Benign pancreatic hyperenzymemia (Gullo syndrome) is characterized by a more than threefold increase of the pancreatic enzymes lipase and amylase in the absence of a pancreatic disease over a period of more than 1 year, with elevations and significant undulations of pancreatic enzyme serum concentrations occurring on a day-to-day basis for 5 consecutive days. Nonspecific abdominal complaints ma...

In developed societies nutritional deficiencies are often due to malabsorption. Most causes of malabsorption are related to one or more of the following: (I) mucosal damage, (2) bile salt deficiency, (3) stagnant loop (blind loop) syndrome, (4) deficiency of digestive enzymes, (5) operations on the gastrointestinal tract, (6) transport defects. More than one mechanism may be operative in some o...

autoimmune polyglandular syndrome (aps) type 2 is characterized by the presence of addison's disease, in association with autoimmune thyroid disease and/or type 1 diabetes mellitus. aps type 2 occurs most often in middle aged females and is rare in children. here an 11 year old boy is reported with addison's disease who developed symptom's of diabetes mellitus, goiter, malabsorption, macrocytic...

A case of the Zollinger-Ellison syndrome, presented with watery diarrhoea, malabsorption and multiple duodenal ulcers. Resection of a gastrinoma from the head of the pancreas was ineffective. Cimetidine, administered for more than 30 months produced an immediate and sustained relief of symptoms with a gain in weight of 19 kg and improvement of the biochemical features of malabsorption. Gastric ...