Association of gastric lymphoid follicles and Helicobacter pylori infection.

Lymphoid tissue is normally absent in the gastric mucosa; however, lymphoid follicles are very frequently noted in Helicobacter-associated gastritis. We reviewed 237 cases of chronic gastritis with lymphoid follicles. Out of this 227 cases (95.

Diagnostic yield of upper gastrointestinal endoscopy in relation to age and gender: a study of 10112 Saudi patients.

Background/aims: The availability of fiberoptic endoscopy has made it relatively easy to evaluate symptoms of upper gastrointestinal disorders with a significant degree of accuracy.

Materials And Methods: To determine the pattern of upper gastrointestinal lesions in the Saudi population with particular reference to the influence of age and gender, 10,112 patients were studied.

Results: No abnormal findings were detected in 26.

Congenital hepatic fibrosis: A study of a Saudi family and review.

A Saudi family with three members afflicted with congenital hepatic fibrosis (CHF) is described. CHF was associated with cystic dilatation of the intrahepatic bile ducts and autosomal dominant polycystic kidney disease (ADPKD) in all of the three siblings. The proband's case report is presented and the detection of the other two children by family screening is described.

The role of ERCP in the management of gallstone-associated acute pancreatitis: A prospective study of 64 patients at Riyadh Central Hospital.

In a prospective study, consecutive patients admitted to one of the surgical units at Riyadh Central Hospital with a diagnosis of acute biliary pancreatitis (ABP) underwent, after stabilization, urgent ERCP within 72 hours of admission. A total of 64 patients (35 males, 29 females) were treated over a four-year period (1986-1990). Forty-eight patients were found to have common bile duct stones when endoscopic sphincterotomy (ES) and stone extraction was performed, including four patients with concomitant cholangitis.

Primary sclerosing cholangitis in chronic ulcerative colitis: report of cases in Arabs and review.

Primary sclerosing cholangitis (PSC), a chronic cholestatic liver disease, is increasingly recognized in association with chronic ulcerative colitis (CUC). Two cases of PSC were diagnosed among 78 Arab patients (2.7%) with CUC followed up at Riyadh Central Hospital.

Diabetes mellitus in Saudi Arabia: The clinical pattern and complications in 1,000 patients.

A retrospective and prospective study of 1,000 ambulatory and hospitalized diabetic patients was done in Riyadh, Saudi Arabia. Saudis completed 777 (77.7%) and non-Saudis 223 (22.

Periampullary cysts: endoscopic management.

Periampullary cysts are a rare but remediable cause of recurrent pancreatitis. Hitherto, the management of such cysts was mainly surgical. We report on two cases of periampullary cysts.

Crohn's disease in Arabs.

Crohn's disease is widely described in the Western literature, but it has not been widely observed in the Middle Eastern community. We diagnosed Crohn's disease in seven Arabs, three whom were Saudi Nationals. Their mean age was 32.

Hydatidosis: clinical significance and morbidity patterns in Saudi Arabia.

Hydatid disease is an endemic zoonosis in Saudi Arabia causing a significant morbidity among Saudi nationals. The complications can be severe and life threatening. Seventy seven cases are presented with their salient clinical manifestations, organs affected, complications and methods of diagnosis.

Ramadan fasting and non-insulin-dependent diabetes: effect on metabolic control.

The effect of fasting during the holy month of Ramadan on the metabolic control of 39 patients with overweight and non-insulin-dependent diabetes (NIDD) was studied. There were 29 females and 10 males with a mean age of 51.5 +/- 1.

Obesity and major metabolic indices in newly diagnosed Saudi diabetic patients.

Metabolic indices were assessed in 217 Saudi diabetic patients and 57 control subjects in relation to Body Mass Index (BMI). Patients with BMI values greater than or equal to 27 in male and greater than or equal to 25 in female were considered obese. Obesity was found more frequent in females (82.

Hepatitis B virus vs schistosomiasis and hepatocellular carcinoma in Saudi Arabia.

Fifty patients with histopathological diagnosis of hepatocellular carcinoma were studied with special reference to infection with hepatitis B virus and schistosomal infestation. The possible correlation of these two risk factors and liver malignancy is discussed.

Endogenous insulin secretion in newly diagnosed diabetic patients in Saudi Arabia.

Diabetes mellitus is a major health problem in Saudi Arabia. The evaluation of endogenous insulin secretion at diagnosis has not yet been studied in this population. We have therefore studied fasting and post-glucagon stimulation levels of glucose, insulin and C-peptide in 216 newly diagnosed untreated diabetic patients.

Upper gastrointestinal endoscopy in Saudi Arabia: analysis of 6386 procedures.

Fibreoptic endoscopy is now established in the investigation of upper gastrointestinal disease. We report our findings in a large series of endoscopic procedures (6386) mostly in Middle Eastern Arabs, and compare the results obtained in Western patients. We find fibreoptic endoscopy to be feasible, safe, acceptable and effective.

Levels of glucose and glycosylated haemoglobin in Saudi diabetic patients.

Seventy three (23 males and 50 females) Saudi diabetic patients and thirty (19 males and 11 females) control Saudi non-diabetic volunteers aged from 16 to 70 years were examined for glucose and HbA1 levels in fasting blood plasma during one year. There was no correlation between HbA1 levels and either age, sex or duration of diabetes. However, a linear relationship existed between HbA1 levels and those of fasting plasma glucose.

Brucella meningitis.

Infection with Brucella melitensis is endemic in Saudi Arabia but involvement of the central nervous system (CNS) is rare. We report on three patients with acute brucella meningitis, all of whom had a history of exposure to a possible source of infection. Diagnosis was confirmed by isolation of Brucella species from blood cultures.