Diarrhoea is a common sequel to vagotomy and pyloroplasty but its cause is unknown. One of our patients who developed this complication had an abnormal lactose barium meal and responded well to a lactose-free diet. This led us to make a systematic study of disaccharidase activity in the small intestine in patients with diarrhoea following vagotomy and pyloroplasty. The small-intestinal disaccha...

There was good correlation between radiology and endo-scopy in diagnosing duodenal deformity, but precise diagnosis of active ulceration requires direct vision at endoscopy.6 Should barium-meal examinations be abandoned as initial investigations in dyspepsia and replaced by endoscopy? The lack of trained staff and equipment for endoscopy in most areas at the district general hospital level make...

Value of brush cytology in diagnosis of gastric cancer Multiple biopsies and brush cytology of gastric mucosal lesions can be performed with the fibreoptic endoscope. Though biopsy is used routinely, cytological examination of smears made from the gastric brushings has not been widely used. In a prospective study we assessed the relative value of brush cytology, multiple biopsy, and endoscopic ...

A 48-year-old man presented to our hospital with corrosive (sulfuric acid)-induced esophageal and pyloric strictures and a barium study showing narrowing of a long segment in the distal esophagus (●" Fig.1a), reduced capacity of stomach, and antropyloric narrowing (●" Fig.1b). Balloon dilation (Boston Scientific, Natick, Massachusetts, USA) of esophageal and pyloric strictures was done over a p...

When an ulcer-bearing area of the duodenum is viewed sideways after an opaque meal there may be visible a wedge-shaped area in which the barium is absent, with a central dark spot or depression above representing the actual ulcer, undulations in its neighbourhood, a shaded margin, and an interval or notch below. These points will be seen in Plate I. It is a key to the interpretation of other ph...

Accidental corrosive ingestion is not a rare occurrence in children because of easy access to strong household cleansers. Gastric injury as a predominant finding following acid ingestion in pediatric age group is less widely known with a few cases being reported in Indian literature. We report two such cases of gastric outlet obstruction following accidental ingestion of dilute acid. Both child...

All barium meal examinations performed, in patients aged greater than 65 years, in one year in one Health District are reviewed. There were 39 cases of duodenal diverticula. One case of osteomalacia and folate deficiency was discovered and this patient had evidence of small bowel bacterial overgrowth. In the remaining cases showing evidence of nutritional deficiency, other factors were probably...

A retrospective analysis of 203 patients with duodenal ulcer revealed that age in both sexes ranged between 40-44 years and male to female ratio was 9 1. Thirty percent subjects gave history of smoking, tobacco chewing or use of naswar.* Main presenting symptoms were Epigastric pain with nausea/vomiting, 40% had haematemesis and 45% malena. Six percent had previous history of duodenal perforati...