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1.
Mol Ecol ; 33(1): e17187, 2024 Jan.
Article in English | MEDLINE | ID: mdl-37909655

ABSTRACT

Understanding the molecular mechanisms underlying individual responses to environmental changes is crucial for species conservation and management. Pelagic fishes including Atlantic herring (Clupea harengus) are of particular interest because of their key ecological and economic roles and their susceptibility to a changing ocean from global warming. Temperature and photoperiod have been linked with spawning time and location in adult herring, but no study has thus far investigated the role of environmental factors on gene regulation during the vulnerable early developmental stages. Here, we examine DNA methylation patterns of larval herring bred under two temperatures (11°C and 13°C) and photoperiod (6 and 12 h) regimes in a 2 × 2 factorial design. We found consistently high levels of global methylation across all individuals and a decline in global methylation with increased developmental stage that was more pronounced at 13°C (p ≤ 0.007) than at 11°C (p ≥ 0.21). Most of the differentially methylated sites were in exon and promoter regions for genes linked to metabolism and development, some of which were hypermethylated at higher temperature. These results demonstrate the important role of DNA methylation during larval development and suggest that this molecular mechanism might be key in regulating early-stage responses to environmental stressors in Atlantic herring.


Subject(s)
Fishes , Photoperiod , Humans , Animals , Temperature , Fishes/physiology , Larva/physiology , Epigenesis, Genetic
2.
Med Oral Patol Oral Cir Bucal ; 24(2): e271-e280, 2019 Mar 01.
Article in English | MEDLINE | ID: mdl-30818322

ABSTRACT

BACKGROUND: We aim to evaluate the presence of histological artefacts in the surgical margins of human oral fibro-epithelial hyperplasias excised with lasers of different wavelengths, and also electrosurgical scalpel and cold scalpel. Moreover, we aim to determine if some of these instruments could impair the normal histological diagnosis of these lesions. MATERIAL AND METHODS: We included 130 consecutive surgical samples of 80 females and 50 males (mean age of 53.82±16.55) with a histological diagnosis of an oral benign fibrous-epithelial hyperplasias. The samples were categorized into 6 groups according to the type of instrument used: CO2 laser group, diode laser group, Er:YAG laser group, Nd:YAG laser group, electrosurgical scalpel group and cold scalpel group. Histological instrument-induced changes were microscopic evaluated and related with clinical and pathological variables. RESULTS: The instrument with highest tissue damage extension (TDE) was the electrosurgical scalpel (1002.2µm±434.92), followed by diode laser (913.73 µm±322.45), Nd:YAG (899.83µm±327.75), CO2 laser (538.37µm±170.50), Er:YAG laser (166.47µm±123.85), and at last with fewer alterations the cold scalpel group (2.36µm±7.27) (P < 0.001). The most regular incision was observed in CO2 laser group, followed by Er:YAG laser, Nd:YAG laser, electrosurgical scalpel and diode laser group with the less regular incision using cold scalpel as comparison (P < 0.001). A correlation was found between the incision score and TDE (P < 0.001). Regarding histological diagnosis, no case showed any limitation of diagnosis related with the use of any instrument evaluated. CONCLUSIONS: Our results suggest that lasers can be used for the excision of oral benign fibrous-epithelial hyperplasias, without hispathological diagnosis limitations, as long as the physical properties of each laser are known and respected. Er:YAG laser have shown to be a laser with few tissue damage extension and with good incision regularity, been a possible instrument of choice for the surgical removal of these lesions.


Subject(s)
Electrosurgery/methods , Hyperplasia/pathology , Lasers, Gas/therapeutic use , Lasers, Semiconductor/therapeutic use , Lasers, Solid-State/therapeutic use , Margins of Excision , Mouth Diseases/pathology , Oral Surgical Procedures/methods , Adult , Aged , Female , Humans , Hyperplasia/surgery , Laser Therapy/instrumentation , Laser Therapy/methods , Male , Middle Aged , Mouth/pathology , Mouth/surgery , Mouth Diseases/surgery , Mouth Mucosa/pathology , Mouth Mucosa/surgery , Oral Surgical Procedures/instrumentation , Palate, Hard/pathology , Palate, Hard/surgery , Retrospective Studies , Surgical Instruments , Tongue/pathology , Tongue/surgery
3.
Oral Dis ; 22(4): 303-12, 2016 May.
Article in English | MEDLINE | ID: mdl-26788715

ABSTRACT

OBJECTIVES: To analyse the expression of the CD44v6, p63, podoplanin and MMP-9, and their prognostic significance in patients with oral squamous cell carcinomas (OSCC). MATERIAL AND METHODS: Immunohistochemistry technique was performed on 60 OSCC for detection of CD44v6, p63, podoplanin and MMP-9 proteins. Extent and intensity of staining were evaluated in tumour cells and were compared with patients' clinical-pathological characteristics and survival. RESULTS: CD44v6 expression was detected at the membrane of tumour cells of 94% cases. Nuclear expression of p63 protein was present in 96.5%. Podoplanin was observed at the membrane of tumour cells of 94% cases. MMP-9 was found in the cytoplasm of tumour cells in 83.7% cases. A high level of expression (67%-89%) in all four proteins was noted. Podoplanin was associated with the expression of MMP-9 (P = 0.010) and both were associated with lymph node metastasis (P = 0.011 and P = 0.018, respectively). Co-expression of podoplanin/MMP-9 was an adverse independent prognostic factor for cancer-specific survival (P = 0.008) and recurrence-free survival (P = 0.042). CONCLUSION: Podoplanin and MMP-9 together could contribute to tumour progression and dissemination of OSCC. Their combined overexpression showed an adverse effect on survival, suggesting that they could be regarded as important prognostic biomarkers in OSCC.


Subject(s)
Carcinoma, Squamous Cell/chemistry , Hyaluronan Receptors/analysis , Matrix Metalloproteinase 9/analysis , Membrane Glycoproteins/analysis , Membrane Proteins/analysis , Mouth Neoplasms/chemistry , Adult , Aged , Aged, 80 and over , Female , Humans , Male , Middle Aged , Prognosis , Survival Rate
4.
Oral Dis ; 21(6): 713-20, 2015 Sep.
Article in English | MEDLINE | ID: mdl-25754611

ABSTRACT

OBJECTIVES: BubR1 and Mad2 are central components of the mitotic checkpoint complex that inhibits anaphase onset until all chromosomes are correctly aligned at the metaphase plate. We propose to analyse the combined expression of BubR1 and Mad2 and assess its significance to oral squamous cell carcinoma (OSCC) diagnosis and prognosis. MATERIALS AND METHODS: BubR1 and Mad2 expression was assessed by real-time PCR in OSCC cell lines and in normal human oral keratinocytes, and by immunohistochemistry in 65 patients with OSCC. The results were compared regarding clinicopathological parameters, proliferative activity and survival. RESULTS: BubR1 and Mad2 transcripts were overexpressed in OSCC cell lines which also exhibited attenuated spindle assembly checkpoint activity. BubR1 and Mad2 were also overexpressed in patients with OSCC. BubR1 expression was associated with advanced stages and larger tumour size in univariate analysis, and with shorter overall survival both in univariate and multivariate analysis. Mad2 overexpression was associated with that of BubR1 and, importantly, high expression of Mad2 and BubR1 was associated with increased cellular proliferation. CONCLUSION: Our data propose a role for BubR1 and Mad2 in OSCC cellular proliferation, progression and prognosis.


Subject(s)
Carcinoma, Squamous Cell/chemistry , Mad2 Proteins/analysis , Mouth Neoplasms/chemistry , Protein Serine-Threonine Kinases/analysis , RNA, Messenger/metabolism , Carcinoma, Squamous Cell/genetics , Carcinoma, Squamous Cell/pathology , Cell Line, Tumor , Cell Proliferation , Female , Gene Expression , Humans , Keratinocytes/metabolism , M Phase Cell Cycle Checkpoints/genetics , Mad2 Proteins/genetics , Male , Middle Aged , Mouth Neoplasms/genetics , Mouth Neoplasms/pathology , Protein Serine-Threonine Kinases/genetics , Survival Rate
5.
Exp Parasitol ; 122(3): 250-3, 2009 Jul.
Article in English | MEDLINE | ID: mdl-19361503

ABSTRACT

Estradiol is a steroid hormone secreted principally by the ovarian follicles in vertebrate animals. We have identified the production of an estradiol-related molecule in the trematodes Schistosoma haematobium and Schistosomiasis mansoni. We show in this work that this molecule related to estradiol is present in schistosome worm extracts. The detection method ELISA specific for estradiol, revealed the expression of this estradiol-related molecule in schistosome worm extracts, but not in Fasciola hepatica worm extracts. Our results demonstrate for the first time the production of an estradiol-related compound by a human parasite of the genus Schistosoma.


Subject(s)
Antigens, Helminth/biosynthesis , Estradiol/biosynthesis , Schistosoma haematobium/metabolism , Schistosoma mansoni/metabolism , Adolescent , Adult , Animals , Antigens, Helminth/analysis , Cattle , Child , Child, Preschool , Cricetinae , Enzyme-Linked Immunosorbent Assay , Estradiol/analysis , Estradiol/immunology , Fasciola hepatica/immunology , Fasciola hepatica/metabolism , Female , Humans , Luteinizing Hormone/blood , Male , Mesocricetus , Mice , Mice, Inbred BALB C , Schistosoma haematobium/immunology , Schistosoma mansoni/immunology , Schistosomiasis haematobia/metabolism , Schistosomiasis haematobia/parasitology , Schistosomiasis mansoni/metabolism , Schistosomiasis mansoni/parasitology , Testosterone/blood , Young Adult
6.
Acta Radiol ; 49(10): 1112-8, 2008 Dec.
Article in English | MEDLINE | ID: mdl-18932053

ABSTRACT

BACKGROUND: Carbon marking of the biopsy site and needle track following stereotactic breast biopsy in nonpalpable mammography-detected lesions provides for safe and accurate localization for subsequent surgical excision. No significant complications of carbon marking have been reported to date. PURPOSE: To report follow-up imaging findings and histological changes (foreign-body giant-cell reaction) attributable to the use of carbon marking after vacuum breast biopsies. MATERIAL AND METHODS: This was a retrospective study of 130 patients in a mammographic screening program with nonpalpable suspicious breast lesions that were referred for stereotactic directional vacuum-assisted breast biopsy with carbon marking. Histological diagnosis was benign in all cases, but 1-year follow-up mammograms demonstrated suspect findings in four of them. RESULTS: For all four patients, the results of the initial stereotactic vacuum-assisted biopsy were benign, but mammographic follow-up and ultrasound findings revealed suspicious changes that, in all cases, were histologically shown to be foreign-body giant-cell reactions attributable to the use of carbon. CONCLUSION: In four of 130 lesions (3%) that were carbon marked following stereotactic vacuum-assisted breast biopsy, and in which surgical excision was not required, the mammographic and ultrasound follow-up appearance of the breast simulated malignancy. The abnormality was attributable to the use of carbon, which represents a potential source of misdiagnosis.


Subject(s)
Breast Neoplasms/diagnosis , Charcoal/adverse effects , Foreign-Body Reaction/etiology , Giant Cells, Foreign-Body/diagnostic imaging , Mammography/methods , Stereotaxic Techniques/adverse effects , Ultrasonography, Mammary/methods , Biopsy , Biopsy, Needle , Breast/pathology , Breast Neoplasms/diagnostic imaging , Diagnosis, Differential , Female , Fibroadenoma/diagnosis , Fibrocystic Breast Disease/diagnosis , Follow-Up Studies , Foreign-Body Reaction/diagnosis , Humans , Retrospective Studies , Vacuum
7.
Sci Rep ; 6: 37685, 2016 11 24.
Article in English | MEDLINE | ID: mdl-27883082

ABSTRACT

The consideration of Subjective Cognitive Decline (SCD) as a preclinical stage of AD remains still a matter of debate. Alpha band alterations represent one of the most significant changes in the electrophysiological profile of AD. In particular, AD patients exhibit reduced alpha relative power and frequency. We used alpha band activity measured with MEG to study whether SCD and MCI elders present these electrophysiological changes characteristic of AD, and to determine the evolution of the observed alterations across AD spectrum. The total sample consisted of 131 participants: 39 elders without SCD, 41 elders with SCD and 51 MCI patients. All of them underwent MEG and MRI scans and neuropsychological assessment. SCD and MCI patients exhibited a similar reduction in alpha band activity compared with the no SCD group. However, only MCI patients showed a slowing in their alpha peak frequency compared with both SCD and no SCD. These changes in alpha band were related to worse cognition. Our results suggest that AD-related alterations may start in the SCD stage, with a reduction in alpha relative power. It is later, in the MCI stage, where the slowing of the spectral profile takes place, giving rise to objective deficits in cognitive functioning.


Subject(s)
Alpha Rhythm/physiology , Alzheimer Disease/physiopathology , Cognitive Dysfunction/physiopathology , Magnetoencephalography , Aged , Demography , Female , Hippocampus/pathology , Hippocampus/physiopathology , Humans , Linear Models , Male , Neuropsychological Tests , Organ Size
8.
Schizophr Res ; 47(2-3): 265-73, 2001 Mar 01.
Article in English | MEDLINE | ID: mdl-11278144

ABSTRACT

The psychiatric literature contains anecdotal reports of diminished pain sensitivity in schizophrenia that date back to Kraepelin. Yet, the phenomenon of pain insensitivity in schizophrenia remains largely unstudied. For example, it is not clear if pain insensitivity is a consequence of the illness or if it is also present in the well relatives of schizophrenia patients. To explore this issue, we examined pain thresholds and pain tolerances in healthy young adults. Compared with controls with no family history of psychopathology (n=21), participants with a family history of schizophrenia (n=32) showed elevated pain thresholds and pain tolerances to finger pressure. Pain insensitivity was also significantly correlated with elevated scores on measures of self-referential thinking, magical ideation, and perceptual disturbances. Finally, a sizeable minority (19%) of well relatives of schizophrenia patients showed extreme pain insensitivity compared to other participants. The pattern of findings suggests that pain insensitivity may warrant further exploration as a potential marker of underlying liability to psychosis.


Subject(s)
Pain Insensitivity, Congenital/complications , Pain Insensitivity, Congenital/genetics , Schizophrenia/complications , Schizotypal Personality Disorder/complications , Adolescent , Adult , Female , Humans , Male , Pain Insensitivity, Congenital/diagnosis , Pain Measurement , Reproducibility of Results
9.
Parasite ; 7(3): 227-31, 2000 Sep.
Article in English | MEDLINE | ID: mdl-11031760

ABSTRACT

The rearing of snails, intermediate hosts of Schistosoma haematobium, S. intercalatum, S. bovis and Fasciola hepatica is the first step to maintain the life cycle of these parasites in laboratory in order to have biological material for the different studies, namely on the systematic biology and immunodiagnostic of schistosomosis and fasciolosis. According to the traditional method, the alga Oscillatoria formosa Bory (Cyanobacteria), principal food source for the snails, was cultivated in soil extract (Sampaio Xavier et al., 1968). However, it was sometimes very difficult to find the proper soil extract and the material was also contaminated by protozoa and fungi. In our work, using a new medium having as a base the Mineral Medium II (modified from Hughes et al., 1958) we found that O. formosa had a better growth response than in the soil extract medium. Snails fed on O. formosa reached three times the size of others at the same age, and they also reached sex maturity earlier, having more egg-masses per snail and, in addition, the rate of survival as well as the number of generations per year under laboratory conditions significantly increased. This culture was also easier to perform, and the axenic conditions easier to maintain.


Subject(s)
Cyanobacteria/growth & development , Fasciola , Parasitology/methods , Schistosoma , Snails/parasitology , Animals , Female , Male , Schistosoma haematobium , Sexual Maturation , Snails/growth & development , Weight Gain
10.
Arch Latinoam Nutr ; 41(4): 620-30, 1991 Dec.
Article in Spanish | MEDLINE | ID: mdl-1841542

ABSTRACT

In order to utilize hardened beans, we proposed to find the method most indicated for the preparation of bean flour to determine their nutritional value, and to make bread of high industrial, nutritional quality, and good sensory characteristics, using blends of bean and wheat flours. Two types of flour were prepared, testing four soaking temperatures (22, 30, 40 and 50 degrees C) and two methods to remove the testa (under moist and dry conditions). At laboratory level, the dry testa removal method gave the best flour yields (mean = 85.8%) and the highest protein content (mean = 23.7%). Comparison between soaking temperature at 30 and 50 degrees C was not significant (alpha = 0.05). At pilot plant level, with soaking at 50 degrees C the flour yields were 58.0% for moist testa removal (H1) and 74.0% for dry removal (H2), with a protein content of 22.6% for H1 and 23.0% for H2. The H1 and H2 flours were added to wheat flour at 5, 10 and 15% for bread making. The addition of 5.0% gave breads with similar protein content and sensory characteristics to those of the control, wheat. A diet based on bean-flour bread resulted in greater weight gains than that with casein for gold hamsters. The study also demonstrated the importance of heat-treating of the bean flours, because when flour without previous heat treatment was administered, the animals lost weight and died. This effect was overcome by the process of baking the flours at 140 degrees C for four hours.


Subject(s)
Bread , Fabaceae , Flour , Food Handling , Plants, Medicinal , Animals , Cricetinae , Dietary Proteins/analysis , Fabaceae/chemistry , Factor Analysis, Statistical , Flour/analysis , Food Preservation , Hot Temperature , Humidity , Lysine/analysis , Male , Mesocricetus , Nutritive Value , Time Factors , Triticum/chemistry , Tryptophan/analysis , Weight Gain
11.
Med Cutan Ibero Lat Am ; 13(2): 157-66, 1985.
Article in Spanish | MEDLINE | ID: mdl-2995737

ABSTRACT

Approximately 30% of patients affected of PCT present scleroderma-like lesion of the skin. Two cases of PCT, presenting scleroderma-like lesions are reported. The patients were diabetic but not alcoholic and tolerate relatively well sunshine. Porphyrin elimination diminished with urine alkalinization and phlebotomies, and the scleroderma-like lesions improved with N-acetyl-hydroxy-proline administration.


Subject(s)
Porphyrias/pathology , Scleroderma, Systemic/diagnosis , Skin Diseases/pathology , Aged , Animals , Bicarbonates/therapeutic use , Cricetinae , Diabetes Complications , Diagnosis, Differential , Hemorrhage , Humans , Hydroxyproline/analogs & derivatives , Hydroxyproline/therapeutic use , Inflammation , Male , Middle Aged , Porphyrias/diagnosis , Porphyrias/therapy , Skin/pathology , Skin Diseases/diagnosis , Skin Diseases/therapy , Sodium/therapeutic use , Sodium Bicarbonate
12.
Age (Dordr) ; 36(3): 9624, 2014 Jun.
Article in English | MEDLINE | ID: mdl-24532390

ABSTRACT

Mild cognitive impairment (MCI) has been described as an intermediate stage between normal aging and dementia. Previous studies characterized the alterations of brain oscillatory activity at this stage, but little is known about the differences between single and multidomain amnestic MCI patients. In order to study the patterns of oscillatory magnetic activity in amnestic MCI subtypes, a total of 105 subjects underwent an eyes-closed resting-state magnetoencephalographic recording: 36 healthy controls, 33 amnestic single domain MCIs (a-sd-MCI), and 36 amnestic multidomain MCIs (a-md-MCI). Relative power values were calculated and compared among groups. Subsequently, relative power values were correlated with neuropsychological tests scores and hippocampal volumes. Both MCI groups showed an increase in relative power in lower frequency bands (delta and theta frequency ranges) and a decrease in power values in higher frequency bands (alpha and beta frequency ranges), as compared with the control group. More importantly, clear differences emerged from the comparison between the two amnestic MCI subtypes. The a-md-MCI group showed a significant power increase within delta and theta ranges and reduced relative power within alpha and beta ranges. Such pattern correlated with the neuropsychological performance, indicating that the a-md-MCI subtype is associated not only with a "slowing" of the spectrum but also with a poorer cognitive status. These results suggest that a-md-MCI patients are characterized by a brain activity profile that is closer to that observed in Alzheimer disease. Therefore, it might be hypothesized that the likelihood of conversion to dementia would be higher within this subtype.


Subject(s)
Aging , Cognition/physiology , Cognitive Dysfunction/diagnosis , Magnetoencephalography/methods , Aged , Cognitive Dysfunction/physiopathology , Female , Follow-Up Studies , Hippocampus/pathology , Hippocampus/physiopathology , Humans , Magnetic Resonance Imaging/methods , Male , Neuropsychological Tests , Reproducibility of Results , Severity of Illness Index
14.
Acta Radiol ; 48(1): 27-9, 2007 Feb.
Article in English | MEDLINE | ID: mdl-17325921

ABSTRACT

Adenomyoepithelioma of the breast is a rare neoplasm. We present a case of a benign adenomyoepithelioma of the breast in an asymptomatic 60-year-old woman. This report illustrates the mammogram, ultrasound, and magnetic resonance appearances of this unusual lesion, with histopathological correlation.


Subject(s)
Adenomyoma/diagnosis , Breast Neoplasms/diagnosis , Magnetic Resonance Imaging/methods , Mammography/methods , Myoepithelioma/diagnosis , Ultrasonography, Mammary/methods , Biopsy/methods , Breast/pathology , Contrast Media/administration & dosage , Diagnosis, Differential , Female , Humans , Image Enhancement/methods , Middle Aged , Rare Diseases
15.
Med Mycol ; 39(5): 387-94, 2001 Oct.
Article in English | MEDLINE | ID: mdl-12054048

ABSTRACT

We have determined the effect of environmental factors (mild thermal upshift and starvation) on the Candida albicans cell wall-associated glyceraldehyde-3-phosphate dehydrogenase (cwGAPDH) activity. Temperature upshift (from 28 to 37 degrees C) and/ or starvation (at 28 or 37 degrees C in water) of exponentially growing yeast cells caused an increase in cwGAPDH activity (3 to 5-, and 7 to 8-fold, respectively). This increase in activity did not correlate with an increase in the amount of cwGAPDH protein present, as determined by flow cytometry, immunoelectron microscopy and Western-blotting. These results indicate that thermal upshift and starvation cause an activation of the cwGAPDH in C. albicans cells.


Subject(s)
Candida albicans/enzymology , Glyceraldehyde-3-Phosphate Dehydrogenases/metabolism , Cell Wall/enzymology , Fungal Proteins/analysis , Temperature
16.
Plant Foods Hum Nutr ; 38(3): 211-23, 1988.
Article in English | MEDLINE | ID: mdl-3237625

ABSTRACT

The electrophoretic pattern of the untreated common bean globulin cv. Flor de Mayo had 7 protein fractions ranging from 620 to 120 kilodaltons (kd). The last molecular weight corresponds to the monomeric form. One of the objectives of the present work was to establish a comparison among denaturation by heat, sodium dodecyl sulphate (SDS) and dithiothreitol (DTT). At pH 6.0, two bands were resistant to heat treatment, after SDS treatment of the untreated globulin several bands disappeared and two new bands with 26 and 15 kd appeared. DTT did not change the electrophoretic pattern, due to the small quantity of free SH groups in the globulin. At pH 6.0, phaseolin is partly resistant to heat denaturation due to aggregation in an acidic environment. Isoelectrofocusing (IEF) and SDS polyacrylamide gel electrophoresis (SDS-PAGE) separated phaseolin into 10 protein fractions. The hypothesis is that phaseolin or globulin aggregation is due to the charge difference of fractions.


Subject(s)
Dithiothreitol/pharmacology , Fabaceae , Globulins , Plant Proteins , Plants, Medicinal , Sodium Dodecyl Sulfate/pharmacology , Electrophoresis, Gel, Two-Dimensional , Globulins/analysis , Hot Temperature , Plant Proteins/analysis , Protein Denaturation
17.
Plant Foods Hum Nutr ; 39(3): 209-21, 1989 Sep.
Article in English | MEDLINE | ID: mdl-2608633

ABSTRACT

Four varieties of common bean seeds stored at 4 degrees C, 80% relative humidity, for one to eight years showed no differences in proximal chemical composition, Seeds 5-6 years old absorbed more water than 1 to 4 year-old seeds. The cooking time required for five year-old seeds was 6 hours, while the fresh seeds needed 3/4-to-one hour cooking time. The most remarkable difference was in phytic acid content, which decreased 94% to 98% during long storage.


Subject(s)
Fabaceae/analysis , Phytic Acid/analysis , Plants, Medicinal , Globulins/analysis , In Vitro Techniques , Pectins/analysis , Time Factors
18.
Acta Radiol ; 45(4): 369-74, 2004 Jul.
Article in English | MEDLINE | ID: mdl-15323387

ABSTRACT

PURPOSE: To analyze the utility of helical computed tomography (CT) in the diagnosis of suspected upper esophageal foreign bodies. MATERIAL AND METHODS: A prospective study was performed on 36 patients (26 F, 10 M, mean age 70 years) with a history of foreign body impaction. All had negative findings at indirect laryngoscopy. Radiologic assessment included unenhanced helical CT and a barium contrast study. Patients with positive findings were taken to esophagoscopy. All patients had a posterior clinical surveillance. RESULTS: Twenty patients had both normal CT and barium study and satisfactory clinical outcome. In 12 patients a foreign body was noted in the cervical esophagus by CT, barium study, and endoscopy. In one patient a fish bone was detected by CT (and not by barium) confirmed with esophagoscopy. Another patient had a fish bone esophageal perforation which was observed only by CT and confirmed at surgery. Two patients with normal barium and endoscopy presented a false-positive CT result. CONCLUSION: Barium swallow is currently the first radiologic study, but may involve a risk of aspiration and can impede a subsequent esophagoscopy. Esophagoscopy is an invasive technique with a certain risk of serious complications that can be avoided with a satisfactory radiologic assessment. CT is easy, fast, has 100% sensitivity and is therefore the first choice technique for diagnosing suspected upper esophageal foreign bodies not expected to be visible on plain radiographs.


Subject(s)
Esophagus/diagnostic imaging , Foreign Bodies/diagnostic imaging , Tomography, Spiral Computed , Aged , Barium Sulfate , Contrast Media , Esophageal Perforation/diagnostic imaging , Esophagoscopy , False Positive Reactions , Female , Follow-Up Studies , Humans , Laryngoscopy , Male , Middle Aged , Prospective Studies , Sensitivity and Specificity , Treatment Outcome
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