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1.
J Dairy Sci ; 97(7): 4227-35, 2014 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-24792790

RESUMO

The prevalence and severity of multiple gross pathologic lesions and abnormalities in cull dairy and beef cows was evaluated at a commercial abattoir in the Great Lakes region of the United States; 1,461 cattle were examined at slaughter over the course of 3 production days and evaluated for the occurrence and severity of lung, liver, rumen, and carcass abnormalities and pathologies. Of the 1,461 cattle examined at slaughter, 87% were classified as Holstein cows and 13% were classified as other cows. Liver abscesses were observed in 32% of the population and over half were classified as severe (18.5% population prevalence). The frequency distribution of cattle observed with a liver abscess was not different among production days. Severe ruminal lesions and rumenitis scars were observed in 10.0% of the population, and 25.1% of cattle were observed to have short or denuded papillae. Severe bovine respiratory disease complex lesions were observed in 10.3% of cattle. The most common reason for USDA postmortem carcass condemnation was malignant lymphoma (9 of 41). Only 45.9% of carcasses were free from bruising. Results indicate that ruminal acidosis and bovine respiratory disease complex occur at a relatively high frequency in this population. Although cows are routinely culled for reproductive failure or low milk production, the underlying reason may be causally related to these relatively prevalent conditions. Further investigation is warranted to assess this relationship and to examine the use of specific health intervention strategies within this demographic of cattle.


Assuntos
Doenças dos Bovinos/epidemiologia , Matadouros , Animais , Bovinos , Doenças dos Bovinos/patologia , Feminino , Great Lakes Region/epidemiologia , Meio-Oeste dos Estados Unidos/epidemiologia , Prevalência
2.
Transl Anim Sci ; 1(4): 489-497, 2017 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-32704672

RESUMO

Cattle injuries can occur during transportation due to vehicle design, transport conditions, and loading or unloading procedures and lead to carcass bruising and economic loss due to decreased carcass value. The objectives of this study were to determine whether a relationship exists between trauma incurred during unloading and prevalence of carcass bruising in finished beef cattle at commercial slaughter facilities and determine related risk factors which contribute to both trauma and carcass bruising. Breed (classified as either Holstein cattle or beef breeds), sex, distance traveled, and trailer type ("fat/feeder combination" vs. "fat" trailer) were considered risk factors which may contribute to traumatic event prevalence. When carcass bruise prevalence within each lot was used as the dependent variable, breed, sex, distance traveled, traumatic event prevalence, ribeye area, fat thickness, yield grade, and average carcass weight were considered potential risk factors. Carcass bruises were categorized by location and size, according to the Harvest Audit Program Carcass Bruise Scoring System. Traumatic events were observed while cattle exited trailers onto the unloading docks, and were categorized by location on the animal. Average traumatic event prevalence per lot was 20.4% (± 1.11%). Average carcass bruise prevalence by lot was 68.2% (± 1.15%). There was an interaction between breed and trailer type when multiple linear regression was used to explore variables contributing to traumatic events observed at unloading (P ≤ 0.05). Traumatic events were not associated with prevalence of carcass bruising, while average carcass weight and breed were associated with carcass bruising prevalence. Carcass bruising was more prevalent in Holstein cattle than in cattle which were predominantly beef breeds (P ≤ 0.01). Average carcass weight was negatively associated with carcass bruise prevalence (P ≤ 0.05). The association between traumatic events at unloading and carcass bruising is not significant when multiple variables are considered, indicating that bruising may occur at numerous other points prior to and during the transportation process, including loading and transport, and that other variables can contribute to carcass bruise prevalence. These areas should be explored to determine all potential causes of bruising in beef carcasses, and to help implement prevention practices.

3.
J Anim Sci ; 95(5): 1977-1992, 2017 May.
Artigo em Inglês | MEDLINE | ID: mdl-28726982

RESUMO

Feedlot cattle ( = 128; BW = 549 ± 60 kg) were used to evaluate the effects of ractopamine hydrochloride (RAC) on growth performance, physiological response to handling, and mobility during shipment for slaughter in a study utilizing a split-plot design with a 2 × 2 factorial arrangement of treatments: 1) diet (CON [no ß-adrenergic agonist] vs. RAC [400 mg·animal·d ractopamine hydrochloride for 28 d]) and 2) handling intensity (HI; low-stress handling [LSH; cattle moved at a walking pace with no electric prod use] vs. high-stress handling [HSH; cattle moved at a minimum of a trot and an electric prod applied while in the alley for posthandling restraint and during loading for shipment to the abattoir]). Cattle fed RAC tended to have greater ADG and G:F ( = 0.06), and had greater HCW and LM area ( = 0.04). The HI treatments were applied on the day after the 28-d growth performance period. Blood samples were collected before HI treatment (baseline), after HI treatments (POSTHAND), after transport to the abattoir (POSTTRANS), and during exsanguination at slaughter. A diet × HI interaction ( = 0.01) was observed in the change in cortisol from baseline to POSTTRANS, and there tended ( ≤ 0.07) to be diet × HI interactions for the change in epinephrine from baseline to POSTHAND and for the change in creatine kinase (CK) from baseline to POSTTRANS. Feeding RAC and HSH both increased the change from baseline to POSTHAND in norepinephrine and pH ( ≤ 0.05). The HSH cattle also had greater changes from baseline to POSTHAND in blood HCO, base excess, partial pressure of CO, lactate, cortisol, and glucose ( ≤ 0.01). Ractopamine and HSH both produced greater increases in CK concentrations from baseline to slaughter ( < 0.01). Mobility was not affected by RAC at the feedlot or following an average 6-h lairage ( ≥ 0.43). This study confirms RAC improves growth performance and suggests metabolic acidosis, a precursor to fatigued cattle syndrome, develops in cattle allowed to trot without the use of a lead rider regardless of RAC administration. Cattle fed RAC displayed altered hormonal responses to handling and transport stress, and the overall proportion of cattle with compromised mobility appears to increase later in the marketing channel. These findings warrant additional research aimed at better understanding the physiological response to stress and protect the welfare of cattle during shipment for slaughter.


Assuntos
Agonistas Adrenérgicos beta/farmacologia , Bovinos/fisiologia , Manobra Psicológica , Fenetilaminas/farmacologia , Estresse Fisiológico/efeitos dos fármacos , Matadouros , Ração Animal , Animais , Composição Corporal/efeitos dos fármacos , Bovinos/crescimento & desenvolvimento , Dieta/veterinária , Feminino , Masculino , Meios de Transporte , Aumento de Peso/efeitos dos fármacos
4.
J Anim Sci ; 95(5): 1963-1976, 2017 May.
Artigo em Inglês | MEDLINE | ID: mdl-28727025

RESUMO

The effects of handling intensity on the physiological response and carcass characteristics of feedlot cattle fed ractopamine hydrochloride were evaluated at the time of transport to slaughter. Eighty steers (BW = 668 ± 36 kg) representing 10 lots of similar breed, frame size, and degree of finish were blocked by lot, stratified by weight, and randomly assigned to 1 of 2 handling intensities (HI) over a 1,600 m dirt alley course: 1) low-stress handling (LSH) or 2) high-stress handling (HSH). For the LSH treatment, 4 penmates were kept at a walk with the use of a lead rider. For the HSH treatment, 4 penmates were kept at a minimum of a trot and received 2 applications of an electric prod (approximately 1 s per impulse) at 2 separate instances: first in the alley before post-handling sampling, and again during loading for transportation to the abattoir. Behavioral observations and physical indicators of stress were recorded a minimum of 1 h before handling (baseline), immediately after handling (POSTHAND), and while in lairage after a 200 km transport to the abattoir. Vital parameters were recorded at baseline and POSTHAND. Venous blood samples were collected via jugular venipuncture at baseline and POSTHAND, and mixed arterial and venous blood samples were collected during exsanguination at slaughter. Muscle tremors tended to be more prevalent in HSH cattle at POSTHAND ( = 0.10). The HSH cattle tended to have greater POSTHAND heart rate ( = 0.08); however, there was no effect of HI on POSTHAND respiration rate or rectal temperature ( 0.34). The HSH cattle had greater lactate, epinephrine, norepinephrine, cortisol, and glucose concentrations at POSTHAND ( ≤ 0.02). Additionally, HSH cattle had lower POSTHAND blood pH, bicarbonate, base excess, and partial pressure carbon dioxide ( < 0.0001). Bicarbonate concentrations were greater in HSH cattle at slaughter ( = 0.05); however, there were no differences between HI treatments for the remaining blood variables ( 0.11). Concentrations of stress hormones and CK were significantly greater at slaughter relative to baseline and POSTHAND for both LSH and HSH cattle ( < 0.001). These findings suggest cattle trotted without a lead rider develop metabolic acidosis, and illustrate the importance of low-stress handling at the time of transport for slaughter. Further research is warranted to develop strategies to mitigate stress at the time of transport and ensure the welfare of beef cattle presented to abattoirs.


Assuntos
Acidose/veterinária , Agonistas Adrenérgicos beta/farmacologia , Doenças dos Bovinos/fisiopatologia , Bovinos/fisiologia , Fenetilaminas/farmacologia , Matadouros , Acidose/fisiopatologia , Ração Animal , Bem-Estar do Animal , Animais , Composição Corporal/efeitos dos fármacos , Temperatura Corporal , Dieta/veterinária , Epinefrina/sangue , Manobra Psicológica , Frequência Cardíaca , Hidrocortisona/sangue , Ácido Láctico/sangue , Masculino , Taxa Respiratória , Estresse Fisiológico/efeitos dos fármacos , Meios de Transporte
5.
J Anim Sci ; 93(7): 3639-53, 2015 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-26440030

RESUMO

The current study evaluated 17 loads of cull beef cows transported in Canadian winter conditions to assess in-transit temperature and humidity, evaluation of events during loading and unloading, and animal condition and bruising. Regardless of the use of boards to block ventilation holes in trailers, temperatures were higher within trailers than at ambient locations during both travel and stationary periods (P < 0.01). Boarding was associated with smaller differences in trailer temperature, compared with ambient conditions, while the trailer was traveling at highway speeds versus when trailers were stationary (P < 0.01). Moisture levels within trailers were not different from ambient conditions when loads using boarding were traveling (P < 0.01), whereas loads without boarding had a larger difference (P < 0.01). The moisture within trailers relative to ambient conditions increased when trailers were stationary compared with traveling when boarding was used (P < 0.01). The majority of cattle transported were in good body condition (97.4% within BCS of 2 to 3.5) and had calm temperaments (96.7%). Although all comparisons were made, only the doghouse compartment had an increased risk of severe bruising compared with all other compartments (odds ratio [95% confidence interval]: 3.0 [1.6­5.5], 3.7 [2.1­6.4], 2.2 [1.3­3.7] and 3.8 [1.5­9.6] in comparison with the back, belly, deck, and nose compartments, respectively; P < 0.05). Increasing the duration of waiting to unload 30 min relative to a 1 h duration increased the odds of severe bruising by 1.18 times (95% confidence interval: 1.09­1.29; P < 0.01). Scoring systems that have been developed for auditing unloading of cattle had limited variation across loads at both loading and unloading. Pretransport assessment of animal condition using the American Meat Institute's compromised animal score was the only scoring system that was consistent with posttransport scores. We inferred from the temperature and humidity data in the current study that under commercial conditions, boarding may increase ventilation within trailers during travel and decrease ventilation during stationary periods. The current study provides the first indication that issues in Canadian cull cow transport may be related to pretransport animal condition and management of unloading.


Assuntos
Bem-Estar do Animal , Bovinos/fisiologia , Estações do Ano , Meios de Transporte , Abate de Animais , Animais , Canadá , Feminino , Umidade , Veículos Automotores , Temperatura , Fatores de Tempo
6.
J Histochem Cytochem ; 33(5): 379-83, 1985 May.
Artigo em Inglês | MEDLINE | ID: mdl-3886778

RESUMO

An antiserum specific to esterase Ib was produced in a rabbit. The antigen-antibody reaction was visualized by the strong esterase activity in the precipitin band in Ouchterlony double diffusion and immunoelectrophoresis. Immunohistochemical procedure demonstrated strong staining in the monocyte-infiltrated splenic sections and tissue sections of true histiocytic lymphoma. Negative results were observed in T- and B-cell lymphomas, granulocytic sarcoma, and chronic granulocytic leukemia. This antibody may be useful for the identification of monocytes and histocytes in paraffin-embedded tissue sections.


Assuntos
Esterases/imunologia , Histocitoquímica/métodos , Monócitos/enzimologia , Animais , Especificidade de Anticorpos , Histiócitos/patologia , Técnicas Imunoenzimáticas , Leucemia Mieloide/patologia , Linfoma/patologia , Monócitos/patologia , Coelhos
7.
J Anim Sci ; 69(6): 2269-72, 1991 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-1885346

RESUMO

Yearling bulls (n = 3,071) located at 18 stations in Missouri, Nebraska, Virginia, and Wisconsin were measured for pelvic area, in addition to standard performance traits. Linear adjustments for age and weight were determined using covariate regression analyses. Only bulls that were 300 to 452 d of age, 325 to 640 kg, and were in consignments offering more than nine bulls per breed were included in the analyses. Because the subsets of Angus, Polled Hereford, and Simmental bulls had large numbers of observations (817, 271, and 449, respectively), individual adjustment coefficients were determined for each breed. Angus, Polled Hereford, and Simmental bulls had pelvic area adjustment regressions on age of .20, .32, and .20 cm2/d, respectively, and regressions on body weight of .15, .22, and .18 cm2/kg, respectively. Homogeneous linear responses of all breeds (11 breeds including Angus, Polled Hereford, and Simmental) were combined to form all-breed coefficients for age and weight adjustments, which were .21 cm2/d and .15 cm2/kg, respectively. Weight or age adjustments can be used to compare contemporaries for relative pelvic area differences, but both should not be used on the same bull. Although many factors contribute to dystocia, high priority should be given to identifying sires of replacement heifers of low to moderate birth weight genotype and above average pelvic area genotype.


Assuntos
Cruzamento , Bovinos/anatomia & histologia , Pelve/anatomia & histologia , Fatores Etários , Análise de Variância , Animais , Peso Corporal , Bovinos/genética , Genótipo , Masculino , Análise de Regressão
8.
J Anim Sci ; 69(1): 47-53, 1991 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-2005037

RESUMO

Liquid scintillation detection of potassium-40 was used to estimate pork carcass composition of 124 boars, barrows and gilts. Pigs were fed to five live weights (23, 45, 68, 91 and 114 kg) and 40K emissions were determined on live pigs in a whole body counter (WBC) equipped with a two-pi liquid scintillation detector. Then, pigs were slaughtered conventionally and the right side of each carcass was weighed, 40K emissions of this carcass side was determined in the WBC and total grams of potassium were calculated. The right side of each carcass was ground, sampled and analyzed for fat, protein, moisture and potassium. Fat, protein, moisture and overall potassium percentage means were 23.9 +/- 7.2, 16.5 +/- .94, 57.0 +/- 6.5 and .25 +/- .02, respectively. Whole body counter carcass potassium was highly correlated (P less than .01) to chemically determined carcass potassium (r = .70). Percentage of fat, protein and moisture prediction equations were formed by stepwise regression using the linear, quadratic and interactive effects of live animal and carcass side weight. Whole body counter live animal and carcass potassium and sex were utilized as independent variables. Carcass weight and 40K determined potassium of the carcass explained more of the variation in carcass composition than did live animal weight and 40K determined potassium of the live animal.


Assuntos
Tecido Adiposo/diagnóstico por imagem , Composição Corporal , Músculos/diagnóstico por imagem , Suínos/anatomia & histologia , Animais , Água Corporal/química , Feminino , Análise dos Mínimos Quadrados , Masculino , Potássio/análise , Proteínas/análise , Cintilografia , Análise de Regressão
9.
J Anim Sci ; 73(10): 2882-7, 1995 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-8617657

RESUMO

Although originally used for prediction of whole body composition (WBC), use of 40K emission detection was later suggested for determination of empty body composition (EBC), Therefore, the present study was conducted to validate existing equations developed to predict WBC and to develop more useful equations to predict EBC or carcass composition (CC) of beef steers. Fourteen crossbred steers were detected for 40K emissions and slaughtered and their chemical composition determined from chemical analyses and total body K determined from 40K emissions. the existing equation for percentage whole body lipid had a slope of .93 and an intercept of -1.62%, indicating a close approximation of percentage of whole body lipid. Percentage of whole body protein was poorly estimated by existing equations. Equations developed for prediction of EBC relied on both BW and predicted K. Coefficients of variation for prediction of empty water or protein were within 5% and those for prediction of empty body lipid were approximately 15%. These results demonstrate that use of predicted K from 40K emission detection enhances the determination of EBC and CC.


Assuntos
Composição Corporal/fisiologia , Bovinos/fisiologia , Carne/normas , Modelos Biológicos , Animais , Bovinos/crescimento & desenvolvimento , Lipídeos/análise , Masculino , Radioisótopos de Potássio , Proteínas/análise
10.
J Anim Sci ; 68(8): 2217-21, 1990 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-2401643

RESUMO

Two feeder pig grading systems were tested. Forty-five barrows were selected using current USDA Feeder Pig Grade Standards (U.S. No. 1, No. 2 and No. 3). Additionally, 45 barrows were selected using three frame sizes (large, medium and small). Pigs were slaughtered at 100, 113.5 of 127 kg live weight. Trimmed four lean cuts were separated into soft tissue, skin and bone. The skinless belly and soft tissue from the four lean cuts were ground separately and analyzed chemically. Data from each grading system were analyzed separately in a 3 X 3 factorial plan. Pigs selected using current USDA grade standards differed (P less than .05) for last rib backfat, 10th rib fat depth, longissimus muscle area, percentage of trimmed four lean cuts and USDA carcass grade. In the frame size system, pigs with large frame size had less last rib backfat, less 10th rib fat depth, longer carcasses, higher percentage of four lean cuts and superior USDA carcass grades than pigs with small frame size did (P less than .05). The Bradley and Schumann test of sensitivity showed that selection by frame size was more sensitive than current USDA grade standards for discriminating feeder pig foreleg length, body depth and ham width. In addition, selection by frame size was more sensitive than current USDA grade standards for discriminating carcass length and carcass radius length. No increase in sensitivity (P greater than .10) was noted for carcass composition or growth traits over the current USDA Feeder Pig Grade Standards.


Assuntos
Carne/normas , Suínos/anatomia & histologia , Animais , Masculino , Distribuição Aleatória , Suínos/crescimento & desenvolvimento , Aumento de Peso
11.
Endoscopy ; 27(3): 273-6, 1995 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-7545107

RESUMO

Obstructive colorectal cancer is usually an indication for surgical intervention. For patients with metastatic disease, medical contraindications, or those who refuse surgery, palliation by nonoperative means is necessary. The advent of expandable metallic stents may allow for speedy palliation. We have treated one patient with unresectable colon cancer with a new selfexpanding endoprosthesis made of nitinol (Ultraflex, Microvasive, Watertown, MA, U.S.A.).


Assuntos
Cateterismo , Obstrução Intestinal/terapia , Cuidados Paliativos , Neoplasias Retais/terapia , Stents , Idoso , Colonoscopia , Humanos , Obstrução Intestinal/diagnóstico , Obstrução Intestinal/etiologia , Masculino , Neoplasias Retais/complicações , Neoplasias Retais/diagnóstico , Recusa do Paciente ao Tratamento
12.
Ann Ophthalmol ; 20(3): 95-9, 1988 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-3400958

RESUMO

The YAG (yttrium aluminum garnet) laser has been recommended for anterior capsulotomies. One major complication is elevated intraocular pressure. We report a study of the biochemical content of the aqueous humor after a YAG laser anterior capsulotomy. We analyzed 6-keto-prostaglandin F1 alpha, thromboxane B2 and protein concentrations in the aqueous humor of human eyes. The average values of protein, 6-keto-prostaglandin F1 alpha, and thromboxane B2 in the control eyes were 81.3 +/- 14.0 mg/dL, 17 +/- 30 pg/mL, and 10 +/- 10 pg/mL, respectively. These values were elevated to 182.4 +/- 81.3 mg/dL, 401 +/- 55 pg/mL, and 576 +/- 148 pg/mL, respectively, after YAG laser anterior capsulotomy. The samples with a moderate level of 6-keto-prostaglandin F1 alpha (less than 300 pg/mL) had negligible changes of thromboxane. The elevation of thromboxane was obvious only when prostaglandin levels rose above 300 pg/mL.


Assuntos
6-Cetoprostaglandina F1 alfa/metabolismo , Humor Aquoso/metabolismo , Terapia a Laser , Cápsula do Cristalino/cirurgia , Cristalino/cirurgia , Tromboxano B2/metabolismo , Humanos , Concentração Osmolar , Proteínas/metabolismo
13.
Klin Wochenschr ; 68(10): 523-5, 1990 May 17.
Artigo em Inglês | MEDLINE | ID: mdl-2197494

RESUMO

A 33-year-old woman suffering from anal erosions developed severe illness with fever, diarrhea, ischalgia, hypotension, acute abdominal pain, dyspnea, renal and hepatic impairment, myalgia, desquamation of the skin, leukocytosis, anemia, hypocalcemia, decreased serum albumin, and cholesterol levels. Exploratory laparotomy did not reveal pathologic findings. Hemolytic group A streptococci were grown from peritoneal swabs and pleural exudate in bacteriologic cultures. The patient slowly recovered after intense penicillin and tobramycin therapy.


Assuntos
Choque Séptico/microbiologia , Infecções Estreptocócicas/microbiologia , Adulto , Feminino , Humanos , Penicilina G/administração & dosagem , Peritônio/microbiologia , Pleura/microbiologia , Proctite/microbiologia , Choque Séptico/tratamento farmacológico , Infecções Estreptocócicas/tratamento farmacológico , Streptococcus pyogenes/isolamento & purificação
14.
Clin Chem ; 28(3): 467-70, 1982 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-7039869

RESUMO

An immunochemical method for quantitative analysis of the tartrate-resistant acid phosphatase (EC 3.1.3.2), band 5, is presented. This method involves precipitation of the enzyme from the serum by the antibody specific to band 5 and by sheep anti-rabbit immunoglobulin, followed by analysis of the enzyme activity in the precipitate. The precipitation procedure eliminates the interferences of the tartrate-sensitive phosphatase of all tissues, of the tartrate-resistant phosphatase of erythrocytes, and of unknown substances that interfere with the colorimetric method. We compare the present method with previously described colorimetric and electrophoretic methods.


Assuntos
Fosfatase Ácida/sangue , Técnicas Imunoenzimáticas , Tartaratos/farmacologia , Cromatografia por Troca Iônica , Colorimetria , Eletroforese , Humanos
15.
Cancer Invest ; 10(5): 343-8, 1992.
Artigo em Inglês | MEDLINE | ID: mdl-1393685

RESUMO

Outpatients (n = 15) with metastasizing far advanced colorectal cancers received immunotherapy consisting of low-dose cyclophosphamide (LDCY) 300 mg/m2 every 28 days i.v., thymostimulin 30 mg/m2, days 3-10 after low-dose cyclophosphamide i.m. once daily, then twice a week, and echinacin 60 mg/m2 together with thymostimulin i.m. All patients had had previous surgery and/or chemotherapy and had progressive disease upon entering the study. Two months after onset of therapy a partial tumor regression was documented in one and a stable disease in 6 other patients by abdominal ultrasonography, decrease of the tumor markers carcinoembryonic antigen (CEA), CA 19-9, CA 15-3, and/or chest roentgenography, which may also be attributed to the natural course of disease. Mean survival time was 4 months, 2 patients survived for more than 8 months. Immunotherapy was well tolerated by all patients without side effects.


Assuntos
Adjuvantes Imunológicos/uso terapêutico , Anti-Inflamatórios não Esteroides/uso terapêutico , Neoplasias Colorretais/terapia , Ciclofosfamida/uso terapêutico , Extratos Vegetais/uso terapêutico , Extratos do Timo/uso terapêutico , Adjuvantes Imunológicos/efeitos adversos , Anti-Inflamatórios não Esteroides/efeitos adversos , Relação CD4-CD8 , Neoplasias Colorretais/imunologia , Relação Dose-Resposta a Droga , Quimioterapia Combinada , Echinacea , Feminino , Humanos , Imunoterapia , Masculino , Pessoa de Meia-Idade , Linfócitos T/efeitos dos fármacos , Linfócitos T/imunologia , Linfócitos T Auxiliares-Indutores/efeitos dos fármacos , Linfócitos T Auxiliares-Indutores/imunologia , Extratos do Timo/efeitos adversos
16.
Endoscopy ; 29(4): 271-4, 1997 May.
Artigo em Inglês | MEDLINE | ID: mdl-9255530

RESUMO

BACKGROUND AND STUDY AIMS: Tumor ingrowth through self-expanding metal stents presents a difficult problem for management. The techniques for treating tumor ingrowth have not yet been well described, and the optimal endoscopic approach is not clear. We have recently used photodynamic therapy (PDT) to treat tumor ingrowth through uncovered nitinol mesh stents. PATIENTS AND METHODS: Four patients (mean age 73) with obstructive adenocarcinomas of the distal esophagus had received self-expanding stents for palliation of their dysphagia. After stent placement, tumor ingrowth had caused progressive dysphagia in all of the patients; the dysphagia was graded on a scale from 0 (normal) to 4 (inability to swallow liquids). All of the patients received PDT treatment. RESULTS: After PDT, excellent palliation of the dysphagia was seen in all of the patients, with a mean improvement in the dysphagia score of 2.25 and a mean dysphagia-free interval of 92 days. There were no major complications. CONCLUSION: The use of PDT to treat tumor ingrowth through self-expanding metal esophageal stents is effective and safe.


Assuntos
Adenocarcinoma/terapia , Neoplasias Esofágicas/terapia , Derivado da Hematoporfirina/uso terapêutico , Cuidados Paliativos/métodos , Fotoquimioterapia , Fármacos Fotossensibilizantes/uso terapêutico , Stents/efeitos adversos , Adenocarcinoma/complicações , Adenocarcinoma/mortalidade , Idoso , Idoso de 80 Anos ou mais , Ligas/efeitos adversos , Transtornos de Deglutição/etiologia , Transtornos de Deglutição/prevenção & controle , Neoplasias Esofágicas/complicações , Neoplasias Esofágicas/mortalidade , Estenose Esofágica/etiologia , Estenose Esofágica/prevenção & controle , Esofagoscopia , Feminino , Reação a Corpo Estranho/etiologia , Reação a Corpo Estranho/prevenção & controle , Humanos , Masculino , Pessoa de Meia-Idade , Prognóstico , Taxa de Sobrevida
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