Feeding turkeys a highly digestible supplement during preslaughter feed withdrawal.

Standard commercial practice is to deny poultry access to feed 8 to 12 h prior to slaughter. Occasionally a flock of turkeys is marketed at several ages, and starvation can occur for birds that are not shipped. For this project multiple marketed female turkeys were fed a special diet (nutritive supplement) during the preslaughter feed withdrawal period to reduce live weight loss, bird stress, and grazing on manure. Three trials were conducted at the Nova Scotia Agricultural College using 60 female turkey poults for each of 8 pens for each trial. The birds were separated into 8 pens with 20 birds from half of the pens shipped at 63 d of age and all remaining birds shipped 1 wk later. Prior to shipping, feed was withdrawn, with half the pens receiving the supplement. The pens that had received supplement at 63 d of age received it again a week later along with half the pens not previously marketed. The supplement was only consumed in a significant quantity when it was new to the birds (~10 g/kg of bird). The carcass yield, based on the live weight before the conventional feed withdrawal period, was improved for birds that consumed the supplement. Microbiological profiles of the crops revealed that although the total number aerobic bacteria was not affected, birds ingesting the supplement had fewer Escherichia coli and coliforms present. Breast meat samples collected at 15 min postmortem and 24 h postmortem and measured for pH were not found to be different between the treatments. Because birds would only consume the supplement on the first exposure, this supplement is only effective for reducing live weight loss and microbial load of the crop in an all-in all-out management situation.

Risk of recurrent biliary tract disease after cholecystectomy in patients with duodenal diverticula.

OBJECTIVE: To determine if the presence of duodenal diverticula predisposes to the development of common bile duct stones. DESIGN: Cohort study; median follow-up, 10.0 years (25th and 75th percentiles, 5.2 and 16.1 years, respectively). SETTING: Tertiary care center. PATIENTS: One hundred fifty-seven patients with radiologically diagnosed duodenal diverticula who had undergone cholecystectomy from 1950 through 1987 and were asymptomatic at the initiation of follow-up. MAIN OUTCOME MEASURES: All patients were followed up for evidence of recurrent biliary tract disease to the following end points: (1) evidence of choledocholithiasis demonstrated by radiologic surgical, or biochemical means and (2) clinical or biochemical evidence of biliary pancreatitis. RESULTS: Of the 157 patients in the study cohort, 13 patients were categorized as having had recurrent biliary tract disease. Using the Kaplan-Meier survivorship method, the cumulative probabilities of recurrent biliary tract disease in patients with radiologically diagnosed duodenal diverticula were 3.6% at 5 years (95% confidence interval, 0.5-6.9), 5.5% at 10 years (95% confidence interval, 1.5-9.4), and 10.2% at 15 years (95% confidence interval, 3.8-16.7). Age, common bile duct exploration and choledochotomy, and the presence of common bile duct dilatation were not found to be significantly associated with recurrence based on a univariate analysis of risk factors by means of the log-rank statistic. CONCLUSIONS: For patients with radiologically diagnosed, second-portion duodenal diverticula, the risk of developing recurrent bile duct stones after cholecystectomy is lower than has been suggested in previous studies. In the absence of concurrent choledocholithiasis, sphincterotomy or biliary bypass at the time of cholecystectomy seems unwarranted.