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1.
J. Health Biol. Sci. (Online) ; 7(2)abr.-jun. 2019.
Artigo em Inglês | LILACS | ID: biblio-1005696

RESUMO

Introduction: Experimental animal models represent a key tool used to elucidate the mechanisms of action and toxicity of anticancer drugs. Objective: The purpose was to establish a correlation of neoplastic growth with the combinatorial therapeutic application of sodium alendronate (ALD) and methotrexate (MTX), and to evaluate the gastrointestinal toxicity of these drugs, in the rat Walker 256 carcinosarcoma inoculation model. Methods: Female rats were selected and randomly distributed into 5 groups (n=10): negative control (NC), positive control (PC), MTX-treated group, ALD-treated group, and MTX-ALD-treated group (MTX/ALD). Tumor cells were inoculated as a suspension of 1x106cells/mL into the alveolar cavities produced by exodontia procedures. The following parameters were evaluated: body weight, tumor volume and percentage of tumor inhibition, and gastrointestinal toxicity. Results: The body weight variation was statistically significant between NC animals and PC animals, and between NC animals and ALD-treated group (p<0.01). Tumor volume variation was statistically significant between PC animals, MTX-treated group and MTX/ALD-co-treated group (p<0.05). Analysis of gastric toxicity of MTX-treated group reveled slight reduction of chief (Ch) and parietal (Pr) cellular populations; ALD-treated group exhibited gastric mucosa without histological alterations of Ch cells but intense reduction of Pr cellular population; and MTX/ALD-co-treated group presented reduction of Ch and Pr cellular populations. Conclusions: ALD does not elicit significant antitumor effects on Walker 256 carcinosarcoma cells and decreases antitumor effects of MTX due to toxicity on the gastric epithelium, which is intensified with MTX association.


Introdução: Modelos experimentais em animais representam um instrumento fundamental para elucidar os mecanismos de ação e toxicidade de drogas anticâncer. Objetivo: estabelecer uma correlação do crescimento neoplásico com a aplicação terapêutica combinatória de alendronato de sódio (ALD) e metotrexato (MTX), e avaliar a toxicidade gastrointestinal dessas drogas, no modelo de inoculação de carcinossarcoma de Walker 256 em ratos. Métodos: Ratas fêmeas foram selecionadas e distribuídas aleatoriamente em 5 grupos (n = 10): controle negativo (NC), controle positivo (PC), grupo tratado com MTX, grupo tratado com ALD e grupo tratado com MTX-ALD (MTX/ALD). As células tumorais foram inoculadas como uma suspensão de 1x106 células/mL nas cavidades alveolares produzidas por procedimentos de exodontia. Os seguintes parâmetros foram avaliados: peso corporal, volume tumoral e porcentagem de inibição tumoral e toxicidade gastrointestinal. Resultados: A variação do peso corporal foi estatisticamente significante entre animais NC e animais PC, e entre animais NC e grupo tratado com ALD (p <0,01). A variação do volume tumoral foi estatisticamente significativa entre animais PC, grupo tratado com MTX e grupo tratado com MTX / ALD (p <0,05). A análise da toxicidade gástrica do grupo tratado com MTX revelou uma ligeira redução das populações celulares principais (Ch) e parietais (Pr); o grupo tratado com ALD exibiu mucosa gástrica sem alterações histológicas de células Ch mas intensa redução da população celular Pr; e o grupo tratado com MTX / ALD apresentou redução das populações celulares Ch e Pr. Conclusões: O ALD não provoca efeitos antitumorais significativos nas células do carcinossarcoma Walker 256 e diminui os efeitos antitumorais do MTX devido à toxicidade no epitélio gástrico, que é intensificada com a associação MTX.


Assuntos
Carcinoma 256 de Walker , Mucosa Gástrica , Metotrexato , Alendronato
2.
Acta cir. bras ; 34(4): e201900404, 2019. tab, graf
Artigo em Inglês | LILACS | ID: biblio-1001088

RESUMO

Abstract Purpose: To examine the effect of taxifolin on I/R induced gastric injury in rats using biochemical and histopatholohical methods. Methods: Eighteen albino Wistar male rats equally grouped as; gastric I/R (I/R), 50 mg/kg taxifolin + gastric I/R (TAX+ I/R) and sham operation applied (SHAM). Ischemia induced for 1 hour, and reperfusion induced for 3 hours. Results: Oxidant parameters like, Malondialdehyde (MDA) and Hydroxyguanine (8-OHdG) were higher, whereas total glutathione (tGSH) was lower in the I/R group according to SHAM group, histopathological findings such as marked destruction, edema, and proliferated dilated congested blood vessels were observed severely in the I/R group, whereas there was not any pathological finding except mild dilated congested blood vessels in the TAX+ I/R group. Conclusion: The taxifolin can be clinically beneficial in the treatment of gastric injury due to I/R procedure.


Assuntos
Animais , Masculino , Ratos , Quercetina/análogos & derivados , Traumatismo por Reperfusão/prevenção & controle , Anti-Inflamatórios não Esteroides/uso terapêutico , Mucosa Gástrica/lesões , Oxirredução/efeitos dos fármacos , Quercetina/uso terapêutico , Artéria Celíaca/cirurgia , Ratos Wistar , Estresse Oxidativo/efeitos dos fármacos , Modelos Animais de Doenças , Ligadura
3.
Acta cir. bras ; 34(3): e201900310, 2019. tab, graf
Artigo em Inglês | LILACS | ID: biblio-989069

RESUMO

Abstract Purpose: To evaluate serum levels of high-sensitivity C-reactive protein (hs-CRP) in chronic gastritis patients to predict Helicobacter pylori (HP) infection, inflammatory activity, and precancerous lesions. Methods: A total of 811 patients with upper gastrointestinal symptoms and histopathological diagnosis of chronic gastritis were enrolled in the study. On endoscopy, five gastric biopsies were taken according to Modified Sydney protocol, which were stained with hematoxylin & eosin and Giemsa Results: HP infection was found in 28.6% of patients, being significantly more common in specimens with acute and chronic inflammatory activity. Mucosal atrophy, intestinal metaplasia, and dysplasia were found in 20.2%, 18.8% and 2.7% of biopsy specimens. Mean hs-CRP was 1.9±1.6 mg/dl for males and 2.2±1.9 mg/dl for females. hs-CRP average were significantly higher in patients with severe acute inflammation (p:0.049), in patients with severe chronic inflammation (p:0.015) and in those with HP (p: 0.001) . The severity of HP infection increased significantly with the increased degree of acute inflammation, chronic inflammation and hs-CRP level (p=0.001 for both). Conclusion: Serum hs-CRP level increases in patients with chronic gastritis, it could be an indicator of severity of acute or chronic mucosal inflammation, and presence of HP infection. Therefore, hs-CRP may aid the diagnosis of chronic gastritis, but it is not associated with pre-cancerous lesions.


Assuntos
Humanos , Masculino , Feminino , Adolescente , Adulto , Pessoa de Meia-Idade , Adulto Jovem , Proteína C-Reativa/análise , Helicobacter pylori , Infecções por Helicobacter/patologia , Infecções por Helicobacter/sangue , Gastroscopia/métodos , Gastrite/patologia , Gastrite/sangue , Valores de Referência , Biópsia , Contagem de Células Sanguíneas , Índice de Gravidade de Doença , Doença Aguda , Doença Crônica , Análise de Regressão , Estudos Retrospectivos , Análise de Variância , Mucosa Gástrica/patologia , Metaplasia/patologia
4.
Acta cir. bras ; 33(3): 259-267, Mar. 2018. graf
Artigo em Inglês | LILACS | ID: biblio-886275

RESUMO

Abstract Purpose: To investigate the effect of metyrosine against I/R induced gastric damage in rats. Methods: Eighteen albino Wistar male rats were divided into groups; gastric I/R (GIR), 50 mg/kg metyrosine+gastric I/R (MGIR), and sham (SG) groups. 50 mg/kg metyrosine was given to the MGIR group, and distilled water was given to the GIR and SG groups by the oral gavage. After 30 minutes, 25 mg/kg thiopental sodium was injected intraperitoneally. Ischemia was achieved for 1 hour by clamping the celiac artery of the MGIR and GIR groups, then reperfusion was achieved for 3 hours. After that, animals were killed with 50 mg/kg thiopental. Biochemical and histopathological examinations performed on the gastric tissues. Results: Metyrosine decreased the MDA and MPO and the increased the tGSH and SOD. In addition, it reduced inflammation by suppressing the decrease of COX-1 and the increase of COX-2. Histopathologically, metyrosine decreased symptoms caused by I/R such as mucosal necrosis, hemorrhage, edema, PMNL infiltration, and dilated congested blood vessels. Conclusions: Metyrosine prevented the I/R induced oxidative stress in the gastric tissue. Metyrosine may be beneficial for gastric I/R injury.


Assuntos
Animais , Masculino , Ratos , Traumatismo por Reperfusão/complicações , Estresse Oxidativo/efeitos dos fármacos , alfa-Metiltirosina/administração & dosagem , Inibidores Enzimáticos/administração & dosagem , Mucosa Gástrica/metabolismo , Fatores de Tempo , Ratos Wistar , Modelos Animais de Doenças , Mucosa Gástrica/patologia
5.
Rev. Hosp. El Cruce ; (20): 13-17, 20170711.
Artigo em Espanhol | LILACS, BINACIS | ID: biblio-916578

RESUMO

La mucosa gástrica heterotópica es una alteración caracterizada por la presencia de mucosa gástrica fuera del estómago siendo la ubicación más frecuente en esófago. La heterotopía gástrica del recto es un hallazgo infrecuente, con sólo 50 casos reportados hasta el momento, descripta por primera vez en 1939. A continuación, describimos un caso de heterotopía gástrica en recto haciendo una breve actualización de las manifestaciones, posibles etiologías y opciones terapéuticas.


Heterotopic gastric mucosa is an anomaly that is characterized by the appearance of gastric mucosa out of the stomach, usually in the esophagus. The gastric heterotopia in rectum is a rare finding -of which only 50 cases reported so far- that was first described in 1939. Below, we describe a case of gastric heterotopia in rectum briefly updating the manifestations, possible causes and therapeutic options.


Assuntos
Relatos de Casos , Fístula Retal , Trato Gastrointestinal Inferior , Mucosa Gástrica , Intestino Grosso
6.
Braz. j. microbiol ; 48(2): 218-224, April.-June 2017. tab, graf
Artigo em Inglês | LILACS | ID: biblio-839380

RESUMO

Abstract The severity of Helicobacter pylori-related disease is correlated with the presence and integrity of a cag pathogenicity island (cagPAI). cagPAI genotype may have a modifying effect on the pathogenic potential of the infecting strain. After analyzing the sequences of cagPAI genes, some strains with the East Asian-type cagPAI genes were selected for further analysis to examine the association between the diversity of the cagPAI genes and the virulence of H. pylori. The results showed that gastric mucosal inflammatory cell infiltration was significantly higher in patients with East Asian-type cagPAI genes H. pylori strain compared with mosaicism cagPAI genes H. pylori strain (p < 0.05). H. pylori strains with the East Asian-type cagPAI genes were closely associated with IL-8 secretion in vitro and in vivo compared with H. pylori strains with the mosaicism cagPAI genes (p < 0.01). H. pylori strains with East Asian-type cagPAI genes are able to strongly translocate CagA to host cells. These results suggest that H. pylori strains with East Asian-type cagPAI genes are more virulent than the strains of cagPAI gene/genes that are Western type.


Assuntos
Humanos , Helicobacter pylori/classificação , Helicobacter pylori/genética , Infecções por Helicobacter/microbiologia , Infecções por Helicobacter/patologia , Ilhas Genômicas , Genótipo , Filogenia , Virulência , Análise por Conglomerados , Helicobacter pylori/isolamento & purificação , Fatores de Virulência/genética , Mucosa Gástrica/patologia , Histocitoquímica , Microscopia
7.
Rev. chil. cir ; 69(3): 256-258, jun. 2017. ilus, tab
Artigo em Espanhol | LILACS | ID: biblio-844369

RESUMO

Introducción: Los cuerpos de psammoma son calcificaciones bien circunscritas. Están descritas en una serie de neoplasmas. Caso clínico: Paciente mujer de 37 años de edad, con obesidad leve es sometida a gastrectomía tubular por obesidad, posterior a la evaluación por el equipo multidisciplinario. La biopsia postoperatoria informa de la presencia de cuerpos de psammoma en la mucosa gástrica. Discusión: Este es el primer caso publicado de cuerpos de psammoma en la mucosa gástrica tras manga gástrica. La paciente constituye un desafío en su seguimiento para detectar alteraciones en la mucosa gástrica.


Background: Psammoma bodies are a well circumscribed calcifications. They are described in some neplasms. Case report: Female 37 year-old patient with mild obesity, a sleeve gastrectomy was performed. The biopsy showed the presence of psammoma bodies in gastric mucosa. Discussion: This is the first case of psammoma bodies in gastric mucosa after a sleeve gastrectomy. This patient is a challenge to detect mucosa abnormalities in the future.


Assuntos
Humanos , Feminino , Adulto , Calcinose/patologia , Gastrectomia , Mucosa Gástrica/patologia , Obesidade/cirurgia
9.
Braz. j. med. biol. res ; 50(6): e5977, 2017. tab, graf
Artigo em Inglês | LILACS | ID: biblio-839303

RESUMO

Generalized bone loss can be considered an extra-articular manifestation of rheumatoid arthritis (RA) that may lead to the occurrence of fractures, resulting in decreased quality of life and increased healthcare costs. The peptide ghrelin has demonstrated to positively affect osteoblasts in vitro and has anti-inflammatory actions, but the studies that correlate ghrelin plasma levels and RA have contradictory results. We aimed to evaluate the correlation between total ghrelin plasma levels, density of ghrelin-immunoreactive cells in the gastric mucosa, and bone mineral density (BMD) in twenty adult women with established RA with 6 months or more of symptoms (mean age of 52.70±11.40 years). Patients with RA presented higher ghrelin-immunoreactive cells density in gastric mucosa (P=0.008) compared with healthy females. There was a positive relationship between femoral neck BMD and gastric ghrelin cell density (P=0.007). However, these same patients presented a negative correlation between plasma ghrelin levels and total femoral BMD (P=0.03). The present results indicate that ghrelin may be involved in bone metabolism of patients with RA. However, the higher density of ghrelin-producing cells in the gastric mucosa of these patients does not seem to induce a corresponding elevation in the plasma levels of this peptide.


Assuntos
Humanos , Feminino , Adulto , Pessoa de Meia-Idade , Artrite Reumatoide/metabolismo , Densidade Óssea , Células Endócrinas/citologia , Grelina/sangue , Artrite Reumatoide/fisiopatologia , Índice de Massa Corporal , Densidade Óssea/fisiologia , Contagem de Células , Células Endócrinas/metabolismo , Colo do Fêmur/anatomia & histologia , Mucosa Gástrica/metabolismo , Mucosa Gástrica/patologia , Células Parietais Gástricas/metabolismo , Células Parietais Gástricas/patologia
10.
Acta cir. bras ; 31(12): 813-820, Dec. 2016. graf
Artigo em Inglês | LILACS | ID: biblio-837660

RESUMO

ABSTRACT PURPOSE: To evaluate the role of low molecular chitosan containing sepia ink (LMCS) in ethanol-induced (5 ml/kg) gastric ulcer in rats. METHODS: Animals were divided into four groups (n = 12): normal group (Normal), negative control group (Con), experiment group (LMCS) and positive control Omeprazole group (OMZ). Gastric empty rate was detected in the first 7 days. Rats were sacrificed at 7, 14 and 21 day for histology and ELISA detections. RESULTS: Gastric empty was no significant differences among the groups (P > 0.05). Histological observation showed gastric mucosal LMCS treated had better healing effect. Hydroxyproline (Hyp) was significantly increased from 7 day (P < 0.05). LMCS significantly inhibited malondialdehyde (MDA) generation for lipid peroxidation from 7 day (P < 0.05). LMCS significantly promoted the activity of superoxide dismutase (SOD), catalase (CAT) and glutathione peroxidase (GPx) at the earlier stage (P < 0.05). OMZ had the similar effects above. As for myeloperoxidase (MPO), LMCS significantly decreased and restored it to normal levels from 7 day (P < 0.05), it is earlier than OMZ which is from 14 day. CONCLUSION: LMCS can improve gastric mucosa tissue repair, exert significant influences on oxidative and antioxidant enzyme activities and neutrophil infiltration.


Assuntos
Animais , Ratos , Úlcera Gástrica/tratamento farmacológico , Quitosana/uso terapêutico , Sepia/química , Mucosa Gástrica/efeitos dos fármacos , Antiulcerosos/uso terapêutico , Antioxidantes/farmacologia , Úlcera Gástrica/induzido quimicamente , Distribuição Aleatória , Quitosana/química , Modelos Animais de Doenças , Etanol , Mucosa Gástrica/patologia , Hidroxiprolina/metabolismo , Tinta , Malondialdeído/metabolismo , Peso Molecular , Antioxidantes/metabolismo
11.
Rev. Col. Bras. Cir ; 43(4): 235-242, July-Aug. 2016. tab, graf
Artigo em Inglês | LILACS | ID: lil-794943

RESUMO

ABSTRACT Objective: to evaluate the influence of Duodenal reflux in histological changes of the gastric mucosa of rats infected with Helicobacter pylori submitted to pyloroplasty. Methods: after two weeks of acclimation, we infected 30 male Wistar rats with Helicobacter pylori. We randomly divided them into three groups: one submitted to pyloroplasty, another to partial gastrectomy and the third, only infected, was not operated. After six months of surgery, euthanasia was carried out. Gastric fragments were studied by light microscopy to count the number of H. pylori, and to observe the histological changes (gastritis, metaplasia, dysplasia and neoplasia). We confirmed these changes by immunohistochemistry using the molecular markers PCNA and TGF-beta. Results: the animals submitted to pyloroplasty had higher percentage of colonization by H. pylori (median=58.5; gastrectomy=16.5; control=14.5). There was a positive correlation between the amount of H. pylori and the occurrence of chronic gastritis present in the antral fragments. Neoplasia occurred in 40% of rats from the group submitted to pyloroplasty. The staining with PCNA and TGF-ß confirmed the histopathological changes visualized by optical microscopy. Conclusions: the antral region was the one with the highest concentration of H. pylori, regardless of the group. There was a positive correlation between the appearance of benign disorders (chronic gastritis, metaplasia, dysplasia) and cancer in mice infected with H. pylori submitted to pyloroplasty.


RESUMO Objetivo: avaliar a influência do refluxo duodenogástrico nas alterações histológicas da mucosa gástrica de ratos, infectados por Helicobacter pylori, submetidos à piloroplastia. Método: após duas semanas de aclimatação, 30 ratos machos da raça Wistar, foram infectados com o microorganismo patogênico H. pylori. De forma aleatória, foram divididos em três grupos: um submetido à piloroplastia, outro à gastrectomia parcial e o terceiro, apenas infectados, não foi operado. Após seis meses de operados, procedeu-se a eutanásia. Os fragmentos gástricos foram estudados por microscopia óptica, para a contagem da quantidade de H. pylori, e para a observação das alterações histológicas (gastrite, metaplasia, displasia e neoplasia). A confirmação dessas alterações foi feita por imuno-histoquímica, utilizando os marcadores moleculares PCNA e TGFbeta. Resultados: os animais submetidos à piloroplastia tiveram maior percentual de colonização por H. pylori (mediana=58,5; gastrectomia=16,5; controle=14,5). Houve correlação positiva entre quantidade de H. pylori e ocorrência de gastrite crônica presente nos fragmentos do antro. Ocorreu 40% de neoplasia no grupo submetido à piloroplastia. A marcação de PCNA e TGF-beta confirmou as alterações histopatológicas visibilizadas à microscopia óptica. Conclusões: a região do antro foi a que apresentou a maior concentração de H. pylori, independente do grupo. Houve correlação positiva entre e o aparecimento de alterações benignas (gastrite crônica, metaplasia, displasia), e de neoplasia nos ratos infectados com H. pylori submetidos à piloroplastia.


Assuntos
Animais , Masculino , Ratos , Helicobacter pylori , Infecções por Helicobacter/complicações , Refluxo Duodenogástrico/complicações , Mucosa Gástrica/patologia , Piloro/cirurgia , Distribuição Aleatória , Infecções por Helicobacter/cirurgia , Ratos Wistar , Refluxo Duodenogástrico/cirurgia , Gastrectomia
12.
Rev. Col. Bras. Cir ; 43(2): 129-135, Mar.-Apr. 2016. tab, graf
Artigo em Inglês | LILACS | ID: lil-782918

RESUMO

ABSTRACT Objective: to evaluate the feasibility, safety and benefits of minimally invasive surgery for resection of gastric submucosal tumor (GSMT). Methods: we conducted a retrospective study of medical records of patients undergoing endoscopy-assisted laparoscopic resection of gastric submucosal tumors (prospectively collected) from 2011 to 2014. We evaluated clinical data, surgical approach, clinicopathological characteristics of the GSMT (size, location, histopathological and immunohistochemical exams), outcome and patients follow-up. Results: we evaluated six patients, 50% male, mean age 52±18 years and common symptoms of heartburn and gastric fullness. All patients underwent hybrid procedure without anatomical impairment of the organ. The average length of stay was 3.5 days and the average size of the tumors was 2.0±0.8cm, five of them (83%) in the proximal third of the stomach. The surgical specimens pathological and immunohistochemistry examination revealed one case of ectopic pancreas (17%), one grade 2 neuroendocrine tumor (17%), one lipoma (17%), one GIST (17%) and two leiomyomas (32%). There were no episodes of tumor rupture or intraoperative complications and no conversion to open surgery. During the postoperative follow-up period, none of the patients had recurrence, metastasis, fistula or stenosis. Conclusion: the results showed that endoscopy-assisted laparoscopic resection is feasible and safe for patients with GSMT. Endoscopy proved to be essential in the location of lesions and as intraoperative support, especially when attempting to preserve the pylorus and cardia during surgery.


RESUMO Objetivo: avaliar a viabilidade, segurança e vantagens da cirurgia minimamente invasiva para ressecção de tumores submucosos gástricos (TUSG). Métodos: estudo retrospectivo dos prontuários de pacientes submetidos à ressecção videolaparoscópica assistida por endoscopia digestiva alta para tumores submucosos gástricos (coletados prospectivamente) de 2011 a 2014. Os fatores avaliados foram dados clínicos, abordagem cirúrgica, características clinicopatológicas dos TUSG (tamanho, localização, exame anatomopatológico e imuno-histoquímico), resultados e acompanhamento dos pacientes. Resultados: foram avaliados seis pacientes, 50% do sexo masculino, com média de idade 52±18 anos e sintomas comuns de pirose e plenitude gástrica. Todos os pacientes foram submetidos ao procedimento híbrido e sem comprometimento anatômico do órgão. O tempo médio de internação foi 3,5 dias e o tamanho médio dos tumores foi 2,0±0,8cm, cinco deles (83%) no terço proximal do estômago. Os exames anatomopatológicos e imuno-histoquímicos das peças cirúrgicas demonstraram um caso de pâncreas ectópico (17%), um tumor neuroendócrino grau 2 (17%), um lipoma (17%), um GIST (17%) e dois leiomiomas (32%). Não houve episódios de ruptura do tumor nem complicações intraoperatórias e nenhuma conversão para cirurgia aberta. Durante o período de acompanhamento pós-operatório nenhum dos pacientes apresentou recidiva, metástase, fístula ou estenose. Conclusão: os resultados obtidos mostraram que a ressecção laparoscópica assistida por endoscopia é viável e segura para pacientes com TUSG. A endoscopia mostrou-se fundamental na localização das lesões e suporte intraoperatório, principalmente na tentativa de preservar a cárdia e o piloro durante a cirurgia.


Assuntos
Humanos , Masculino , Feminino , Adulto , Idoso de 80 Anos ou mais , Neoplasias Gástricas/cirurgia , Laparoscopia/métodos , Gastrectomia/métodos , Mucosa Gástrica/cirurgia , Estudos de Viabilidade , Estudos Retrospectivos , Pessoa de Meia-Idade
13.
Fortaleza; s.n; 2016. 118 p. ilus, tab.
Tese em Português | LILACS | ID: biblio-971909

RESUMO

Lesões gástricas relacionadas ao consumo excessivo de antiinflamatórios não esteroidais (AINEs) e etanol possuem um importante papel na gastroenterologia clínica. Fármacos com ação anti-secretória gástrica, como os inibidores da bomba de prótons, representam a principal opção na terapia destas patologias. Objetivo: Avaliar o efeito do doador de NO nitrosil-rutênio (Rut-NO) na defesa da mucosa gástrica em modelos experimentais de lesão gástrica em camundongos e a participação da guanilato ciclase solúvel (GCs) e dos canais de KATP neste efeito. Métodos: Protocolo1-Camundongos swiss foram pré-tratados com Rut-NO (3mg/Kg, v.o), rutênio (2.3mg/Kg, v.o) ou nitroprussiato (NPS) na dose de 10mg/kg, v.o, meia hora antes da administração por gavagem de etanol 50%. Em outro grupo, os animais foram pré-tratados com ODQ (10mg/Kg, v.o) ou glibenclamida (10mg/Kg,i.p) trinta minutos ou 1h antes, respectivamente dos tratamentos citados anteriormente.Depois de 1h, os animais foram sacrificados e os estômagos removidos para a avaliação das lesões gástricas por planimetria computadorizada. Além disso, fragmentos de tecido foram removidos para análise microscópica e dosagem de glutationa (GSH) e malondialdeído (MDA)...


Gastric lesions associated to excessive consumption of nonsteroidal anti-inflammatory drugs (NSAIDs) and ethanol have an important role in clinical gastroenterology. The drugs with gastric antisecretory action, suchas proton pump inhibitors, represent the main option in the treatment of these pathologies. Aim: To evaluate the effect of NO donor nitrosyl-ruthenium (Rut-NO) in gastric mucosal defense in experimental models of gastric damage in mice, as wellthe involvement of soluble guanylate cyclase (sGC) and KATPchannels in this effect. Methods: Protocol 1-mice were pre-treated with Rut-NO (3mg/Kg, vo), ruthenium (2.3mg/Kg, p.o) or nitroprusside (SNP) at a dose of 10mg/kg, p.o, half an hour before administration by gavage of 50% ethanol. In another group, the animals were pre-treated with ODQ (10mg/kg, po) or glibenclamide (10mg/kg, ip) thirty minutes or 1 hour prior, respectively,the treatments mentioned above. After 1h, the animals were sacrificed and the stomachsremoved for evaluation of gastric lesions by computerized planimetry. In addition, fragments of tissue were removed for microscopic analysis and measurement of glutathione (GSH) and malondialdehyde (MDA) levels...


Assuntos
Humanos , Mucosa Gástrica , Rutênio , Naproxeno , Etanol , Canais KATP , Proteção
14.
ABCD arq. bras. cir. dig ; 28(4): 262-265, Nov.-Dec. 2015. tab, graf
Artigo em Português | LILACS | ID: lil-770252

RESUMO

Background: Endoscopic submucosal dissection carries an increased risk of bleeding and perforation. The creation of a long lasting submucosal cushion is essential for the safe and complete removal of the lesion. There is not a suitable experimental model for evaluation of the durability of the cushioning effect of different solutions. Aim: To describe an improved experimental model to evaluate submucosal injection solutions. Methods: A total of four domestic pigs were employed to evaluate two different submucosal fluid solutions in the gastric submucosa. After midline laparotomy, the anterior gastric wall was incised from the gastric body to the antrum and its mucosal surface was exposed by flipping inside out the incised gastric wall. Two different solutions (10% mannitol and normal saline) were injected in the submucosa of the anterior wall of the distal gastric body. All submucosal cushions were injected until they reach the same size, standardized as 1.0 cm in height and 2.0 cm in diameter. A caliper and a ruler were employed to guarantee accuracy of the measurements. Results: All four animal experiments were completed. All submucosal cushions had the exact same size measured with caliper and a ruler. By using the mannitol solution, the mean duration of the submucosal cushion was longer than the saline solution: 20 and 22 min (mean, 21 min) vs 5 and 6 min (mean, 5.5 min) Conclusions: This experimental model is simple and evaluate the duration, size, and effect of the submucosal cushion, making it more reliable than other models that employ resected porcine stomachs or endoscopic images in live porcine models.


Racional: Sabe-se que os maiores riscos na ressecção endoscópica da submucosa são o sangramento e a perfuração. A criação de um coxim submucoso duradouro é essencial para a remoção da lesão completa e com segurança. Atualmente não se conhece um modelo experimental adequado para avaliação da durabilidade do coxim submucoso com diferentes soluções. Objetivo : Descrever um modelo experimental melhorado para avaliar soluções de injeção de submucosa. Métodos: Foram utilizados quatro porcos domésticos para avaliar dois tipos diferentes de soluções para injeção na submucosa gástrica. Após laparotomia mediana, a parede gástrica anterior foi aberta no sentido corpo-antro e sua superfície mucosa foi exposta por eversão da abertura gástrica. Dois tipos diferentes de solução (manitol a 10% e solução salina normal) foram injetados na submucosa da parede gástrica anterior de corpo distal. Todos os coxins submucosos foram injetados até que alcançassem o mesmo tamanho, padronizado como 1,0 cm de altura por 2,0 cm de diâmetro. Foram aplicados régua e compasso para garantir a acurácia das medidas. Resultados: O experimento foi completo nos quatro animais. Todos os coxins submucosos tinham o mesmo tamanho, medido com régua e compasso. Com o uso da solução de manitol, a duração média do coxim submucoso foi maior que a da solução salina: 20 e 22 min (média 21 min) vs 5 e 6 min (média 5,5 min). Conclusões: Este modelo experimental é simples e permite analisar duração, tamanho e efeito do coxim submucoso, tornando-se mais confiável que outros modelos que empregam estômagos ressecados de porcos ou imagens endoscópicas de modelos porcinos vivos.


Assuntos
Animais , Dissecação/métodos , Gastroscopia , Mucosa Gástrica/cirurgia , Soluções/administração & dosagem , Estudos de Avaliação como Assunto , Injeções , Modelos Animais , Suínos
15.
Rev. chil. cir ; 67(6): 590-598, dic. 2015. ilus, graf, tab
Artigo em Espanhol | LILACS | ID: lil-771600

RESUMO

Introduction: Endoscopic submucosal dissection (ESD) is nowadays the standard treatment for a subgroup of early gastric cancer with low risk of lymph node metastasis. This procedure has the advantage of achieving a higher percentage of negative margins and of allowing resections of larger tumors compared with the endoscopic mucosal resection (EMR) method, being less invasive compared with surgery. Aim: To analyze the postoperative outcomes, histology and overall survival of patients undergoing ESD in our center. Methods: Descriptive study. Data were collected from clinical records of patients undergoing ESD from January 2008 to June 2012. Results: 15 patients (8 males and 7 females, median age 70 years (45-88)) were included. The tumor was located at upper, middle and lower third in 2, 5 and 8 patients, respectively. Median tumor size was 13.5 mm (6-21). Most tumors were classified as type IIc. Among postoperative complications, there was 1 gastric bleeding and 3 gastric perforations. Hospital stay was 3 days (1-23). There was no mortality. There was one case of submucosal invasion. Negative margins were achieved in 86.7 percent. There was one deep and one lateral positive margin, managed by surgery and re-ESD, respectively. At 16 months (7-61) of median follow-up, overall survival was 100 percent. Tumor recurrence was observed in one patient at 51 months, was treated by surgery. Conclusion: ESD is a feasible technique in the minimally invasive management of early gastric cancer, allowing a high percentage of negative margins.


Introducción: La disección endoscópica de la submucosa (DES) es actualmente el tratamiento estándar en pacientes con cáncer gástrico incipiente y bajo riesgo de metástasis ganglionares, con la ventaja de obtener un mayor porcentaje de márgenes negativos que en la mucosectomía y ser menos invasivo que la cirugía. Objetivo: Analizar los resultados inmediatos, anatomía patológica y sobrevida alejada de los pacientes sometidos a DES en nuestro centro. Métodos: Estudio descriptivo. Revisión de los registros clínicos de pacientes con lesiones gástricas incipientes sometidos a DES entre enero de 2008 y junio de 2012. Resultados: Serie compuesta por 15 pacientes, 8 de sexo masculino. Mediana de edad 70 años (45-88). Ubicación tumoral: tercio superior en 2, tercio medio en 5 y tercio inferior en 8. La mediana de tamaño tumoral fue 13,5 mm (6-21). La mayoría fueron lesiones IIc. Dentro de las complicaciones postoperatorias, hubo 1 hemorragia digestiva tratada por endoscopia y 3 perforaciones gástricas tratadas quirúrgicamente (gastrorrafia). Mediana de hospitalización, 3 días (1-23). No se registró mortalidad post-procedimiento. Se obtuvieron bordes negativos en un 86,7 por ciento de los casos. Un paciente presentó margen profundo positivo, tratado mediante gastrectomía subtotal y otro presentó positividad en un margen lateral, manejado con una nueva DES. Mediana de seguimiento 16 meses (7-61), sin fallecidos por patología tumoral. Hubo 1 recurrencia tumoral (51 meses), tratada quirúrgicamente. Conclusión: La DES representa una alternativa en el manejo de las lesiones gástricas incipientes, permitiendo un alto porcentaje de márgenes negativos.


Assuntos
Humanos , Masculino , Feminino , Pessoa de Meia-Idade , Idoso de 80 Anos ou mais , Dissecação/métodos , Endoscopia Gastrointestinal/métodos , Mucosa Gástrica/cirurgia , Neoplasias Gástricas/cirurgia , Epidemiologia Descritiva , Seguimentos , Estadiamento de Neoplasias , Neoplasias Gástricas/mortalidade , Neoplasias Gástricas/patologia , Análise de Sobrevida
16.
J. appl. oral sci ; 23(5): 497-507, Sept.-Oct. 2015. tab, graf
Artigo em Inglês | LILACS | ID: lil-764156

RESUMO

The value of aesthetic dentistry has precipitated several developments in the investigation of dental materials related to this field. The free marketing of these products is a problem and it is subject to various interpretations regarding its legality. There are several techniques for tooth whitening, the most used one being the external bleaching. It is the later version of such technique that poses the greatest danger of ingesting the product. The present study analysed the systemic effect of these products when they are swallowed.Objective This experimental study aimed to observe the effects of a tooth whitening product, whose active agent is 6% hydrogen peroxide, on the gastric mucosa of healthy and non-tumour gastric pathology animals.Material and Methods Fifty Wistar-Han rats were used and then distributed into 5 groups, one for control and four test groups in which the bleaching product was administered in animals with and without non-tumour gastric pathology (induced by the administration of 1 sample of 50% ethanol and 5% of drinking water during 6 days) at different times of study by gavage. There was a decrease in body weight in animals of groups handled during the study period, which was most pronounced in IV and VA groups. Changes in spleen weight relative to body weight revealed no statistically significant changes. An analysis of the frequency was performed on the results of macroscopic observation of the gastric mucosa.Results The gastric mucosa revealed lesions in all manipulated groups, being more frequent in groups III and IV. It appears that there is a synergism when using hydrogen peroxide and 50% ethanol in the same group.Conclusion Therefore, it seems that there are some signs of toxicity 3 to 4 days after administration of 6% hydrogen peroxide. The prescription of these therapies must be controlled by the clinician and the risks must be minimized.


Assuntos
Animais , Mucosa Gástrica/efeitos dos fármacos , Peróxido de Hidrogênio/toxicidade , Clareadores Dentários/toxicidade , Clareamento Dental/efeitos adversos , Peso Corporal , Etanol/toxicidade , Mucosa Gástrica/patologia , Tamanho do Órgão , Ratos Wistar , Baço/efeitos dos fármacos , Baço/patologia , Fatores de Tempo
17.
Rev. méd. Chile ; 143(10): 1277-1285, oct. 2015. ilus, tab
Artigo em Espanhol | LILACS | ID: lil-771711

RESUMO

Background: Endoscopic submucosal dissection (ESD) is a minimally invasive procedure that allows curative treatment of early gastric cancer (EGC) in selected patients. Aim: To report our initial experience with ESD. Material and Methods: Analysis of prospective data from 16 patients aged 61 to 84 years, who underwent ESD between December 2011 and June 2014. Tumor type, operative time, hospitalization length, oncologic outcomes, complications and short-term follow up were registered. Results: En-block resection was achieved in all cases. The median operative time was 135 min (range: 50-320 min). Specimens' median size was 3.5 cm (range: 3-10). All the resections were R0. In 14 patients ESD was considered curative. In two patients, ESD was considered potentially non-curative due to the presence pathological risk factors for lymph-node metastases in the biopsy specimen. Both patients underwent laparoscopic gastrectomy with lymph-node dissection. There was one case of gastric wall perforation that was repaired by laparoscopic suture. There was no mortality. The median follow-up time was 15 months (range: 2-30 months). Conclusions: ESD is a feasible and safe procedure in our institution with good results in this initial experience.


Assuntos
Idoso , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Adenocarcinoma/cirurgia , Dissecação/métodos , Gastrectomia/métodos , Mucosa Gástrica/cirurgia , Neoplasias Gástricas/cirurgia , Adenocarcinoma/patologia , Intervalo Livre de Doença , Detecção Precoce de Câncer , Seguimentos , Mucosa Gástrica/patologia , Metástase Linfática , Estadiamento de Neoplasias , Duração da Cirurgia , Estudos Prospectivos , Neoplasias Gástricas/patologia , Resultado do Tratamento
18.
Rev. colomb. gastroenterol ; 30(2): 225-231, abr.-jun. 2015. ilus, tab
Artigo em Espanhol | LILACS | ID: lil-756339

RESUMO

La mucosa gástrica heterotópica en esófago cervical (MGHEC) es una condición probablemente subdiagnosticada. La gran mayoría de los pacientes son asintomáticos y su detección es un hallazgo incidental. En los pacientes sintomáticos, las manifestaciones se asocian con cambios no neoplásicos o neoplásicos, que permiten categorizarlos en cinco tipos. A la categoría tipo III corresponde el caso presentado del paciente, con disfagia y globus faríngeo por MGHEC de compromiso circunferencial con estenosis franqueable. Al momento de esta publicación, solo se encontraron siete casos similares en la literatura mundial. La detección de MGHEC (apoyada en nuevas tecnologías de imagen como la cromoendoscopia) puede ser un indicador de calidad en el desempeño endoscópico, similar a la detección de adenomas en colonoscopia.


Heterotopic gastric mucosa in the cervical esophagus is a condition that is probably underdiagnosed. The vast majority of patients are asymptomatic, and detection is an incidental finding. In symptomatic patients, manifestations are associated with non-neoplastic or neoplastic changes that allow categorization into five types. The case presented here is a patient who had Type III with dysphagia and pharyngeal globus due to heterotopic gastric mucosa in the cervical esophagus with circumferential presentation with stenosis. At the time of publication, only seven similar cases could be found in the literature. Detection, supported by new imaging technologies such as chromoendoscopy, may be an indicator of the quality of endoscopic performance in a manner that is similar to detection of adenomas in colonoscopy.


Assuntos
Humanos , Feminino , Pessoa de Meia-Idade , Esôfago , Mucosa Gástrica
19.
An. bras. dermatol ; 90(3,supl.1): 209-211, May-June 2015. ilus
Artigo em Inglês | LILACS | ID: lil-755740

RESUMO

Abstract

Pegylated liposomal doxorubicin is an important antineoplastic agent with activity in a variety of solid tumors. It has a totally different profile of pharmacokinetics and toxicity compared with doxorubicin. It rarely causes side-effects like cardiotoxicity or hair loss, but frequently results in many kinds of mucocutaneous reactions, including palmar-plantar erythrodysesthesia, diffuse follicular rash, intertrigo-like eruption, new formation of melanotic macules, stomatitis and radiation recall dermatitis. We present a rare case of multiple myeloma who immediately developed serious stomatitis and esophatitis associated with minor palmar-plantar erythrodysesthesia after a single course of pegylated liposomal doxorubicin.

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Assuntos
Idoso , Feminino , Humanos , Antibióticos Antineoplásicos/efeitos adversos , Doxorrubicina/análogos & derivados , Esofagite/induzido quimicamente , Síndrome Mão-Pé/etiologia , Estomatite/induzido quimicamente , Doxorrubicina/efeitos adversos , Esofagite/patologia , Mucosa Gástrica/efeitos dos fármacos , Síndrome Mão-Pé/patologia , Mucosa Bucal/efeitos dos fármacos , Mieloma Múltiplo/complicações , Mieloma Múltiplo/tratamento farmacológico , Polietilenoglicóis/efeitos adversos , Estomatite/patologia
20.
Rev. gastroenterol. Perú ; 35(2): 137-140, abr. 2015. tab
Artigo em Inglês | LILACS, LIPECS | ID: lil-789750

RESUMO

This study aims to investigate the relationship between functional gastrointestinal disorders and histopathology characteristics, including H. pylori infection, of gastric mucosa, at Cayetano Heredia National Hospital, Lima-Peru, in 2013. Materials and methods: 112 patients were interviewed prospectively between June and July 2013 in the gastroenterology service. Dyspepsia, irritable bowel syndrome, and postprandial distress syndrome were characterized using the Rome III Survey. Results: Pathology results were determined by gastric biopsies obtained by endoscopy. Of the patients interviewed, biopsy results were obtained for 101. 22.8% had atrophy, 24.8% had intestinal metaplasia, 57.4% presented with H pylori. Conclusions: Using chisquare analysis, no statistically significant relationship could be identified between clinical presentation and biopsy results...


El objetivo de este estudio fue investigar la correlación que existe entre la presencia de síntomas gastrointestinales y los hallazgos histopatológicos de la biopsia gástrica incluyendo la presencia de la infección por Helicobacter pylori. Materiales y métodos: Este estudio prospectivo comprendió a 112 pacientes que se incluyeron entre junio y julio de 2013 en el Servicio de Gastroenterología del Hospital Nacional Cayetano Heredia, Lima-Perú a los que se les hizo endoscopía y biopsia gástrica. Los síntomas de dispepsia, síndrome de intestino irritable y síndrome de distrés post prandial fueron obtenidos usando las encuestas de Roma III. Resultados: De los pacientes a los que se les hizo la encuesta sólo en 101 se les evaluó la biopsia. 22,8% tuvo atrofia, 24,8% presentó metaplasia intestinal, y en 57,4% se reportó la infección por Helicobacter pylori. Conclusiones: Usando el análisis con chi-cuadrado no se pudo establecer ninguna correlación estadísticamente significativa entre la presentación clínica y los resultados de las biopsias...


Assuntos
Humanos , Gastroenteropatias , Helicobacter pylori , Infecções por Helicobacter , Mucosa Gástrica/patologia , Estudos Prospectivos , Peru
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