Total dental extraction in a patient with F VIII inhibitor.
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Biomedical subjects
Publications and source records attributed to P Tauris.
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Four years' experience of an upper gastrointestinal endoscopy service in a district general hospital is reviewed. The study comprises 500 prospective peroral endoscopic and radiographic investigations of 432 consecutive patients. The endoscopic diagnoses are compared with the results of conventional barium studies and the incidences of correct diagnoses with the two methods of investigation are estimated on the basis of the histological diagnoses on directed biopsy specimens. Endoscopy is more accurate than radiology in the examination of the stomach, especially in cases of radiologically distorted antrum and pyloric canal. We found fewer duodenal ulcers by means of combined panendoscopy than demonstrated by X-ray; the reason is discussed and the results of endoscopic biopsy and cytology in the diagnosis of gastric cancer are reported.
A case of Whipple's disease involving the small intestine, bone marrow and peripheral lymph nodes diagnosed one year after the initial arthritic symptoms by peroral jejunal biopsy and rapidly responding to treatment with sulphamethoxazole-trimethoprim, is described. The effectiveness of therapy was monitored by clinical evaluation of the patient's condition, repeated intestinal biopsies, determination of body weight, faecal lipid excretion and haematological values. Clear-cut clinical remission was induced promptly; and after nine months' treatment, the patient was in perfect health. The drug was well tolerated and folate deficiency did not occur. After four months of antibiotic therapy, bacterial capsular remnants could still be demonstrated in the bone marrow aspirate. The characteristic small bowel mucosal PAS-positive macrophages, visualized in the jejunal biopsy specimens, persisted in reduced number after nine months of treatment.
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Report on a female patient withe intestinal obstruction which endoscopically showed two radiolucent gallstones visualized by radiological examination of the duodenum with barium and removed through a gastrotomy.
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