Breath Hydrogen Gas Concentration Linked to Intestinal Gas Distribution and Malabsorption in Patients with Small-bowel Pseudo-obstruction

Background: The patient with colonic obstruction may frequently have bacterial overgrowth and increased breath hydrogen (H2) levels because the bacterium can contact with food residues for longer time. We experienced two cases with intestinal obstruction whose breath H2 concentrations were measured continuously.Case 1: A 70-year-old woman with small bowel obstruction was treated with a gastric tube. When small bowel gas decreased and colonic gas was demonstrated on the plain abdominal radiograph, the breath H2 concentration increased to 6 ppm and reduced again shortly.Case 2: A 41-year-old man with functional small bowel obstruction after surgical treatment was treated with intravenous administration of erythromycin. Although the plain abdominal radiograph demonstrated a decrease of small-bowel gas, the breath H2 gas kept the low level. After a clear-liquid meal was supplied, fasting breath H2 concentration increased rapidly to 22 ppm and gradually decreased to 9 ppm despite the fact that the intestinal gas was unchanged on X-ray. A rapid increase of breath H2 concentration may reflect the movement of small bowel contents to the colon in patients with small-bowel pseudo-obstruction or malabsorption following diet progression.Conclusions: Change in breath H2 concentration had a close association with distribution and movement of intestinal gas

A Solvation/Desolvation Indicator Based on van der Waals Interactions between Solvents and Porphyrins.

Solvation is a ubiquitous phenomenon associated with molecules in solutions. It often determines the equilibria of molecular systems and the rates of chemical reactions. Van der Waals interactions (a general term) includes weak interactions among noncharged compounds and it contributes significantly to solvation. The distinct observation of van der Waals interaction between solvent and porphyrin derivatives is reported herein. Bis(imidazolylporphyrinatozinc) structures connected through a 1,3-butadiyne moiety give two types of coordination polymers, E (extended) and S (stacked) polymers, exclusively. E polymers have larger solvent-accessible surface areas than the corresponding S polymers. Therefore, E polymers are better solvated than S polymers, providing an indicator of solvation and desolvation for the solvents used. A simple method (like a litmus test) was developed to evaluate the solvation ability of various solvents. Sixty-seven solvents and liquid compounds were tested, under the same conditions, using a conventional UV/Vis spectrometer. The results revealed a new liquid group with high solvation ability towards the porphyrins, and clarified van der Waals interaction assisted by secondary interaction on the substituents. The indicator system should contribute to the solution chemistry of molecules and materials, and to supramolecular chemistry interactions among hetero components.Solvation is a ubiquitous phenomenon associated with molecules in solutions. It often determines the equilibria of molecular systems and the rates of chemical reactions. Van der Waals interactions (a general term) includes weak interactions among noncharged compounds and it contributes significantly to solvation. The distinct observation of van der Waals interaction between solvent and porphyrin derivatives is reported herein. Bis(imidazolylporphyrinatozinc) structures connected through a 1,3-butadiyne moiety give two types of coordination polymers, E (extended) and S (stacked) polymers, exclusively. E polymers have larger solvent-accessible surface areas than the corresponding S polymers. Therefore, E polymers are better solvated than S polymers, providing an indicator of solvation and desolvation for the solvents used. A simple method (like a litmus test) was developed to evaluate the solvation ability of various solvents. Sixty-seven solvents and liquid compounds were tested, under the same conditions, using a conventional UV/Vis spectrometer. The results revealed a new liquid group with high solvation ability towards the porphyrins, and clarified van der Waals interaction assisted by secondary interaction on the substituents. The indicator system should contribute to the solution chemistry of molecules and materials, and to supramolecular chemistry interactions among hetero components

Extensive Atrophic Gastritis Increases Intraduodenal Hydrogen Gas

Objective. Gastric acid plays an important part in the prevention of bacterial colonization of the gastrointestinal tract. If these bacteria have an ability of hydrogen (H2) fermentation, intraluminal H2 gas might be detected. We attempted to measure the intraluminal H2 concentrations to determine the bacterial overgrowth in the gastrointestinal tract. Patients and methods. Studies were performed in 647 consecutive patients undergoing upper endoscopy. At the time of endoscopic examination, we intubated the stomach and the descending part of the duodenum without inflation by air, and 20 mL of intraluminal gas samples of both sites was collected through the biopsy channel. Intraluminal H2 concentrations were measured by gas chromatography. Results. Intragastric and intraduodenal H2 gas was detected in 566 (87.5%) and 524 (81.0%) patients, respectively. The mean values of intragastric and intraduodenal H2 gas were 8.5 ± 15.9 and 13.2 ± 58.0 ppm, respectively. The intraduodenal H2 level was increased with the progression of atrophic gastritis, whereas the intragastric H2 level was the highest in patients without atrophic gastritis. Conclusions. The intraduodenal hydrogen levels were increased with the progression of atrophic gastritis. It is likely that the influence of hypochlorhydria on bacterial overgrowth in the proximal small intestine is more pronounced, compared to that in the stomach

Mechanistic Study of the Solvent-Dependent Formation of Extended and Stacked Supramolecular Polymers Composed of Bis(imidazolylporphyrinatozinc) Molecules.

Bis(imidazolylporphyrinatozinc) molecules linked through a 1,3-butadiynylene moiety respond to the solvents they are dissolved in to afford exclusively extended (E) or stacked (S) supramolecular polymers. This system is expected to be a solvation/desolvation indicator. However, the principles underlying the solvent-dependent formation of the two types of polymers and the mechanism of the transformation between them are unclear. The formation of the polymers is considered to depend on the two types of complementary coordination bonds that can be formed and the π-π interactions between the porphyrins. In this study, the contributions and solvent dependence of both the coordination bonds and the π-π interactions have been investigated. The results clearly indicate that the coordination bonds are weakly or little solvent-dependent, and that the π-π interactions function effectively only in the inner porphyrins of the S-polymer and are strongly solvent-dependent. Thermodynamic analysis revealed that the formation of the E- or S-polymer in solution is determined by the total energies and the type of solvent used. The transformation of the E- to S-polymer was investigated by gel permeation chromatography. The kinetics of the transformation were also determined. The role of the terminal imidazolylporphyrinatozinc moieties was also investigated: The results indicate that the transformation from the E- to S-polymer occurs by an exchange mechanism between the polymers, induced by attack of terminal free imidazolyl groups on a polymer to zinc porphyrins on other polymers.Bis(imidazolylporphyrinatozinc) molecules linked through a 1,3-butadiynylene moiety respond to the solvents they are dissolved in to afford exclusively extended (E) or stacked (S) supramolecular polymers. This system is expected to be a solvation/desolvation indicator. However, the principles underlying the solvent-dependent formation of the two types of polymers and the mechanism of the transformation between them are unclear. The formation of the polymers is considered to depend on the two types of complementary coordination bonds that can be formed and the π-π interactions between the porphyrins. In this study, the contributions and solvent dependence of both the coordination bonds and the π-π interactions have been investigated. The results clearly indicate that the coordination bonds are weakly or little solvent-dependent, and that the π-π interactions function effectively only in the inner porphyrins of the S-polymer and are strongly solvent-dependent. Thermodynamic analysis revealed that the formation of the E- or S-polymer in solution is determined by the total energies and the type of solvent used. The transformation of the E- to S-polymer was investigated by gel permeation chromatography. The kinetics of the transformation were also determined. The role of the terminal imidazolylporphyrinatozinc moieties was also investigated: The results indicate that the transformation from the E- to S-polymer occurs by an exchange mechanism between the polymers, induced by attack of terminal free imidazolyl groups on a polymer to zinc porphyrins on other polymers

Prevalence of linked angina and gastroesophageal reflux disease in general practice

AIM: To evaluate the association between gastroesophageal reflux diseases (GERD) and coronary heart diseases