla may be difficult. Complications occurred in 6.6%. It is concluded that the ERCP should be limited to regional hospital centers and should be performed only in cases with well defined indications.

Bile Duct Neoplasms↗
PubMed1977

Action of some pancreatic enzymes on Vibrio cholerae.

The action of pancreatic amylase, trypsin, lipase, and whole pancreatin was tested on five strains of Bibrio cholerae. Amylase did not act on any strain in concentrations to 10,000 IU/ml whereas trypsin increased vacuolization and lipase enhanced retraction of the protoplasm particularly in 2 of the 5 tested vibrio strains. Pancreatin caused damage hoth of the cell wall and the cytoplasm. It is suggested that these enzymes may play a role in the defense of the body against cholera vibrios.

Amylases↗
PubMed1977

[Effect of orally administered pancreatic extract on Vibrio cholerae infection during protein deficiency].

Two groups of 5 and 6 Vervet monkeys respectively were fed a protein-free diet. Both groups of protein depleted Vervets developed a minor decrease of serum and intestinal immunoglobulins, as well as marked impairment of exocrine pancreatic function. Thereafter the groups were challenged with Vibrio cholerae, while one group received purified pancreatic extract by oral administration. The group without pancreatic extract developed severe and significantly longer lasting diarrhea than the group with pancreatic extract. Vibrios were excreted for much longer in the former group. It is concluded that exocrine pancreatic function is involved in the local defence mechanism against cholera during protein deficiency.

Animals↗
PubMed1977

[Effect of somatostatin on canine exocrine pancreas secretion stimulated by pancreozymin, secretin or test meal].

In 4 dogs with pancreatic and gastric fistulae the effect of somatostatin (SST) on the pancreas was investigated during stimulation by pancreozymin-secretin or by a test meal. The pancreozymin-secretin-induced enzyme output and bile flow, as well as the enzyme concentration and duodenal volume during test meal stimulation were significantly reduced by SST. SST caused a less marked decrease in bicarbonate concentration, while volume and bicarbonate output did not change.

Animals↗
PubMed1977

[Results of coloscopy of polypectomy in the years 1974-1975 at the Basel county hospital].

The diagnostic value of coloscopy was assessed by analysis of the endoscopic findings in 310 patients investigated between January 1974 and December 1975. Altogether, 342 coloscopies were performed with a complication rate of 1.5% (3 perforations, 2 hemorrhages). Polyposis of the colon, inconclusive radiologic findings and search for a bleeding source were the main indications for the endscopic examination of the colon. Special attention was focused on polyposis, its distribution and estension, radiological appearance and histology. 65% of the polyps with a known tendency to become malignant were found beyond the reach of the rigid rectosigmoidoscope. However, 98% were localized below the splenic flexure.

Adolescent↗
PubMed1977

[Elementary diet as an alternative to parenteral feeding in severe gastrointestinal diseases].

21 patients with gastroenterological disease and indication for the use of intravenous nutrition received an elemental diet (ED) for 5-44 days. In 6 out of 8 patients with exacerbation of Crohn's disease remissions were achieved, apart from 3 persistent fistulas. In 5 out of 9 cases with various primary diseases and postoperative intestinal fistulas, spontaneous healing was observed. Furthermore, 2 patients with ulcerative colitis, 1 with radiation enteritis and 1 with pancreatitis were treated with ED. On ED, hemoglobin increased from 11.3 +/- 0.4 (m +/- SEM) to 12.0 +/- 0.5 g% (p less than 0.01) and serum albumin from 2.7 +/- 0.1 to 3.4 +/- 0.1 g% (p less than 0.001). Nitrogen requirements were studied in 11 patients receiving various quantities of ED. Nitrogen balance was found to be in equilibrium or positive in 7 patients, and negative in 4. In one patient with severe ulcerative colitis, fecal nitrogen losses were higher than urinary nitrogen losses. The unpleasant taste of ED resulting from free amino acids limited the ED supply in 3 patients and led to premature ending of ED administration in 3 other patients. In such cases ED may be given by nasogastric tube feeding. From the results presented it appears that ED is indicated in Crohn's disease and intestinal fistulas. However, the results obtained require confirmation by further observations and comparison with an intravenously fed control group.

Adolescent↗