Turk J Gastroenterol
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Turk J Gastroenterol · Dec 2004
Randomized Controlled Trial Clinical TrialThe effect of rabeprazole alone or in combination with H2 receptor blocker on intragastric pH: a pilot study.
Proton pump inhibitors have been widely used in recent years. However, there are studies suggesting that proton pump inhibitors may not control the gastric acidity effectively during the night, especially in gastroesophageal reflux disease. It has therefore been suggested that H2 receptor blockers should be added to the therapy. The aim of our study was to evaluate the effects of proton pump inhibitors alone or in combination with H2 receptor blockers on gastric acidity with 24-hour gastric pH monitoring. ⋯ Combination therapy with H2 receptor blockers and proton pump inhibitors seemed to control intra-gastric pH better than proton pump inhibitors alone. Use of H2 receptor blockers and proton pump inhibitors in combination to control intra-gastric pH is more beneficial.
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Turk J Gastroenterol · Dec 2004
Randomized Controlled Trial Clinical TrialAcustimulation of the Neiguan point during gastroscopy: its effects on nausea and retching.
Gastroscopic procedure causes nausea and retching in many patients. Recently, alternative methods have been employed in an effort to reduce these symptoms. The Neiguan point (P6) is an acupuncture point that has been used for approximately 3,000 years to overcome gastric symptoms including nausea and retching. The aim of this study was to investigate the effects of the stimulation of the P6 acupoint on swallowing, nausea and retching during the gastroscopic procedure. ⋯ Acustimulation of the Neiguan (P6) acupoint does not relieve patients of the nausea observed during gastroscopy, and its application does not facilitate the procedure.
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Hydatid acute pancreatitis is a rare condition, mostly reported as case presentations. ⋯ Hydatid acute pancreatitis is a rare condition. However, it should be remembered in patients with abdominal pain, especially in endemic areas.
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Turk J Gastroenterol · Sep 2004
Case ReportsSpontaneous aortocaval fistula presenting with acute liver and renal failure: a case report.
Spontaneous aortocaval fistula is rare, occurring only in 3%-6% of all ruptured abdominal aortic aneurysms. A definitive diagnosis of aortocaval fistula is sometimes difficult, as the classic diagnostic signs (pulsatile abdominal mass with bruit, high-output heart failure and acute dyspnea) are present only in 20%-50% of all such cases. ⋯ Surgical repair of aortocaval fistula is now standardized repair of the fistula. We report herein a case of spontaneous aortocaval fistula, which presented with liver and renal failure.
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Turk J Gastroenterol · Mar 2003
Case ReportsPolyarteritis nodosa presenting with necrotising appendicitis and hepatic aneurysm rupture.
Polyarteritis nodosa is a necrotizing vasculitis which affects small and medium-sized arteries. The clinical features of the disease vary according to the site and extent of involvement. ⋯ In this case report, a patient with necrotizing appendicitis and hepatic aneurysm rupture due to underlying poliarteritis nodasa is presented. Extensive intraabdominal hematoma and appendicitis were treated surgically and complete recovery was achieved.