Surgery for chronic idiopathic constipation: pediatric and adult patients - a systematic review.

BACKGROUND: Chronic idiopathic constipation (CIC) is a substantial problem in pediatric and adult patients with similar symptoms and workup; however, surgical management of these populations differs. We systematically reviewed the trends and outcomes in the surgical management of CIC in pediatric and adult populations. METHODS: A literature search was performed using Ovid MEDLINE, Embase, Scopus, the Cochrane Central Register of Controlled Trials, and ClinicalTrials.gov between January 1, 1995 and June 26, 2020. Clinical trials and retrospective and prospective studies of patients of any age with a diagnosis of CIC with data of at least 1 outcome of interest were selected. The interventions included surgical resection for constipation or antegrade continence enema (ACE) procedures. The outcome measures included bowel movement frequency, abdominal pain, laxative use, satisfaction, complications, and reinterventions. RESULTS: Adult patients were most likely to undergo resection (94%), whereas pediatric patients were more likely to undergo ACE procedures (96%) as their primary surgery. Both ACE procedures and resections were noted to improve symptoms of CIC; however, ACE procedures were associated with higher complication and reintervention rates. CONCLUSION: Surgical management of CIC in pediatric and adult patients differs with pediatric patients receiving ACE procedures and adults undergoing resections. The evaluation of resections and long-term ACE data in pediatric patients should be performed to inform patients and physicians whether an ACE is an appropriate procedure despite high complication and reintervention rates or whether resections should be considered as an initial approach for CIC.

Histopathological changes due to the effect of selenium in experimental cockerels.

BACKGROUND & OBJECTIVES: Selenium usually acts as an antioxidant at optimal levels in the body and increased levels are toxic. In this study an attempt was made to evaluate the effect of an optimum dose (0.14 mg) of selenium on histopathological changes in experimental hypercholesterolemia in cockerels. METHODS: The effect of selenium (0.14 mg) was investigated on histopathological changes in four tissues namely liver, kidney, heart, and descending aorta in cockerel animal model. Animals were either fed with stock diet (group C), stock diet with cholesterol (group CH), stock diet with selenium (group Se), stock diet, selenium and cholesterol (group CH+Se) for six months. Animals were sacrified and the tissues were isolated and subjected to histopathological study. RESULTS: Xanthochromatic collections in liver were observed in group CH; hydropic degeneration in group Se and lobular disarray, hydropic degeneration and kuppfer cell hyperplasia in group CH+Se were observed. In kidney, mild mononuclear infiltration was observed in interstitium in groups CH, Se and CH+Se. myocyte disruption, and mononuclear infiltration in group CH and c0 H+Se, and disruption of muscle bundles with vascular congestion in group Se were observed. Smooth muscle proliferation in the media of blood vessel was observed in groups CH, Se and CH+Se. INTERPRETATION & CONCLUSIONS: The results of the present study suggested that the optimum dose of (140 µg/day) feeding induced atherogenesis by inflammation and smooth muscle proliferation in cockerels with experimentally induced hypercholesterolaemia.

Effect of amount and source of supplemental dietary vegetable oil on broiler chickens exposed to aflatoxicosis.

1. Addition of sunflower oil (SFO) at 30 or 60 g/kg or three vegetable oils, namely SFO, soybean (SBO) or groundnut (GNO), at 30 g/kg to isocaloric and isonitrogenous broiler chicken diets were evaluated for possible counteractive effects against aflatoxin (AF) (0.3 microg B1/g diet) from 0 to 42 d of age. 2. Body weight, food intake and serum concentration of protein were lower in the AF group than in the control, whereas in the SFO and SBO supplemented groups they were comparable with those of the control. Sunflower oil at both concentrations exerted similar effects on growth. Groundnut oil did not improve growth or food intake in AF-fed birds. 3. The serum concentration of cholesterol and triglycerides decreased with AF feeding and was increased by supplementation of any of the three oils both in the control and in AF-fed groups. 4. Liver and giblet weight and liver fat content were increased by AF; these effects were countered by dietary oil inclusion, except for liver weight at 60 g/kg SFO. Weights of pancreas and gall bladder were increased by AF. Oil supplementation reduced the weight of pancreas in chickens given AF. 5. Humoral immune response was depressed by AF and dietary oil supplementation (particularly SFO or SBO) countered this effect. Other variables, namely, serum gamma glutamyl transferase activity, bone mineralisation, weights of lymphoid organs, kidney and adrenals, ready-to-cook yields and fat content in muscle and skin showed little or no effect of dietary oil supplementation. 6. It is concluded that dietary inclusion of SFO or SBO at 30 g/kg may alleviate the adverse effects of 0.3 microg/g of AF B1 in commercial broiler chickens. Groundnut oil, although showing beneficial effects on some biochemical variables, failed to improve growth performance.

Induction of resistance in host against the infection of leaf blight pathogen (Alternaria palandui) in onion (Allium cepa var aggregatum).

The Pseudomonas fluorescens isolate Pfl was found to inhibit the growth of pathogen Alternaria palandui, in vitro. In the present study, foliar application of a talc-based formulation of Pfl significantly reduced the incidence of leaf blight of onion, caused by A. palandui. Induction of defense-related proteins viz., chitinase, beta-1,3 glucanase, peroxidase (PO) and polyphenol oxidase (PPO) by application of Pfl, was studied against A. palandui infection in resistant (IHR 56) and susceptible (MDUI) onion cultivars. Chitinase in both cultivars, with or without challenge-inoculation of A. palandui revealed changes in the isoform pattern. The Native-PAGE of PO showed induction of PO2 isoform in both the cultivars, in response to inoculation of pathogen. Isoform analysis of PPO also exhibited induction in the Pfl-treated plants challenged with pathogen. Similarly, the activity of beta-1,3-glucanase was greatly induced in Pfl-treated plants, challenged with pathogen as compared to controls. Thus, the P. fluorescens-treated plants showed significant increase in the levels of the defense enzymes, in comparison to the plants challenged with the pathogen.