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1.
Fish Shellfish Immunol ; 108: 116-126, 2021 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-33285168

RESUMO

Pancreas disease (PD) caused by salmonid alphavirus subtype 3 (SAV3) is a serious disease with large economic impact on farmed Norwegian Atlantic salmon production despite years of use of oil-adjuvanted vaccines against PD (OAVs). In this study, two commercially available PD vaccines, a DNA vaccine (DNAV) and an OAV, were compared in an experimental setting. At approximately 1040° days (dd) at 12 °C post immunization, the fish were challenged with SAV3 by cohabitation 9 days after transfer to sea water. Sampling was done prior to challenge and at 19, 54, and 83 days post-challenge (dpc). When compared to the OAV and control (Saline) groups, the DNAV group had significantly higher SAV3 neutralizing antibody titers after the immunization period, significantly lower SAV3 viremia levels at 19 dpc, significantly reduced transmission of SAV3 to naïve fish in the latter part of the viremic phase, significantly higher weight gain post-challenge, and significantly reduced prevalence and/or severity of SAV-induced morphologic changes in target organs. The DNAV group had also significantly higher post-challenge survival compared to the Saline group, but not to the OAV group. The data suggest that use of DNAV may reduce the economic impact of PD by protecting against destruction of the pancreas tissue and subsequent growth impairment which is the most common and costly clinical outcome of this disease.


Assuntos
Infecções por Alphavirus/virologia , Alphavirus/imunologia , Doenças dos Peixes/prevenção & controle , Pancreatopatias/veterinária , Salmo salar , Vacinas Virais/imunologia , Infecções por Alphavirus/prevenção & controle , Animais , Doenças dos Peixes/virologia , Pancreatopatias/prevenção & controle , Pancreatopatias/virologia , Vacinas de DNA/imunologia
2.
Can J Physiol Pharmacol ; 99(11): 1217-1225, 2021 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-34197718

RESUMO

Chronic glucocorticoids therapy is commonly complicated by steroid diabetes, although the underlying mechanisms are still elusive. Liraglutide, a glucagon-like peptide-1, was initially found to induce glycemic control and recently it was found to have many pleotropic effects; however, its role in pancreas remains unknown. The present study aims to estimate the protective role of liraglutide on dexamethasone-induced pancreatic cytotoxicity and hyperglycemia, highlighting the possible underlying biochemical, molecular, and cellular mechanisms. Twenty-eight male Wistar rats were involved in this study and were randomly divided into four groups. Group III and IV were treated with 1 mg/kg dexamethasone daily for 10 days. Group II and IV were treated with liraglutide in a dose of 0.8 mg/kg per day for 2 weeks. Pancreatic caspase-9, nuclear factor erythroid 2-related factor 2 (Nrf2), phospho-protein kinase-B (pAkt), and sequestrome 1 (p62) levels were assessed by immunoassay. Moreover, phosphoinositide 3-kinase (PI3K) expression by real-time PCR, microtubule-associated protein light chain 3 (LC3B) expression by immunohistochemistry, glycemic status, ß-cell function by homoeostasis model assessment (HOMA) ß index, and pancreatic redox status were assessed. Liraglutide improved blood glucose level, ß-cell function, pancreatic caspase-9 level, redox status, and autophagy. Additionally, it increased pancreatic PI3K, pAkt, and Nrf2 levels. Moreover, preservation of pancreatic histological and the ultrastructural morphological features of ß- and α-cells were observed. In conclusion, liraglutide protected against dexamethasone-induced pancreatic injury and hyperglycemia and decelerated the progression towards steroid diabetes via activating PI3K/Akt/Nrf2 signaling and autophagy flux pathways.


Assuntos
Autofagia/efeitos dos fármacos , Dexametasona/efeitos adversos , Glucocorticoides/efeitos adversos , Liraglutida/farmacologia , Fator 2 Relacionado a NF-E2/metabolismo , Pâncreas/efeitos dos fármacos , Pâncreas/metabolismo , Pancreatopatias/induzido quimicamente , Pancreatopatias/prevenção & controle , Fosfatidilinositol 3-Quinases/metabolismo , Proteínas Proto-Oncogênicas c-akt/metabolismo , Transdução de Sinais/efeitos dos fármacos , Transdução de Sinais/genética , Animais , Masculino , Oxirredução , Pâncreas/citologia , Pancreatopatias/metabolismo , Pancreatopatias/patologia , Ratos Wistar
3.
J Fish Dis ; 44(7): 923-937, 2021 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-33591590

RESUMO

Pancreas disease (PD) is a serious challenge in European salmonid aquaculture caused by salmonid alphavirus (SAV). In this study, we report the effect of immunization of Atlantic salmon with three attenuated infectious SAV3 strains with targeted mutations in a glycosylation site of the envelope E2 protein and/or in a nuclear localization signal in the capsid protein. In a pilot experiment, it was shown that the mutated viral strains replicated in fish, transmitted to naïve cohabitants and that the transmission had not altered the sequences. In the main experiment, the fish were immunized with the strains and challenged with SAV3 eight weeks after immunization. Immunization resulted in infection both in injected fish and 2 weeks later in the cohabitant fish, followed by a persistent but declining load of the mutated virus variants in the hearts. The immunized fish developed clinical signs and pathology consistent with PD prior to challenge. However, fish injected with the virus mutated in both E2 and capsid showed little clinical signs and had higher average weight gain than the groups immunized with the single mutated variants. The SAV strain used for challenge was not detected in the immunized fish indicating that these fish were protected against superinfection with SAV during the 12 weeks of the experiment.


Assuntos
Infecções por Alphavirus/veterinária , Alphavirus/classificação , Doenças dos Peixes/prevenção & controle , Pancreatopatias/veterinária , Vacinas Virais/imunologia , Alphavirus/genética , Infecções por Alphavirus/prevenção & controle , Infecções por Alphavirus/virologia , Animais , Doenças dos Peixes/virologia , Imunização/veterinária , Pancreatopatias/prevenção & controle , Salmo salar , Vacinas Atenuadas
4.
J Fish Dis ; 44(12): 1911-1924, 2021 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-34402092

RESUMO

Pancreas disease (PD) caused by salmonid alphavirus (SAV) continues to negatively impact salmon farming. To assess the effect on growth and mortality of three vaccines against PD, two controlled field designs were employed: one controlled field study with individual marked fish (PIT tag) assessing three PD vaccines and three controls groups, and a second controlled field study with group marked fish (Maxilla) comparing two PD vaccines against controls. In addition, a descriptive study using whole cages compared fish immunized with two different PD vaccines against controls. The target populations experienced a natural PD outbreak where both SAV 2 and SAV 3 were identified. Only one of the PD vaccines provided statistically significant improvements in harvest weight of 0.43 kg (CI: 0.29-0.57) and 0.51 kg (CI: 0.36-0.65) compared with the control in the PIT tag and the Maxilla study, respectively. In the latter, a significant reduction in mortality of 1.31 (CI:0.8-1.8) per cent points was registered for the same vaccine compared with controls. These results aligned with the growth and PD-specific mortality registered in the descriptive Cage study. The data in this study show a difference in the efficacy of PD vaccines in farmed Atlantic salmon.


Assuntos
Infecções por Alphavirus/veterinária , Doenças dos Peixes/virologia , Pancreatopatias/veterinária , Vacinas Virais/farmacologia , Alphavirus/efeitos dos fármacos , Infecções por Alphavirus/imunologia , Infecções por Alphavirus/prevenção & controle , Animais , Aquicultura , Doenças dos Peixes/imunologia , Doenças dos Peixes/prevenção & controle , Pancreatopatias/prevenção & controle , Pancreatopatias/virologia , Salmo salar , Vacinas de Produtos Inativados/farmacologia
5.
Dig Dis Sci ; 65(1): 215-224, 2020 01.
Artigo em Inglês | MEDLINE | ID: mdl-31312992

RESUMO

BACKGROUND: A significant role in pathogenesis of cholangitis is attributed to excessive reactive oxygen species production and oxidative stress. Therefore, antioxidants could be promising therapeutics. AIMS: The effects of powerful free radical scavenger C60 fullerene on hepatic and pancreatic manifestations of acute and chronic cholangitis in rats were aimed to be discovered. METHODS: Acute (AC, 3 days) and chronic (CC, 28 days) cholangitis models were simulated by single (AC) and 4 weekly (CC) α-naphthylisothiocyanate per os administrations. Pristine C60 fullerene aqueous colloid solution (C60FAS, 0.15 mg/ml, size of aggregates 1.2-100 nm) was administered either per os or intraperitoneally at a dose of 0.5 mg/kg C60 fullerene daily (AC) and every other day (CC). Prednisolone was used as a reference. Liver and pancreas autopsies were analyzed, and blood serum biochemical markers were measured. Pan-cytokeratin expression in HepG2 cells was assessed after 48-h incubation with C60FAS. RESULTS: On AC, C60FAS normalized elevated bilirubin, alkaline phosphatase, and triglycerides, diminished fibrotic alterations in liver, and improved pancreas state when applied by both ways. Additionally, C60FAS per os significantly reduced the signs of inflammation in liver and pancreas. On CC, C60FAS also mitigated liver fibrosis and inflammation, improved pancreas state, and normalized alkaline phosphatase and triglycerides. The remedy effect of C60FAS was more expressed compared to that of prednisolone on both models. Furthermore, C60FAS inhibited pan-cytokeratin expression in HepG2 cells in a dose-dependent manner. CONCLUSION: Pristine C60 fullerene inhibits liver inflammation and fibrogenesis and partially improved liver and pancreas state under acute and chronic cholangitis.


Assuntos
Anti-Inflamatórios/farmacologia , Doença Hepática Induzida por Substâncias e Drogas/prevenção & controle , Colangite/tratamento farmacológico , Fulerenos/farmacologia , Cirrose Hepática/prevenção & controle , Fígado/efeitos dos fármacos , Pâncreas/efeitos dos fármacos , Pancreatopatias/prevenção & controle , 1-Naftilisotiocianato , Animais , Biomarcadores/sangue , Doença Hepática Induzida por Substâncias e Drogas/sangue , Doença Hepática Induzida por Substâncias e Drogas/etiologia , Doença Hepática Induzida por Substâncias e Drogas/patologia , Colangite/sangue , Colangite/induzido quimicamente , Colangite/patologia , Modelos Animais de Doenças , Sequestradores de Radicais Livres/farmacologia , Células Hep G2 , Humanos , Fígado/metabolismo , Fígado/patologia , Cirrose Hepática/sangue , Cirrose Hepática/induzido quimicamente , Cirrose Hepática/patologia , Masculino , Pâncreas/metabolismo , Pâncreas/patologia , Pancreatopatias/sangue , Pancreatopatias/induzido quimicamente , Pancreatopatias/patologia , Prednisolona/farmacologia , Ratos Wistar , Fatores de Tempo
6.
Pancreatology ; 19(2): 285-289, 2019 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-30683516

RESUMO

OBJECTIVES: To study the therapeutic effect of early local drug therapy on pancreatic contusion and laceration. METHODS: Twenty pigs were divided into 4 groups: model(PL), 1 ml of saline; medical protein glue (EC), 1 ml of medical protein glue; ulinastatin (UL), 50000U of ulinastatin; combined treatment (UE), 1 ml of medical protein glue and 50000U of ulinastatin. 30 min after model establishment, different groups received different local drug treatments. The pancreatic function, peritoneal effusion and pancreatic pathology were observed. RESULTS: The UE group got the best therapeutic effect. The changes of pancreatic function and the peritoneal effusion were compared with PL group as follows. 0-6h: amylase (p < 0.01), lipase (p > 0.05), effusion (p < 0.01); 6-12h: amylase (p > 0.05), lipase (p < 0.01), effusion (p < 0.01); 12-24h: amylase (p < 0.01), lipase (p < 0.01), effusion (p < 0.01). CONCLUSIONS: Early local drug therapy in pancreatic contusion and laceration could effectively control the development of the disease and improve the prognosis.


Assuntos
Glicoproteínas/uso terapêutico , Pâncreas/lesões , Adesivos Teciduais/uso terapêutico , Animais , Contusões/terapia , Quimioterapia Combinada , Glicoproteínas/administração & dosagem , Lacerações/terapia , Pancreatopatias/prevenção & controle , Suínos , Adesivos Teciduais/administração & dosagem
7.
Pancreatology ; 19(1): 39-43, 2019 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-30502123

RESUMO

OBJECTIVES: The risk of post-ERCP pancreatitis (PEP) can be reduced effectively by the placement of a self dislodging pancreatic stent. The present study analyzed whether a prolonged interval until stent passage evaluation and removal of retained stents is associated with an increased risk for clinically relevant complications. METHODS: In the retrospective study 182 patients receiving a pancreatic stent for PEP prophylaxis were included and clinical data and complications until documented spontaneous stent dislodgement or removal were analyzed. RESULTS: The main indication for ERCP was choledocholithiasis (40.1%) followed by malignant stenosis (30.8%). Stent passage evaluation was performed in 34.1% at day 1-4, 23.6% at day 5-10, 17.6% at day 11-28 and 24.7% at day >28. PEP occurred in 13.1% of patients with no case of severe PEP. No association between PEP and day of stent passage evaluation (p = 0.719), retention of the pancreatic stent at time of evaluation (0.867) or prolonged stent retention >10 days (0.234) was observed. Only the duration of the procedure was associated with risk for PEP (p = 0.037). Besides PEP only one clinically relevant complication was observed in the cohort (0.5%) which was a late possibly stent related pancreatitis at day 9 after the procedure that resolved completely. CONCLUSIONS: A prolonged interval for stent passage evaluation and stent retention is not associated with an increase of clinically relevant complications. A later evaluation and extraction of retained stents might be acceptable in selected cases where an additional endoscopic procedure can be saved due to a planned follow-up endoscopy.


Assuntos
Pancreatopatias/cirurgia , Complicações Pós-Operatórias , Stents/efeitos adversos , Adolescente , Adulto , Idoso , Idoso de 80 Anos ou mais , Colangiopancreatografia Retrógrada Endoscópica/efeitos adversos , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Pancreatopatias/complicações , Pancreatopatias/prevenção & controle , Fatores de Risco , Adulto Jovem
8.
Int J Food Sci Nutr ; 70(6): 652-667, 2019 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-30764679

RESUMO

The aim of this study was to provide a comprehensive evaluation of current evidence on fruit and vegetable consumption and health outcomes. A systematic search for quantitative syntheses was performed. Several criteria, including study design, dose-response relationship, heterogeneity and agreement of results over time, and identification of potential confounding factors, were used to assess the level of evidence. The strongest (probable) evidence was found for cardiovascular disease protection; possible evidence for decreased risk of colon cancer, depression and pancreatic diseases was found for fruit intake; and colon and rectal cancer, hip fracture, stroke, depression and pancreatic diseases was found for vegetable intake. Suggestive and rather limited associations with other outcomes have been found. Evidence of potential confounding by sex and geographical localisation has been reported. Despite findings are consistent enough for hypothesising causation (at least for cardiovascular-related outcomes), further studies are needed to clarify the role of potential confounding factors.


Assuntos
Frutas , Verduras , Doenças Cardiovasculares/prevenção & controle , Neoplasias do Colo/prevenção & controle , Bases de Dados Factuais , Depressão/prevenção & controle , Dieta Saudável , Comportamentos Relacionados com a Saúde , Humanos , Estudos Observacionais como Assunto , Pancreatopatias/prevenção & controle , Ensaios Clínicos Controlados Aleatórios como Assunto , Fatores de Risco
9.
BMC Gastroenterol ; 18(1): 53, 2018 Apr 23.
Artigo em Inglês | MEDLINE | ID: mdl-29688844

RESUMO

BACKGROUND: Pancreatic duct obstructions are common in patients with pancreaticoduodenectomy. However, it is often neglected in follow up. This study was to review the outcomes of pancreatic duct obstruction and explore the prevention of pancreatic duct obstruction. METHODS: A retrospective analysis of 78 patients undergoing pancreaticojejunostomy without reccurence of disease within 24 months between 2004 and 2014. Pancreatic duct obstruction and long-term pancreatic complications were analysed. RESULTS: Twenty-five patients developed pancreatic duct obstruction following pancreaticojejunostomy, 13 of whom were found to have long-term pancreatic complications. The presence of pancreatic duct obstruction and early pancreatic obstruction were associated with long-term pancreatic complications, respectively (p = 0.002, p = 0.002). There are 10 patients with pancreatic duct stent more than 24 months, the postoperative median pancreatic parenchymal thickness in these 10 patients (17.1 mm, range 8.0 to 24.7 mm) was not significantly change than the median in them preoperative (16.4 mm, range 7.2 to 24.7 mm; p = 0.747). All of them have no long-term pancreatic complications, though the difference was not significantly (p = 0.068). CONCLUSIONS: Early pancreatic duct obstruction is associated with postoperative pancreatic long-term complications. Sustained internal pancreatic stent may improve pancreatic duct obstruction.


Assuntos
Pancreatopatias/etiologia , Pancreatopatias/prevenção & controle , Ductos Pancreáticos , Pancreaticojejunostomia/efeitos adversos , Complicações Pós-Operatórias/prevenção & controle , Adolescente , Adulto , Idoso , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Dor/etiologia , Pancreatopatias/patologia , Pancreatopatias/cirurgia , Ductos Pancreáticos/patologia , Complicações Pós-Operatórias/patologia , Complicações Pós-Operatórias/cirurgia , Estudos Retrospectivos , Stents , Adulto Jovem
10.
J Fish Dis ; 41(10): 1601-1607, 2018 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-30039862

RESUMO

Infectious pancreatic necrosis (IPN) is an important restraint to production of salmonids in aquaculture globally. In order to implement efficacious mitigation strategies for control of this disease, it is important to understand infection routes under current production systems. IPN virus has been shown to be transmitted vertically in Rainbow trout, from broodstock to fingerlings in hatcheries, and there is circumstantial evidence suggesting that vertical transmission can also occur in Atlantic salmon, in addition to horizontal transmission between grow-out fish in farms. In this study, we show that the smolt carries infection with IPN from hatchery to the marine farm. We do this by comparing sequences from fish groups taken both in hatcheries and on corresponding marine grow-out farms. We use statistical analysis to prove that sequences obtained from the same fish group in both hatchery and marine farm are more similar than sequences obtained from random fish groups on hatcheries and marine farms.


Assuntos
Infecções por Birnaviridae/veterinária , Busca de Comunicante/métodos , Doenças dos Peixes/transmissão , Vírus da Necrose Pancreática Infecciosa/genética , Oncorhynchus mykiss/virologia , Pancreatopatias/veterinária , Fatores Etários , Animais , Aquicultura , Infecções por Birnaviridae/epidemiologia , Infecções por Birnaviridae/prevenção & controle , Infecções por Birnaviridae/transmissão , Doenças dos Peixes/epidemiologia , Doenças dos Peixes/virologia , Pesqueiros , Vírus da Necrose Pancreática Infecciosa/isolamento & purificação , Oncorhynchus mykiss/crescimento & desenvolvimento , Oncorhynchus mykiss/fisiologia , Pancreatopatias/epidemiologia , Pancreatopatias/prevenção & controle , Pancreatopatias/virologia , Salmo salar/virologia , Análise de Sequência de DNA
11.
Phytother Res ; 32(12): 2541-2550, 2018 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-30280446

RESUMO

This study investigated the effects of oligonol, a low-molecular-polyphenol derived from lychee peel, against diabetes-induced pancreatic damage via oxidative stress-induced inflammation. Oligonol was orally administered at 10 or 20 mg/kg body weight/day for 10 days to streptozotocin-induced diabetic rats, and the rats were compared with nondiabetic and diabetic control rats. The diabetic rats showed loss of body weight and increased pancreatic weight, and the oral administration of oligonol attenuated these parameters. Moreover, the administration of oligonol caused a significant decrease in the serum glucose level and a significant increase in the serum and pancreatic insulin and C-peptide levels in the diabetic rats. Oligonol also significantly reduced the enhanced levels of reactive oxygen species and 2-thiobarbituric acid reactive substance, which are oxidative stress biomarkers, in the serum and pancreas. Oligonol treatment reduced the overexpression of phospho-p38, phospho-ERK1/2, phospho-inhibitor of nuclear factor-kappa B (NF-κB), NF-κBp65, and NF-κBp65-induced inflammatory protein such as cyclooxygenase-2, inducible nitric oxide synthase, tumor necrosis factor-α, and interleukin-6. Furthermore, oligonol treatment led to significantly attenuated histological damage in the pancreas. On the basis of these results, we conclude that a plausible mechanism of oligonol's antidiabetic action may be its antioxidative stress-related anti-inflammatory action.


Assuntos
Catequina/análogos & derivados , Diabetes Mellitus Experimental/complicações , Litchi/química , Pâncreas/efeitos dos fármacos , Pancreatopatias/prevenção & controle , Fenóis/farmacologia , Animais , Antioxidantes/farmacologia , Catequina/isolamento & purificação , Catequina/farmacologia , Diabetes Mellitus Experimental/metabolismo , Diabetes Mellitus Experimental/patologia , Frutas/química , Hipoglicemiantes/farmacologia , Sistema de Sinalização das MAP Quinases/efeitos dos fármacos , Masculino , Proteínas Quinases Ativadas por Mitógeno/metabolismo , NF-kappa B/metabolismo , Estresse Oxidativo/efeitos dos fármacos , Estresse Oxidativo/fisiologia , Pâncreas/patologia , Pancreatopatias/complicações , Pancreatopatias/patologia , Fenóis/isolamento & purificação , Extratos Vegetais/farmacologia , Polifenóis/farmacologia , Ratos , Ratos Sprague-Dawley , Espécies Reativas de Oxigênio/metabolismo , Transdução de Sinais/efeitos dos fármacos
12.
Pancreatology ; 17(6): 867-874, 2017.
Artigo em Inglês | MEDLINE | ID: mdl-28935288

RESUMO

BACKGROUND: Several studies have suggested a link between microbiota imbalance and some gastrointestinal, inflammatory and neoplastic diseases. However, the role in pancreatic diseases remain unclear. To evaluate the available evidence for pancreatic diseases, we undertook a systematic review. METHODS: OVID Medline (1946-2017), EMBASE (1980-2017) and the Cochrane Central Register of Controlled Trials (CENTRAL Issue 3, 2017) were searched for studies on microbiota in pancreatic disease. We also searched the reference lists of retrieved papers, and conference proceedings. We excluded animal studies, reviews, and case reports. RESULTS: A total of 2833 articles were retrieved. After screening and applying the exclusion criteria, 10 studies were included. Three studies showed lower levels of Bifidobacterium or Lactobacillus and higher levels of Enterobacteriaceae in chronic pancreatitis. Two of these studies were uncontrolled, and the third (controlled) study which compared patients with endocrine and exocrine insufficiency, reported that Bacteroidetes levels were lower in those patients without diabetes, while Bifidobacteria levels were higher in those without exocrine insufficiency. Only one study investigated acute pancreatitis, showing higher levels of Enterococcus and lower levels of Bifidobacterium versus healthy participants. There was an overall association between pancreatic cancer and lower levels of Neisseria elongate, Streptococcus mitis and higher levels of Porphyromonas gingivalis and Granulicatella adiacens. CONCLUSIONS: Current evidence suggests a possible link between microbiota imbalance and pancreatic cancer. Regarding acute and chronic pancreatitis, data are scarce, dysbiosis appears to be present in both conditions. However, further investigation is required to confirm these findings and to explore therapeutic possibilities.


Assuntos
Microbioma Gastrointestinal/fisiologia , Pancreatopatias/prevenção & controle , Humanos , Pancreatopatias/microbiologia
13.
Clin Anat ; 30(3): 336-341, 2017 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-27935173

RESUMO

During laparoscopic sleeve gastrectomy (LSG), adhesions between the stomach and the pancreas are sometimes found, forming a "gastropancreatic ligament" (GPL). However, the GPL has only been described once in the literature, in 1985. The objective of this study was to determine the incidence of the GPL during LSG, describe this structure and assess its effect on the surgical technique. All patients undergoing primary LSG in our institution (n = 240) and patients referred for gastric fistula (GF) after primary LSG (n = 18) between January 2015 and December 2015 were included. The primary endpoint was the incidence of a GPL during primary LSG. The secondary endpoints were the postoperative complication rate, the postoperative GF rate, and the presence of this ligament during reoperation for GF. Among the 240 patients, a GPL was visible in 49 cases (20.4%) and was described as thin in 34 of these (69.4%). Twelve postoperative complications (5%) were observed, including seven major (2.9%). The GF rate was 2% (n = 5), not requiring reoperation. The gastric stenosis rate was 0.4% (n = 1). The GPL had been previously sectioned in one of the five patients (20%) with postoperative GF. During the study period, 18 patients were referred for GF and 14 were reoperated. A non-sectioned GPL, not described in the operating report, was observed in four patients (28.5%). A GPL was identified in 20.4% of cases. Identification of a GPL could be important in the context of LSG, as section of the ligament allows tension-free stapling to be performed and can therefore possibly reduce the risk of postoperative complications, particularly GF. Clin. Anat. 30:336-341, 2017. © 2017 Wiley Periodicals, Inc.


Assuntos
Cirurgia Bariátrica/métodos , Gastrectomia/métodos , Ligamentos/anatomia & histologia , Pâncreas/anatomia & histologia , Estômago/anatomia & histologia , Adolescente , Adulto , Idoso , Constrição Patológica/etiologia , Feminino , Gastrectomia/efeitos adversos , Fístula Gástrica/etiologia , Fístula Gástrica/prevenção & controle , Humanos , Incidência , Laparoscopia , Masculino , Pessoa de Meia-Idade , Pancreatopatias/etiologia , Pancreatopatias/prevenção & controle , Complicações Pós-Operatórias/etiologia , Estudos Retrospectivos , Gastropatias/diagnóstico , Gastropatias/prevenção & controle , Aderências Teciduais/diagnóstico , Aderências Teciduais/prevenção & controle , Adulto Jovem
14.
J Surg Res ; 206(1): 32-40, 2016 11.
Artigo em Inglês | MEDLINE | ID: mdl-27916372

RESUMO

BACKGROUND: Pancreatic leak is common after distal pancreatectomy. This trial sought to compare TissueLink closure of the pancreatic stump to that of SEAMGUARD. METHODS: A multicenter, prospective, trial of patients undergoing distal pancreatectomy randomized to either TissueLink or SEAMGUARD. RESULTS: Enrollment was closed early due to poor accrual. Overall, 67 patients were enrolled, 35 TissueLink and 32 SEAMGUARD. The two groups differed in American Society of Anesthesiologist class and diagnosis at baseline and were relatively balanced otherwise. Overall, 37 of 67 patients (55%) experienced a leak of any grade, 15 (46.9%) in the SEAMGUARD arm and 22 (62.9%) in the TissueLink arm (P = 0.19). The clinically significant leak rate was 17.9%; 22.9% for TissueLink and 12.5% for SEAMGUARD (P = 0.35). There were no statistically significant differences in major or any pancreatic fistula-related morbidity between the two groups. CONCLUSIONS: This is the first multicentered randomized trial evaluating leak rate after distal pancreatectomy between two common transection methods. Although a difference in leak rates was observed, it was not statistically significant and therefore does not provide evidence of the superiority of one technique over the other. Choice should remain based on surgeon comfort, experience, and pancreas characteristics.


Assuntos
Pancreatectomia/métodos , Pancreatopatias/prevenção & controle , Complicações Pós-Operatórias/prevenção & controle , Técnicas de Fechamento de Ferimentos , Adolescente , Adulto , Idoso , Idoso de 80 Anos ou mais , Ablação por Cateter , Término Precoce de Ensaios Clínicos , Feminino , Seguimentos , Humanos , Masculino , Pessoa de Meia-Idade , Pancreatectomia/instrumentação , Pancreatopatias/epidemiologia , Pancreatopatias/etiologia , Complicações Pós-Operatórias/epidemiologia , Estudos Prospectivos , Telas Cirúrgicas , Grampeamento Cirúrgico , Resultado do Tratamento , Técnicas de Fechamento de Ferimentos/instrumentação , Adulto Jovem
15.
Clin Transplant ; 30(4): 344-56, 2016 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-26782650

RESUMO

OBJECTIVES: Autologous islet transplantation (IAT) following pancreatectomy is now a recognized, albeit highly specialized procedure carried out in a small number of centers worldwide. Current clinical principles and best practice with emphasis on examining the technical aspects of surgery in centers with significant IAT experience are reviewed. METHODS: Literature search for studies discussing any technical aspect of pancreatectomy with intraportal IAT was included. RESULTS: Thirty-five papers were included; all were single-center case series. The indications, surgical approach to pancreatectomy with IAT, islet yield, static pancreas preservation prior to islet digestion, portal vein access, absolute islet infusion volumes, and portal venous pressure changes during transfusion evaluated. CONCLUSIONS: IAT is considered a "last resort" when alternative approaches have been exhausted. Pre-morbid histology and prior surgical drainage adversely influence islet yields and may influence the clinical decision to perform pancreatectomy and IAT. Following pancreas digestion, absolute numbers of islets recovered and smaller islet size predict rates of insulin independence following IAT. Islet volumes and portal venous pressure changes are important factors for the development of complications. Surgical access for IAT includes intra-operative, immediate or delayed infusion via an "exteriorized" vein, and radiological percutaneous approaches. Delayed infusion can be combined with pancreas preservation techniques prior to islet isolation.


Assuntos
Transplante das Ilhotas Pancreáticas , Pancreatopatias/prevenção & controle , Humanos , Prognóstico , Transplante Autólogo
16.
Vet Res ; 47(1): 78, 2016 08 05.
Artigo em Inglês | MEDLINE | ID: mdl-27496170

RESUMO

Salmon pancreas disease virus, often referred to as salmonid alphavirus (SAV), causes pancreas disease (PD) in European salmonids. SAV transmits horizontally from fish shedding virus into the water and ocean currents are believed to be a main contributor of viral spread between marine farms. Vaccination against PD is previously shown to reduce mortality and severity of clinical PD. In this study, we demonstrate that vaccination against PD significantly reduces viral shedding from infected individuals. The results suggest that PD vaccination can be an important tool to reduce the infection pressure, a known key risk for PD outbreaks at neighbouring farms.


Assuntos
Infecções por Alphavirus/veterinária , Alphavirus/imunologia , Doenças dos Peixes/prevenção & controle , Pancreatopatias/veterinária , Salmo salar/virologia , Vacinas Virais/uso terapêutico , Infecções por Alphavirus/imunologia , Infecções por Alphavirus/prevenção & controle , Animais , Doenças dos Peixes/imunologia , Doenças dos Peixes/virologia , Pancreatopatias/imunologia , Pancreatopatias/prevenção & controle , Pancreatopatias/virologia , Salmo salar/imunologia , Eliminação de Partículas Virais/imunologia
17.
Biochem Genet ; 54(6): 803-815, 2016 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-27365043

RESUMO

The present study was aimed to the investigate the protective effects of caffeic acid phenethyl ester (CAPE) and intralipid (IL) on hepatotoxicity and pancreatic injury caused by acute dichlorvos (D) intoxication in rats. Forty-eight Wistar rats were randomly divided into seven groups each containing seven rats except control groups. The groups included control, D, CAPE, IL, D + CAPE, D + IL, and D + CAPE + IL. Total antioxidant status and total oxidative stress levels were measured by automated colorimetric assay. Tissues were evaluated using hematoxylin and eosin (H&E) staining. Tissues were analyzed with hematoxylin and eosin by using standard protocols. Also, Bcl-2, Bax and caspase-3 were evaluated by immunohistochemical method in liver tissue. Total oxidant status in control, CAPE, and IL groups were significantly lower, and total antioxidant status in the D + CAPE, D + IL, and D + IL + CAPE groups were significantly higher compared to the D group. CAPE and IL treatment decreased the apoptotic and mitotic cell count in liver tissue. Parenchymal necrosis caused by dichlorvos is observed in pancreas tissues of rats. Mild congestion and edema formation occurred in pancreas tissues following D + CAPE and D + IL therapies. These results indicate that CAPE and IL have the potential to decrease oxidative stress and hepatic and pancreatic injuries caused by acute dichlorvos intoxication. These drugs can be considered as a new method for supportive and protective therapy against pesticide intoxication.


Assuntos
Ácidos Cafeicos/administração & dosagem , Doença Hepática Induzida por Substâncias e Drogas/prevenção & controle , Diclorvós/toxicidade , Pancreatopatias/prevenção & controle , Álcool Feniletílico/análogos & derivados , Fosfolipídeos/administração & dosagem , Óleo de Soja/administração & dosagem , Animais , Ácidos Cafeicos/farmacologia , Doença Hepática Induzida por Substâncias e Drogas/metabolismo , Emulsões/administração & dosagem , Emulsões/farmacologia , Regulação da Expressão Gênica/efeitos dos fármacos , Masculino , Estresse Oxidativo/efeitos dos fármacos , Pancreatopatias/induzido quimicamente , Pancreatopatias/metabolismo , Álcool Feniletílico/administração & dosagem , Álcool Feniletílico/farmacologia , Fosfolipídeos/farmacologia , Ratos , Ratos Wistar , Óleo de Soja/farmacologia , Resultado do Tratamento
18.
Dig Dis Sci ; 60(5): 1290-6, 2015 May.
Artigo em Inglês | MEDLINE | ID: mdl-25502333

RESUMO

INTRODUCTION: The present analysis deals with the biochemical and histopathological effects of L-carnitine in mice with L-asparaginase (ASNase)-induced experimental acute pancreatic injury (API). METHODS: A total of 32 male Balb/c mice were divided into four groups as follows. Group I (control) was injected with single saline via the intraperitoneal route. Group II received 500 mg/kg of L-carnitine daily with the injected volume of 62.5-75 µl for 25-30 g mice using a Hamilton microinjector applied for 5 days. Group III received a single 10,000 IU Escherichia coli ASNase/kg body weight dose of ASNase at a dose of 500 mg/kg. Group IV received 500 mg/kg of L-carnitine daily and a single dose of 500 mg/kg of ASNase and were decapitated on the fifth day following the injection. Blood and pancreatic tissue samples were obtained for evaluation of histopathological structure and levels of malondialdehyde (MDA), reduced glutathione (GSH), total sialic acid (TSA), glucose, amylase and triglyceride. RESULTS: In group III, compared to group IV and group I it was determined that levels of GSH and amylase were significantly lower while levels of MDA, TSA, glucose and triglyceride were higher. Levels of GSH, MDA, TSA, glucose, triglyceride and amylase, especially in group IV, approached that of group I. As a result, L-carnitine for ASNase-induced API mice may be protective against pancreatic tissue degeneration and oxidative stress or lipid peroxidation.


Assuntos
Antioxidantes/farmacologia , Asparaginase , Carnitina/farmacologia , Pâncreas/efeitos dos fármacos , Pancreatopatias/prevenção & controle , Doença Aguda , Amilases/sangue , Animais , Biomarcadores/sangue , Glicemia/efeitos dos fármacos , Glicemia/metabolismo , Citoproteção , Modelos Animais de Doenças , Glutationa/sangue , Peroxidação de Lipídeos/efeitos dos fármacos , Masculino , Malondialdeído/sangue , Camundongos Endogâmicos BALB C , Ácido N-Acetilneuramínico/sangue , Estresse Oxidativo/efeitos dos fármacos , Pâncreas/metabolismo , Pâncreas/patologia , Pancreatopatias/sangue , Pancreatopatias/induzido quimicamente , Pancreatopatias/patologia , Triglicerídeos/sangue
19.
J Fish Dis ; 38(4): 343-53, 2015 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-24661057

RESUMO

Pancreas disease (PD) in Norwegian salmonid aquaculture has traditionally been caused by salmonid alphavirus (SAV) subtype 3. Following the isolation of a novel SAV subtype in 2010, marine SAV2, two separate endemic areas have developed. It has been debated whether disease outbreaks due to marine SAV2 result in milder clinical manifestations compared to outbreaks caused by SAV3. The aim of this study was to descriptively investigate site-level differences in the clinical manifestations of marine SAV2 and SAV3 at Norwegian seawater sites diagnosed with PD in 2012. The findings suggest that Norwegian PD outbreaks caused by marine SAV2 result in lower mortality and milder clinical signs compared to outbreaks caused by SAV3. For sites without reported PD-related mortality, there was no difference in the mortality levels between sites infected by marine SAV2 and SAV3. The results also indicate that there are no differences in grading quality at slaughter between the SAV subtypes.


Assuntos
Infecções por Alphavirus/veterinária , Alphavirus/classificação , Alphavirus/fisiologia , Surtos de Doenças/veterinária , Doenças dos Peixes/patologia , Doenças dos Peixes/virologia , Pancreatopatias/veterinária , Alphavirus/isolamento & purificação , Infecções por Alphavirus/mortalidade , Infecções por Alphavirus/patologia , Infecções por Alphavirus/prevenção & controle , Infecções por Alphavirus/virologia , Animais , Aquicultura , Surtos de Doenças/prevenção & controle , Doenças dos Peixes/mortalidade , Doenças dos Peixes/prevenção & controle , Noruega , Pancreatopatias/mortalidade , Pancreatopatias/patologia , Pancreatopatias/prevenção & controle , Pancreatopatias/virologia
20.
Toxicol Ind Health ; 31(6): 546-53, 2015 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-23416881

RESUMO

Launaea procumbens methanol extract (LPME) was evaluated against carbon tetrachloride (CCl4)-induced pancreatic oxidative damage and hyperglycemia in rats. Various doses of the extract were administered to rats after 48 h of CCl4 treatment (3 ml/kg bodyweight (bw); intraperitoneally, 20% CCl4/olive oil) twice a week for 4 weeks. Coadministration of various concentrations of LPME (100, 150 and 200 mg/kg) ameliorated the toxicity of CCl4 and reversed the serum level of enzymes (amylase and lipase), glucose and hormone (insulin). The extract was able to reduce thiobarbituric acid reactive substance but increased the glutathione contents in pancreatic tissue. Depletion of antioxidant enzyme activities (catalase, peroxidase, superoxide dismutase, glutathione peroxidase, glutathione-S-transferase and glutathione-S-reductase) and DNA damages induced with CCl4 were restored by LPME supplement. It is suggested that LPME effectively protects the liver against the CCl4-induced oxidative damage in rats, possibly through antioxidant and/or free radical scavenging effects of flavonoids and phenolic compounds in the extract.


Assuntos
Doença Hepática Induzida por Substâncias e Drogas/prevenção & controle , Hiperglicemia/prevenção & controle , Peroxidação de Lipídeos/efeitos dos fármacos , Pancreatopatias/prevenção & controle , Extratos Vegetais/farmacologia , Substâncias Protetoras/farmacologia , Amilases/metabolismo , Animais , Antioxidantes/metabolismo , Asteraceae , Glicemia , Tetracloreto de Carbono/farmacologia , Dano ao DNA/efeitos dos fármacos , Modelos Animais de Doenças , Relação Dose-Resposta a Droga , Hiperglicemia/induzido quimicamente , Insulina/sangue , Lipase/metabolismo , Masculino , Estresse Oxidativo/efeitos dos fármacos , Pancreatopatias/induzido quimicamente , Ratos , Ratos Sprague-Dawley
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