oxalates and Peptic-Ulcer

Bile acids and their metabolism play an important role in the pathogenesis of many gastro-intestinal diseases such as gallstone formation, biliary fistula, intestinal congestive symptoms, defective function of the terminal ileum, ulcer pathogenesis. The diagnostics has been improved by enzymatic estimation methods of the bile acids in the serum, functional tests and radioactive marking of the bile acids. Principles of causal surgical therapy as well as internal treatment can be derived from this new pathophysiological knowledge.

Topics: Bile Acids and Salts; Biliary Tract Diseases; Humans; Ileum; Intestinal Diseases; Liver Diseases; Oxalates; Peptic Ulcer; Postoperative Complications; Vagotomy

100 g of spinach a day was added to the hospital diet of fifty-four patients with suspected malabsorption. Hyperoxaluria was found in thirty-eight patients; all of them had steatorrhoea. No patient with steatorrhoea had a urinary oxalate excretion of less than 40 mg a day. Ten other patients had hyperoxaluria, but the faecal fat determinations were regarded as unreliable in almost all and malabsorption could not be confirmed. It is suggested that in clinical practice determination of urinary oxalate after an oral load of oxalate could replace faecal fat determination in most patients with suspected malabsorption.

Topics: Adolescent; Adult; Aged; Carcinoma; Celiac Disease; Chronic Disease; Crohn Disease; Diet; Feces; Humans; Hypoparathyroidism; Lipids; Liver Cirrhosis; Middle Aged; Oxalates; Pancreatitis; Peptic Ulcer; Thyroid Neoplasms; Vegetables

Topics: Adolescent; Adult; Aged; Biopsy; Calcium; Child; Child, Preschool; Colonic Neoplasms; Cystine; Epithelial Cells; Female; Humans; Hyperparathyroidism; Kidney Calculi; Kidney Tubules, Distal; Male; Middle Aged; Nephrocalcinosis; Nephrons; Oxalates; Peptic Ulcer; Phosphates; Uric Acid; Urinary Tract Infections