Cases reported "Hematemesis"

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1/6. Effect of a new H2-blocker, famotidine, in reflux esophagitis among severely handicapped children.

    vomiting, hematemesis, and esophagitis resulting from gastroesophageal reflux or hiatal hernia are frequently observed in severely handicapped children. This study was conducted to determine whether the use of a new H2-antagonist, famotidine, could prevent recurrence of reflux esophagitis among such children. Seventeen severely handicapped, bedridden children admitted to a children's medical center between April 1985 and September 1986 were studied. All had vomiting or hematemesis as a main symptom, and the cause of esophagitis was suggested to be gastroesophageal reflux in 13 cases and hiatal hernia in four. Six had been previously treated with cimetidine or other drugs or a combination thereof without relief. famotidine was administered at about 1 to 2 mg/kg/day, two times daily to patients weighing more than 10 kg and three times daily to those weighing less than 10 kg. In 13 cases, famotidine was administered intravenously for between seven and ten days and then given orally, while the rest were given the drug orally from the outset. The following results were obtained: (1) improvement was seen within seven days after start of famotidine treatment, and reduction of vomiting or hematemesis or both was reached within two weeks in 70% of cases and within three weeks in 94%; (2) famotidine was markedly effective in 29% and moderately effective in 41%; in no case was the drug ineffective; (3) no side effects were observed; five patients had transient, mild elevation of SGOT . SGPT, but this was not attributable to the drug.
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ranking = 1
keywords = esophagitis, reflux
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2/6. Ulcerative esophagitis. A rare source of upper gastrointestinal bleeding in a neonate. Use of fiberoptic endoscopy for diagnosis.

    A case of upper gastrointestinal hemorrhage in a newborn infant due to ulcerative esophagitis is described. This is a previously undescribed cause of upper gastrointestinal neonatal bleeding. This case further illustrates the safety and efficacy of fiberoptic endoscopy in elucidating the source of upper gastrointestinal bleeding in the immediate newborn period.
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ranking = 0.71217740128432
keywords = esophagitis
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3/6. Acute alcoholic esophagitis.

    We report two patients with acute, transient esophagitis following alcoholic binges. Double-contrast esophagrams of both patients revealed erosive esophagitis with multiple superficial ulcers in the mid and distal esophagus. While acute alcoholic esophagitis may produce clinical and radiographic findings that are indistinguishable from other more common types of esophagitis, this diagnosis is supported by the patients' recent drinking history.
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ranking = 1.1394838420549
keywords = esophagitis
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4/6. doxycycline-induced hemorrhagic esophagitis: a pediatric case.

    esophagitis induced by medications has been recognized in adults but rarely in children. A child with hemorrhagic esophagitis resulting from taking doxycycline tablets for treatment is described and the pathophysiology of this condition is discussed. In pediatric cases treated by tablets or capsules, the possibility of medication-induced esophagitis should always be considered.
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ranking = 0.85461288154119
keywords = esophagitis
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5/6. A variety of ehlers-danlos syndrome type IV presenting with haematemesis and gastro-esophageal reflux.

    A case of a variety of ehlers-danlos syndrome (EDS) type IV presenting with haematemesis and melaena and symptoms of gastro-esophageal reflux is described. At referral, the manometric esophageal findings similar to scleroderma and the abundant gastroesophageal reflux seemed noteworthy. 3 years after surgery, bleeding and reflux symptoms appeared, perfectly cured by a total biliary diversion operation. The reported case suggests that patients with EDS type IV especially when presenting with haematemesis and melaena should be investigated for reflux, since bleeding might be due to the action of reflux on the fragile-walled vessels of such patients.
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ranking = 0.0037949634025043
keywords = reflux
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6/6. The reflux gastroesophageal polyp.

    An inflammatory polyp at the gastroesophageal junction due to gastroesophageal reflux is a rare documented finding and its appearance on x-ray has only recently been described. A recently encountered case whose only symptom was of minor episodes of hematemeses is described and the literature is reviewed.
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ranking = 0.0021083130013913
keywords = reflux
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