Campylobacter pylori and non-ulcer dyspepsia. 2. A prospective study in a Swedish population.

In a consecutive prospective series of 186 Swedish persons with the diagnosis of non-ulcer dyspepsia 71.5% were found to have gastritis and/or bulbar duodenitis in endoscopic biopsies. Gastroduodenitis was associated with campylobacter pylori (CP) in 83.

Campylobacter pylori and gastroduodenal ulcer disease. A prospective study in a Swedish population.

In a consecutive prospective series of 208 Swedish primary peptic ulcer patients, 146 gastric, 55 duodenal and 7 in both sites, gastroduodenitis was found in 97.6% of the cases. The mucosal inflammation was associated with CP in 87% and 91% of the gastric and duodenal ulcer cases respectively.

Whipple's disease: the role of duodenal biopsy in diagnosis and follow-up.

Blind suction small intestinal biopsy is still the classical method in establishing the diagnosis of Whipple's disease. Duodenal endoscopy with directed biopsy seems however to be a better alternative after the description, in recent years, of a characteristic endoscopic picture of Whipple's disease. In clinically suspected cases, biopsy from other parts of the small intestine may be rewarding if the duodenal biopsy is negative.

The effect of metoclopramide (Primperan) on the pyloric sphincter during gastroscopic examination. A double blind investigation versus placebo.

The effect of metoclopramide and placebo on relaxation of a spasmodic pylorus during gastroscopy have been compared using a double blind technique. Metoclopramide showed a better result and the difference between its effect and the effect of placebo is statistically significant (p less than 0.01).

Intestinal spirochaetosis as a cause of longstanding diarrhoea.

This paper deals with the clinical history, the histopathological and scanning electron microscopy (SEM) pictures, treatment and follow up of four cases of intestinal spirochaetosis. Diarrhoea was a prominent symptom in all cases but distension and vague abdominal trouble were also present. It is suggested that heavy infestation of the gut surface epithelium by spirochaetes acts as a barrier for the normal absorptive processes and leads to diarrhoea.