pituitrin and Esophageal-Diseases

Topics: Acute Disease; Esophageal and Gastric Varices; Esophageal Diseases; Gastrointestinal Hemorrhage; Humans; Lypressin; Rupture, Spontaneous; Somatostatin; Terlipressin; Vasoconstrictor Agents; Vasopressins

Topics: Bethanechol; Bethanechol Compounds; Calcium Channel Blockers; Chest Pain; Diagnosis, Differential; Edrophonium; Ergonovine; Esophageal Achalasia; Esophageal Diseases; Gastroesophageal Reflux; Heart Diseases; Humans; Isosorbide Dinitrate; Mental Disorders; Nitroglycerin; Pentagastrin; Vasopressins

The use of diagnostic and therapeutic angiography for postoperative bleeding which began with its application for bleeding following GI surgery can be ezpanded to almost all other areas of the body. Severe postoperative hemorrhage that previously required a second operation can now be successfully managed by the use of intraarterial or intravenous vasoconstrictors or transcatheter occlusion, thus significantly reducing patient morbidity and mortality. In those patients where a reexploration becomes necessary, diagnostic angiogarphy is a useful guide and helps to tailor the operative procedures.

Topics: Aged; Angiography; Catheterization; Embolization, Therapeutic; Esophageal Diseases; Gastrointestinal Hemorrhage; Gelatin; Hemorrhage; Hip; Humans; Intestine, Small; Kidney Diseases; Male; Pelvic Neoplasms; Postoperative Complications; Stomach Diseases; Tissue Adhesives; Vasopressins

Fifty patients with non-cardiac chest pain underwent 24 hour intraoesophageal pH and pressure recording and provocation tests to determine the relative value of both techniques in establishing the oesophageal origin of the chest pain. Twenty six patients (52%) had at least one positive provocation test: the acid perfusion test was positive related in 18 patients (36%), the edrophonium test in 16 patients (32%), the vasopressin test in five patients (10%), and the balloon distension test (performed in only 20 patients) in one (5%). The 24 hour pH and pressure recording correlated spontaneous chest pain attacks with abnormal motility or gastro-oesophageal reflux in 19 patients (38%). Fourteen of these patients also had at least one positive provocation test. Therefore, 24 hour pH and pressure recordings are only slightly better than a set of provocation tests in identifying the oesophagus as the cause of chest pain (10% diagnostic gain). In the case of oesophageal chest pain, however, 24 hour recording appeared to be the only way to identify the nature of the underlying oesophageal abnormality that caused the spontaneous pain attacks--for example, gastro-oesophageal reflux, motility disorders, or irritability of the oesophagus.

Topics: Adult; Aged; Ambulatory Care; Chest Pain; Edrophonium; Esophageal Diseases; Esophagus; Female; Humans; Hydrochloric Acid; Hydrogen-Ion Concentration; Male; Middle Aged; Pressure; Vasopressins

Topics: Angiography; Catheters, Indwelling; Colonic Diseases; Endoscopy; Esophageal Diseases; Gastrointestinal Hemorrhage; Hemobilia; Humans; Hypertension, Portal; Intestinal Diseases; Peptic Ulcer Hemorrhage; Stomach Diseases; Vasoconstrictor Agents; Vasopressins

Topics: Blood Transfusion; Esophageal Diseases; Gastrointestinal Hemorrhage; Humans; Injections, Intra-Arterial; Liver Cirrhosis; Peptic Ulcer Hemorrhage; Recurrence; Stomach Ulcer; Varicose Veins; Vasopressins

Topics: Administration, Topical; Adolescent; Adult; Animals; Blood Pressure; Dogs; Dose-Response Relationship, Drug; Drug Evaluation; Esophageal Diseases; Esophagoscopy; Female; Glomerular Filtration Rate; Hemorrhage; Humans; Kidney; Male; Mesenteric Arteries; Middle Aged; Perfusion; Regional Blood Flow; Urination; Vasopressins