Emphysematous gastritis is a rare disease with gastric inflammation and intramural gas formation due to gas-forming microorganisms. Early diagnosis and management are important since emphysematous gastritis is associated with high rates of morbidity and mortality. We present a case of emphysematous gastritis in an elderly male which was managed conservatively.
Abstrad: Beedi smoking is common in Sri Lanka and hence a study was undertaken to determine the effects of beedi smoking on selected clinical biochemistry parameters. 7CRirt.y non-alcoholic beedi smokers and thirty nonalcoholic non-smokers from the same socio-economic status were selected from the Jaffna Munici~alitv. The mean a w s of beedi smokers and non-smokers were " -45 ( rf: 6.4) and 44( rf: 7 . 3 )~ respectively. Mean serum ascorbic acid and protein levels were significantly decreased in beedi smokers. Although plasnla fibrinogen level in beedi smokers was within normal range, it was significantly elevated compared to non-smokers. Beedi smokers showed a significant elevation in serum bilirubin level. Serum alanine transaminase (ALT) in beedi smokers was significantly elevated while aspartate transaminase (AST) showed no significant change. Glucose tolerance was s~gnificantly decreased in smokers. Furthermore urinary excretion of creatine was significantly increased while the urine volume and creatinine excretion were not significantly altered in beedi smokers.
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