RESUMEN
Azadirachta consists of 2 species and 1 variety indigenous to the tropical areas of the Indo-Malayan region. They are evergreen trees for multi-purpose utilization featured by containing azadirachtin. The complete chloroplast (cp) genome of Azadirachta indica, A. indica var. siamensis and Azadirachta excelsa were reported in this study, which was 160,876 bp, 160,477 bp, and 160,361 bp in length respectively. The whole cp genomes encode 131 genes (37 tRNA genes, 8 rRNA genes, and 86 protein-coding genes) in both A. indica and A. excelsa, while A. indica var. siamensis do not have the rrn4.5S gene in the inverted repeat regions. The phylogenetic analysis indicated that A. indica var. siamensis and A. exselsa were closely related and A. indica was separated from these two species, which suggested that A. siamensis could be a species rather than a variety.
RESUMEN
Objective: To compare indications, success rates and complications of pull [P] and introducer [I] techniques for percutaneous endoscopic gastrostomy (PEG). Methods: In this retrospective study, inpatients who underwent primary PEG tube insertion between January 2015 and February 2020 at the Endoscopy Center of the First Affiliated Hospital of Fujian Medical University were included. Results: A total of 103 inpatients were included in this study (P group, n = 67; I group, n = 36). The rates of tube replacement within first six months in the P and I groups were 1.5% and 11.1%, respectively (P = 0.049). The most common primary indication of PEG was malignancy. The proportion of patients with esophageal cancer was significantly lower in the P group (24.4% vs 54.2%, P = 0.015). No significant difference was found in the overall, major, or minor complications between the two groups. In patients with esophageal stenosis, the pull method was a risk factor for complications (P = 0.03; odds ratio [OR] = 12, 95% confidence interval [CI]: 1.164-123.684). Logistic regression analysis showed that the risk factors for major and minor complications were the admission-to-gastrostomy interval (OR = 1.078, 95% CI: 1.016-1.145, P = 0.014) and lack of antibiotic use (OR = 4.735, 95% CI: 1.247-17.979, P = 0.022), respectively. Conclusion: Both PEG techniques have high clinical success rates. The introducer technique is more suitable for patients with esophageal stricture, which has lower minor complications, but higher rate of tube replacement compared to the pull technique. Use of antibiotics may reduce minor complications following PEG. Early PEG insertion may help to reduce post-PEG major complications.
