vitamin-b-12 and Intestinal-Obstruction

Topics: Abetalipoproteinemia; Amino Acids; Biliary Tract Diseases; Bone Marrow Diseases; Celiac Disease; Child, Preschool; Cystic Fibrosis; Folic Acid; Humans; Infant; Infant, Newborn; Intestinal Obstruction; Intestine, Large; Intestine, Small; Lipidoses; Magnesium; Malabsorption Syndromes; Pancreatic Diseases; Postoperative Complications; Protein-Losing Enteropathies; Sprue, Tropical; Vitamin B 12; Whipple Disease; Xanthomatosis

Topics: Anemia, Macrocytic; Anemia, Pernicious; Bacteria; Carbohydrate Metabolism; Celiac Disease; Humans; Intestinal Absorption; Intestinal Diseases; Intestinal Obstruction; Intestine, Small; Lipid Metabolism; Proteins; Vitamin B 12

Topics: Bacteroides; Bile Acids and Salts; Biliary Tract Diseases; Blind Loop Syndrome; Celiac Disease; Cholestyramine Resin; Diagnosis, Differential; Digestion; Escherichia coli; Fatty Acids; Humans; Ileum; Intestinal Diseases; Intestinal Obstruction; Intrinsic Factor; Lipid Metabolism; Liver Circulation; Malabsorption Syndromes; Metabolic Diseases; Triglycerides; Vitamin B 12

Topics: Anemia; Anemia, Macrocytic; Celiac Disease; Diagnosis; Diarrhea; Humans; Intestinal Obstruction; Intestine, Small; Intestines; Physiology; Vitamin B 12

Bowel obstruction and nutrient deficiencies are commonly encountered complications seen during follow-up of patients with short bowel syndrome. It is rare to see vitamin B

Topics: Humans; Intestinal Obstruction; Intestinal Pseudo-Obstruction; Short Bowel Syndrome; Vitamin B 12; Vitamin B 12 Deficiency; Vitamins

Topics: Adenocarcinoma; Aged; Aged, 80 and over; Bezoars; Cecum; Colonic Neoplasms; Emergencies; Female; Humans; Intestinal Obstruction; Radiography; Tablets; Vitamin B 12

The Indiana continent urinary reservoir procedure for urinary diversion was performed in 46 patients. After the first 8 cases several modifications were made to the Indiana pouch. These modifications include complete detubularization of the colonic segment, construction of the pouch augmented with a U-shaped patch of ileum and, more recently, the use of stapled plication. The mean postoperative follow-up period was 46 mo (range 4.5-74.1 mo). There was 1 perioperative death and this case was excluded from the follow-up study. Late complications related to the urinary reservoir occurred in 12 (26.7%) of the 45 patients. Stone formation was observed in 5 patients. Out of 45 patients, 42 achieved complete urinary continence while 2 suffered mild nocturnal incontinence and 1 had significant leakage. Three had unilateral hydronephrosis due to ureteroanastomotic stricture. Reservoirgraphy demonstrated no reflux into the upper urinary tract in all of the follow-up cases. Loopography of the efferent limb showed that a staple-plicated ileum functions better than a suture-plicated one in terms of reliability of the continence mechanism and ease of catheterization. The Indiana pouch should be considered for any patient requiring cutaneous urinary diversion because it is technically easy to perform and it has a low revision and high continence rate.

Topics: Adult; Aged; Blood Chemical Analysis; Calculi; Female; Follow-Up Studies; Humans; Ileum; Intestinal Obstruction; Lymphocele; Male; Middle Aged; Pelvic Inflammatory Disease; Radiography; Surgical Wound Infection; Urinary Catheterization; Urinary Reservoirs, Continent; Urine; Vitamin B 12

During the period from 1971 to 1981 in 145 patients (108 adults and 37 children) partial resections of the intestine were practiced (in the surgical clinic of the Friedrich-Schiller-University, Jena). Fatality on the whole was about 25%. The surgical intervention with an extensive resection (more than 150 cm) was well tolerated by seven among 13 patients. Even in cases of shorter resections disturbances of resorption could be found especially for carbohydrates and vitamin B 12. Control examinations are necessary and therapeutic consequences have to be drawn.

Topics: Adolescent; Adult; Aged; Child; Child, Preschool; Dietary Fats; Female; Humans; Hypokalemia; Infant, Newborn; Intestinal Obstruction; Intestine, Small; Malabsorption Syndromes; Male; Mesenteric Vascular Occlusion; Middle Aged; Peptic Ulcer; Postoperative Complications; Vitamin B 12; Xylose

A study was carried out in the patients with intestinal tuberculosis and obstruction requiring surgery to determine the pathogenesis of malabsorption in this condition. Fifteen of the 20 patients studied had malabsorption, nine of 17 (53%) had intestinal bacterial overgrowth and 10 of 16 (62.6%) had free bile acids in their jejunal aspirates. In a comparable group of nontuberculus intestinal obstruction requiring surgery, six of seven (85.7%) had malabsorption, and four of five (80%) had both the bacterial overgrowth as well as bile salt deconjugation. Among a group of 10 patients with intestinal tuberculosis without significant obstruction, four were found to have malabsorption but only one had evidence of bacterial overgrowth and bile salt deconjugation. In contrast, only one of the 10 patients with extraintestinal tuberculosis and none of the 12 healthy, normal subjects had malabsorption. None had bacterial overgrowth or bile salt deconjugation in either group. Resection of the obstructing lesion corrected the malabsorption as well as the bacterial overgrowth and the bile salt deconjugation in all four patients tested with intestinal tuberculosis. Malabsorption in intestinal tuberculosis thus appears to be associated with obstruction rather than with the tuberculous process. Demonstration of bacterial overgrowth and bile salt deconjugation in the upper small intestine of patients with intestinal tuberculosis with obstruction and malabsorption indicate the presence of a stagnant loop syndrome.

Topics: Adolescent; Adult; Bile Acids and Salts; Dietary Fats; Female; Humans; Intestinal Obstruction; Malabsorption Syndromes; Middle Aged; Tuberculosis, Gastrointestinal; Vitamin B 12; Xylose

We investigated the presence of vitamin B 12 analogues (cobamides) and the bacterial conversion of 57Co-B12 (vitamin B12 cyanocobalamin, [57Co]-CN-Cbl) into cobamides in the intestinal contents of four patients with bacterial overgrowth. The (57Co)-CN-Cbl bound to intrinsic factor was given orally. Jejunal contents were aspirated for 24 h and cultured aerobically and anaerobically. The CN-Cbl and cobamides were separated by electrophoresis and chromatography and identified by bioautography. Radioactivity of cobamide zones from duplicate chromatograms showed bacterial conversion of (57Co)-cn-cbl into cobamides. Cobamides ([Ade]CNCBA, [2-Me Ade] CNCba, [CN]2Cbi and factor E) were found in the intestinal contents in three of the four patients, and in two of three patients cobamides represented more than 25% of the administered CN-Cbl. Thus bacterial production of cobamides, both de novo and from ingested CN-Cbl bound to intrinsic factor, occurs in humans with bacterial overgrowth states and results in a significant loss of vitamin B12 to the host.

Topics: Anemia, Megaloblastic; Bacteria; Cobamides; Diverticulitis; Humans; Intestinal Obstruction; Intestine, Small; Malabsorption Syndromes; Vitamin B 12

Topics: Adult; Aged; Air; Albumins; Amino Acids, Essential; Carbon Radioisotopes; Crohn Disease; Female; Glycocholic Acid; Humans; Ileum; Intestinal Diseases; Intestinal Obstruction; Intestinal Secretions; Intestine, Small; Isoleucine; Jejunum; Leucine; Liver Function Tests; Lysine; Male; Middle Aged; Respiration; Tryptophan; Valine; Vitamin B 12

Topics: Adolescent; Age Factors; Bile Acids and Salts; Child; Child, Preschool; Female; Follow-Up Studies; Humans; Ileum; Infant; Infant, Newborn; Infant, Premature; Intestinal Absorption; Intestinal Obstruction; Intestine, Small; Intussusception; Jejunum; Malabsorption Syndromes; Male; Sex Factors; Time Factors; Vitamin B 12

Topics: Abdomen, Acute; Adult; Biopsy; Blood Pressure; Body Temperature; Diet Therapy; Female; Folic Acid; Hematocrit; Hemoglobins; Humans; Intestinal Mucosa; Intestinal Obstruction; Iron; Leukocyte Count; Pain; Strongyloides; Strongyloidiasis; Thiabendazole; Transferrin; United Kingdom; Vitamin B 12

Topics: Adolescent; Adult; Blood Proteins; Child; Female; Humans; Intestinal Obstruction; Iron; Male; Middle Aged; Radiography; Tuberculosis, Gastrointestinal; Vitamin B 12

Topics: Adolescent; Adult; Alkaline Phosphatase; Ascorbic Acid; Aspartate Aminotransferases; Bilirubin; Carotenoids; Cholesterol; Drainage; Female; Folic Acid; Glucose Tolerance Test; Hepatitis; Humans; Ileum; Intestinal Absorption; Intestinal Obstruction; Intestine, Small; Jejunum; Lipids; Male; Middle Aged; Necrosis; Obesity; Postoperative Complications; Surgical Wound Infection; Thrombophlebitis; Triglycerides; Uric Acid; Vitamin A; Vitamin B 12; Vitamin E; Xylose

Topics: Adolescent; Anemia, Macrocytic; Brain Diseases; Folic Acid Deficiency; Humans; Intestinal Obstruction; Jejunum; Malabsorption Syndromes; Male; Neurologic Manifestations; Time Factors; Vitamin B 12

Topics: Carotenoids; Celiac Disease; Diverticulum; Female; Humans; Intestinal Absorption; Intestinal Mucosa; Intestinal Obstruction; Jejunum; Lipid Metabolism; Male; Middle Aged; Vitamin B 12

Topics: Animals; Cobalt Isotopes; Disease Models, Animal; Dogs; Intestinal Absorption; Intestinal Diseases; Intestinal Obstruction; Intestine, Small; Ischemia; Methods; Molecular Weight; Time Factors; Vitamin B 12

Topics: Child; Cobalt Isotopes; Female; Follow-Up Studies; Humans; Ileum; Infant, Newborn; Infant, Newborn, Diseases; Intestinal Absorption; Intestinal Obstruction; Male; Time Factors; Vitamin B 12; Vitamin B 12 Deficiency

Topics: Adolescent; Adult; Aged; Child; Female; Humans; Ileostomy; Intestinal Obstruction; Male; Methods; Middle Aged; Postoperative Complications; Vitamin B 12

Topics: Adult; Celiac Disease; Chloramphenicol; Female; Humans; Intestinal Diseases; Intestinal Obstruction; Intestine, Small; Jejunum; Malabsorption Syndromes; Middle Aged; Pneumatosis Cystoides Intestinalis; Pneumoperitoneum; Radiography; Scleroderma, Systemic; Tetracycline; Vitamin B 12; Xylose

Topics: Adolescent; Calcium; Diet Therapy; Dietary Carbohydrates; Dietary Fats; Feces; Gastric Juice; Glucose Tolerance Test; Glycerides; Humans; Hydrogen-Ion Concentration; Intestinal Absorption; Intestinal Obstruction; Intestine, Small; Intestines; Male; Nitrogen; Postoperative Care; Postoperative Complications; Vagotomy; Vitamin B 12

Topics: Adolescent; Blood; Calcium; Electrolytes; Hemoglobinometry; Humans; Intestinal Absorption; Intestinal Obstruction; Intestine, Small; Intestines; Lipid Metabolism; Magnesium Deficiency; Postoperative Care; Potassium Deficiency; Prognosis; Proteins; Surgical Procedures, Operative; Vitamin B 12; Vitamin B Complex

Topics: Congenital Abnormalities; Diarrhea; Dietary Fats; Humans; Infant; Infant, Newborn; Infant, Newborn, Diseases; Intestinal Absorption; Intestinal Obstruction; Intestine, Small; Intestines; Iron; Prothrombin; Surgical Procedures, Operative; Vitamin B 12; Vitamin K