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1.
Parasitology ; 147(4): 471-477, 2020 04.
Artículo en Inglés | MEDLINE | ID: mdl-31852557

RESUMEN

This study provides insights about the diversity, prevalence and distribution of alpine wild galliformes gastrointestinal parasite community, trying to fill a gap in the scientific information currently available in scientific literature. The analysis included three host species: 77 rock partridge (Alectoris graeca saxatilis), 83 black grouse (Tetrao tetrix tetrix) and 26 rock ptarmigan (Lagopus muta helveticus) shot during the hunting seasons 2008-2015. Parasites isolated were Ascaridia compar, Capillaria caudinflata and cestodes. The rock ptarmigan was free from gastrointestinal parasites, whereas the most prevalent helminth (37%) was A. compar in both black grouse and rock partridge. C. caudinflata occurrence was significantly higher in black grouse (prevalence = 10%, mean abundance = 0.6 parasites/sampled animal) than in rock partridge (prevalence = 1.20%, mean abundance = 0.01 parasites/sampled animal). Significant differences were detected among hunting districts. A. compar was found with a significant higher degree of infestation in the hunting districts in the northern part of the study area whereas cestodes abundance was higher in Lanzo Valley. Quantitative analysis of risk factors was carried out using a generalized linear model (GLM) only on the most common parasite (A. compar). Latitude was the only factors associated with infestation risk (OR = 52.4). This study provides information on the composition and variability of the parasite community in the alpine Galliformes species.


Asunto(s)
Ascaridiasis/veterinaria , Enfermedades de las Aves/epidemiología , Infecciones por Cestodos/veterinaria , Infecciones por Enoplida/veterinaria , Galliformes , Parasitosis Intestinales/epidemiología , Animales , Ascaridia/aislamiento & purificación , Ascaridiasis/epidemiología , Ascaridiasis/parasitología , Biodiversidad , Enfermedades de las Aves/parasitología , Capillaria/aislamiento & purificación , Cestodos/aislamiento & purificación , Infecciones por Cestodos/epidemiología , Infecciones por Cestodos/parasitología , Infecciones por Enoplida/epidemiología , Infecciones por Enoplida/parasitología , Interacciones Huésped-Parásitos , Parasitosis Intestinales/parasitología , Italia/epidemiología , Prevalencia
3.
Rev Sci Instrum ; 87(4): 044702, 2016 04.
Artículo en Inglés | MEDLINE | ID: mdl-27131690

RESUMEN

Measurements of current fluctuations originating in electron devices have been largely used to understand the electrical properties of materials and ultimate device performances. In this work, we propose a high-sensitivity measurement setup topology suitable for the automatic and programmable Direct-Current (DC), Capacitance-Voltage (CV), and gate-drain low frequency noise characterization of field effect transistors at wafer level. Automatic and programmable operation is particularly useful when the device characteristics relax or degrade with time due to optical, bias, or temperature stress. The noise sensitivity of the proposed topology is in the order of fA/Hz(1/2), while DC performances are limited only by the source and measurement units used to bias the device under test. DC, CV, and NOISE measurements, down to 1 pA of DC gate and drain bias currents, in organic thin film transistors are reported to demonstrate system operation and performances.

4.
Andrologia ; 43(5): 297-302, 2011 Oct.
Artículo en Inglés | MEDLINE | ID: mdl-21714796

RESUMEN

The effects of a sesquiterpene lactone, dehydroleucodine, on the reproductive tract were investigated using adult male mice. Dehydroleucodine was dissolved in tap water and administered as drinking water for 30 days. All the parameters were compared with a control group that received only vehicle. Animals were killed by decapitation and the trunk blood, the testes and the epididymes were collected. Plasma concentrations of testosterone and oestradiol, and testicular weight and concentration of spermatids did not change by dehydroleucodine. Nevertheless, in epididymal cauda dehydroleucodine treatment caused a diminution in sperm number, a decrease in the amount of tubular fluid and a reduction in the activity of the hydrolytic enzyme N-acetyl-ß-d-glucosaminidase. However, the sperm motility was not altered by dehydroleucodine treatment, although sperm binding to zona-free oocytes increased significantly. These results suggest that dehydroleucodine, which has been implicated in the inhibition of aromatase P450, does not affect the plasma concentration of testosterone and oestradiol or testicular activity, whereas altering several epididymal parameters. The epididymis is thus a more sensitive target for dehydroleucodine action.


Asunto(s)
Genitales Masculinos/efectos de los fármacos , Lactonas/farmacología , Sesquiterpenos/farmacología , Animales , Cricetinae , Estradiol/sangre , Femenino , Genitales Masculinos/enzimología , Hidrólisis , Masculino , Mesocricetus , Ratones , Ratones Endogámicos BALB C , Motilidad Espermática , Testosterona/sangre
5.
Fitoterapia ; 79(1): 1-5, 2008 Jan.
Artículo en Inglés | MEDLINE | ID: mdl-17683879

RESUMEN

Dehydroleucodine (DhL), a sesquiterpene lactone obtained from Artemisia douglasiana, was screened for antidiarrheal effects. DhL inhibited castor oil-induced diarrhea in mice by judged by a decrease in the number of wet faeces in the DhL-treatment groups. DhL significantly reduced intestinal transit in mice. Yohimbine and phentolamine counteracted the inhibitory effect of DhL. It is suggested that alpha2-adrenergic receptors mediate the effect of DhL in intestinal motility. DhL reduced also intraluminal accumulation of fluid. Thus, the antidiarrheal activity of DhL is possibly related, at least in part, to its inhibitory action against gastrointestinal motility and the inhibition of enteropooling property.


Asunto(s)
Artemisia , Diarrea/tratamiento farmacológico , Fármacos Gastrointestinales/uso terapéutico , Tránsito Gastrointestinal/efectos de los fármacos , Lactonas/uso terapéutico , Fitoterapia , Extractos Vegetales/uso terapéutico , Sesquiterpenos/uso terapéutico , Agonistas alfa-Adrenérgicos/farmacología , Animales , Aceite de Ricino , Defecación/efectos de los fármacos , Diarrea/inducido químicamente , Fármacos Gastrointestinales/farmacología , Lactonas/antagonistas & inhibidores , Lactonas/farmacología , Ratones , Fentolamina/farmacología , Extractos Vegetales/farmacología , Ratas , Ratas Wistar , Sesquiterpenos/antagonistas & inhibidores , Sesquiterpenos/farmacología , Yohimbina/farmacología
6.
Zygote ; 15(2): 183-7, 2007 May.
Artículo en Inglés | MEDLINE | ID: mdl-17462111

RESUMEN

In amphibian oocytes meiosis, the transition from G2 to M phase is regulated by the maturation promoting factor (MPF), a complex of the cyclin-dependent kinase p34/cdc2 and cyclin B. In immature oocytes there is an inactive complex (pre-MPF), in which cdc2 is phosphorylated on both Thr-161 and Thr-14/Tyr-15 residues. The dephosphorylation of Thr-14/Tyr-15 is necessary for the start of MPF activation and it is induced by the activation of cdc25 phosphatase. Late, to complete the activation, a small amount of active MPF induces an auto-amplification loop of MPF stimulation (MPF amplification). Dehydroleucodine (DhL) is a sesquiterpenic lactone that inhibits mammalian cell proliferation in G2. We asked whether DhL interferes with MPF activation. For this question, the effect of DhL (up to 30 microM) on the resumption of meiosis was evaluated, and visualized by germinal vesicle break down (GVBD), of Bufo arenarum oocytes induced in vitro by either: (i) removing follicle cells; (ii) progesterone stimulation; (iii) VG-content injection; or (iv) injection of mature cytoplasm. The results show that DhL induced GVBD inhibition, in a dose-dependent manner, in spontaneous and progesterone-induced oocyte maturation. Nevertheless, DhL at the doses assayed had no effect on GVBD induced by mature cytoplasm injection, but exerted an inhibitory effect on GVBD induced by GV content. On the basis of these results, we interpreted that DhL does not inhibit MPF amplification and that the target of DhL is any event in the early stages of the cdc25 activation cascade.


Asunto(s)
Bufo arenarum/fisiología , Lactonas/farmacología , Meiosis/efectos de los fármacos , Oocitos/efectos de los fármacos , Oocitos/fisiología , Sesquiterpenos/farmacología , Animales , Células Cultivadas , Citoplasma/metabolismo , Femenino , Factor Promotor de Maduración/metabolismo , Meiosis/fisiología , Oocitos/citología , Oogénesis/fisiología , Folículo Ovárico/citología , Folículo Ovárico/fisiología , Progesterona/farmacología , Progestinas/farmacología , Fosfatasas cdc25
7.
Cell Mol Biol (Noisy-le-grand) ; 51(6): 525-30, 2005 Nov 08.
Artículo en Inglés | MEDLINE | ID: mdl-16309576

RESUMEN

Vascular smooth muscle cell (VSMC) proliferation plays an important role in the development of atherosclerosis and in the vascular changes seen in hypertension. Dehydroleucodine (DhL) is a sesquiterpene lactone that inhibits cell proliferation in plant cells. In this paper, we study the effect of DhL in the proliferation of VSMCs stimulated with 10% fetal bovine serum (FBS). Very low concentrations of DhL (2-6 microM) inhibited VSMC proliferation and induced cell accumulation in G2. DhL did not affect the dynamics of 3H-thymidine incorporation, and did not modify either the activity of DNA polymerase or the incorporation of deoxyribonucleotides in an in vitro assay. Moreover, DhL did not induce apoptosis in VSMCs. These results indicate that DhL, in very low concentration, induces a transient arrest of VSMCs in G2. Our data show that VSMCs are especially sensitive to DhL effect, suggesting that DhL could be potentially useful to prevent the vascular pathological changes seen in hypertension and other vascular diseases.


Asunto(s)
Proliferación Celular/efectos de los fármacos , Fase G2/efectos de los fármacos , Lactonas/farmacología , Músculo Liso Vascular/citología , Músculo Liso Vascular/efectos de los fármacos , Miocitos del Músculo Liso/efectos de los fármacos , Sesquiterpenos/farmacología , Animales , Apoptosis/efectos de los fármacos , Ciclo Celular/efectos de los fármacos , Supervivencia Celular/efectos de los fármacos , Células Cultivadas , ADN/metabolismo , Replicación del ADN/efectos de los fármacos , ADN Polimerasa Dirigida por ADN/metabolismo , Desoxirribonucleótidos/metabolismo , Hipertensión/patología , Hipertensión/fisiopatología , Masculino , Músculo Liso Vascular/fisiología , Miocitos del Músculo Liso/citología , Reacción en Cadena de la Polimerasa , Ratas , Ratas Endogámicas WKY
8.
Minerva Chir ; 58(4): 557-62, 2003 Aug.
Artículo en Italiano | MEDLINE | ID: mdl-14603169

RESUMEN

BACKGROUND: The aim of this paper was to report our personal experience in the endoscopic treatment of chronic venous insufficiency associated with incompetent perforating veins. METHODS: In the region of 400 cases of chronic venous insufficiency, classified using the new CEAP criteria, were treated over the course of one year at the General Surgery unit of Ospedale SS. Trinità in Fossano (Cuneo). Of these, 47 patients, classified between C2 and C6, underwent endoscopic treatment of insufficient perforating veins showing persistent or recidivating trophic ulcerative lesions; radical internal saphenectomy was associated in 30 cases. RESULTS: The results were reappraised at 12, 10, 8, 6, 4, 2 and 1 month, and trophic lesions had already healed after 5 weeks in 35 patients. There was a marked clinical improvement and a noticeable change in quality of life in 10 patients, whereas treatment failed in 2 cases. No cases of recidivation have been reported in the patients who were successfully treated, but in spite of an improvement in cutaneous skin trophism, there were persistent dyschromic lesions in 40 patients who underwent SEPS. CONCLUSIONS: Having compared our experience with that of other authors, we conclude that SEPS is undoubtedly an effective method for the surgical treatment of chronic venous insufficiency with incompetent perforating veins. However, it is harder to establish the real role played by SEPS when treatment is associated with saphenectomy. In view of this, we regard SEPS as a "complementary" treatment forming part of a wider therapeutic context.


Asunto(s)
Endoscopía/métodos , Insuficiencia Venosa/cirugía , Adulto , Anciano , Femenino , Humanos , Pierna/irrigación sanguínea , Úlcera de la Pierna/etiología , Ligadura , Masculino , Persona de Mediana Edad , Seguridad , Vena Safena/cirugía , Resultado del Tratamiento , Insuficiencia Venosa/complicaciones
9.
Phytother Res ; 17(4): 404-6, 2003 Apr.
Artículo en Inglés | MEDLINE | ID: mdl-12722150

RESUMEN

A pharmacological evaluation of Zuccagnia punctata Cav. (Fabaceae) on the gastrointestinal tract was made in rats and mice. 2',4'-dihydroxychalcone and 2',4'-dihydroxy-3'-methoxychalcone were isolated from Zuccagnia punctata. The data reported in the present work indicate that the acetone extract and infusion of Zuccagnia punctata reduced intestinal transit in rats and mice and offered protection against ethanol-induced ulceration in rats. The Z. punctata effect could be due, in part, to the presence of 2',4'-dihydroxychalcone and 2',4'-dihydroxy-3'-methoxychalcone in this plant.


Asunto(s)
Antiulcerosos/farmacología , Antidiarreicos/farmacología , Caesalpinia , Fitoterapia , Extractos Vegetales/farmacología , Úlcera Gástrica/tratamiento farmacológico , Animales , Antiulcerosos/administración & dosificación , Antiulcerosos/uso terapéutico , Antidiarreicos/administración & dosificación , Antidiarreicos/uso terapéutico , Aceite de Ricino , Diarrea/tratamiento farmacológico , Relación Dosis-Respuesta a Droga , Etanol , Motilidad Gastrointestinal/efectos de los fármacos , Masculino , Ratones , Extractos Vegetales/administración & dosificación , Extractos Vegetales/uso terapéutico , Distribución Aleatoria , Ratas , Ratas Wistar , Úlcera Gástrica/inducido químicamente , Úlcera Gástrica/patología
10.
Protoplasma ; 219(1-2): 82-8, 2002 Feb.
Artículo en Inglés | MEDLINE | ID: mdl-11926070

RESUMEN

Dehydroleucodine is a sesquiterpene lactone recently isolated from aerial parts of a medicinal herb, Artemisia douglasiana Besser. We have previously shown that 25 and 100 microM dehydroleucodine slowed down onion root growth by 30 and 70%, respectively, affecting neither cell viability nor cell elongation. In the present study we analyze the effect of dehydroleucodine on cell cycle phases in onion (Allium cepa L.) root meristematic cells synchronized with caffeine or caffeine and hydroxyurea. Synchronized root cells treated with 100 and 200 microM dehydroleucodine present an interphase lengthening of 5.2 h and 8.2 h, respectively. The S-phase length, estimated by [3H]thymidine incorporation assay, was 6 h for both control roots and roots that had been immersed in dehydroleucodine. The peak of [3H]leucine incorporation was observed 6 h after release from synchronization in controls and in dehydroleucodine-treated roots, indicating that protein synthesis in G2 was not affected. Thus, these results show that dose-dependently dehydroleucodine selectively induces a transient arrest of meristematic cell in G2 and that dehydroleucodine can be used experimentally as a cell cycle suppressor.


Asunto(s)
Fase G2/efectos de los fármacos , Lactonas/farmacología , Meristema/efectos de los fármacos , Cebollas/citología , Cebollas/efectos de los fármacos , Sesquiterpenos/farmacología , Cafeína/farmacología , Replicación del ADN/efectos de los fármacos , Hidroxiurea/farmacología , Meristema/citología , Meristema/crecimiento & desarrollo , Mitosis/efectos de los fármacos , Fase S/efectos de los fármacos , Especificidad por Sustrato , Factores de Tiempo
11.
Biocell ; 25(1): 29-34, 2001 Apr.
Artículo en Inglés | MEDLINE | ID: mdl-11387874

RESUMEN

Here, we prove that dehydroleucodine, a sesquiterpene lactone, at low concentrations (25-100 microM) slowed down the Allium cepa L root growth by 22-70% respectively neither affecting cell viability nor cell size. Removal of the drug after 24 h incubation restored the normal growth rate of the roots. Higher concentrations (200 microM) of dehydroleucodine were deleterious for the roots. As cell size did not change, it is most likely that dehydroleucodine affected some event of cell division cycle making it longer. Thus, dehydroleucodine could be a useful tool to slow down cell proliferation.


Asunto(s)
Lactonas/farmacología , Cebollas/efectos de los fármacos , Raíces de Plantas/efectos de los fármacos , Sesquiterpenos/farmacología , Tamaño de la Célula , Supervivencia Celular/efectos de los fármacos , Cebollas/crecimiento & desarrollo , Raíces de Plantas/citología , Raíces de Plantas/crecimiento & desarrollo
12.
Nat Prod Lett ; 15(6): 425-31, 2001.
Artículo en Inglés | MEDLINE | ID: mdl-11838981

RESUMEN

From the flowers of Baccharis medullosa DC (Asteraceae) two new ent-labdane-type diterpene glycosides were isolated. Structures were established by application of various spectroscopic techniques. The sugar residues were identified after acid hydrolysis of the isolated products.


Asunto(s)
Asteraceae/química , Diterpenos/aislamiento & purificación , Glicósidos/aislamiento & purificación , Plantas Medicinales/química , Argentina , Cromatografía Liquida , Diterpenos/química , Cromatografía de Gases y Espectrometría de Masas , Glicósidos/química , Estructura Molecular , Resonancia Magnética Nuclear Biomolecular , Estereoisomerismo
13.
Biocell ; 25(1): 29-34, 2001 Apr.
Artículo en Inglés | BINACIS | ID: bin-39523

RESUMEN

Here, we prove that dehydroleucodine, a sesquiterpene lactone, at low concentrations (25-100 microM) slowed down the Allium cepa L root growth by 22-70


respectively neither affecting cell viability nor cell size. Removal of the drug after 24 h incubation restored the normal growth rate of the roots. Higher concentrations (200 microM) of dehydroleucodine were deleterious for the roots. As cell size did not change, it is most likely that dehydroleucodine affected some event of cell division cycle making it longer. Thus, dehydroleucodine could be a useful tool to slow down cell proliferation.

14.
Phytother Res ; 14(7): 558-60, 2000 Nov.
Artículo en Inglés | MEDLINE | ID: mdl-11054852

RESUMEN

The charge (relative concentration) of antioxidants in aqueous extract and dehydroleucodine (DhL) from Artemisia douglasiana Besser was determined employing a procedure based on the quenching of luminol-enhanced chemiluminescence. Total reactive antioxidant potential (TRAP) and total antioxidant reactivity (TAR) values were determined. The data reported in the present work indicate that the extract of Artemisia douglasiana Besser and DhL showed antioxidant capacity. This activity is more pronounced in the extract, suggesting the presence of several antioxidants in Artemisia douglasiana.


Asunto(s)
Antiulcerosos/química , Antioxidantes/química , Artemisia , Lactonas/química , Plantas Medicinales , Sesquiterpenos/química , Humanos , Mediciones Luminiscentes , Extractos Vegetales/química
15.
Phytochemistry ; 53(8): 911-5, 2000 Apr.
Artículo en Inglés | MEDLINE | ID: mdl-10820802

RESUMEN

One icetexane and two abietane diterpenes were isolated from the aerial parts of Salvia gilliesii, and characterized as 5-epi-icetexone; 12-hydroxy-11,14-diketo-6,8,12-abietatrien-19,20-olide and 6 alpha,12,19-trihydroxy-11,14-diketo-8,12-abietadien-20,7 beta-olide, respectively. The structures were established by analysis of their 1H and 13C NMR spectra with the aid of 2D experiments. The triterpene oleanolic acid was isolated from the same source.


Asunto(s)
Diterpenos/aislamiento & purificación , Extractos Vegetales/química , Diterpenos/química , Espectroscopía de Resonancia Magnética
16.
Biol Pharm Bull ; 23(5): 555-7, 2000 May.
Artículo en Inglés | MEDLINE | ID: mdl-10823663

RESUMEN

The gastric cytoprotective activity of several molecules containing an alpha,beta-unsaturated carbonyl system is reported. We attributed this gastroprotective activity to the presence of a non-hindered Michael acceptor in the molecules assayed and suggested that the mechanism of protection would involve, at least in part, a nucleophilic attack of the sulphydryl group of the gastric mucosa to the beta carbon of the Michael acceptors of the compounds assayed.


Asunto(s)
4-Butirolactona/análogos & derivados , Antiulcerosos/uso terapéutico , Ciclopentanos/uso terapéutico , Úlcera Gástrica/prevención & control , 4-Butirolactona/química , 4-Butirolactona/uso terapéutico , Animales , Antiulcerosos/química , Ciclopentanos/química , Mucosa Gástrica/efectos de los fármacos , Sustancias Protectoras/química , Sustancias Protectoras/uso terapéutico , Ratas , Ratas Wistar , Úlcera Gástrica/inducido químicamente , Relación Estructura-Actividad
17.
J Parasitol ; 86(2): 407-12, 2000 Apr.
Artículo en Inglés | MEDLINE | ID: mdl-10780563

RESUMEN

Here, we report an inhibitory effect of a sesquiterpene lactone dehydroleucodine (DhL) on the growth of Trypanosoma cruzi in culture. At concentrations of the drug between 5 and 10 microg/ml in the medium,the parasites remained alive for at least 4 days. Higher concentrations of DhL were lethal for the parasites within a few hours. The effect of DhL is irreversible. Morphological changes induced by DhL were also observed in the parasites. The effect of DhL was blocked by the presence of reducing substrates such as glutathione or dithiothreitol, but these agents were not able to reverse the effect of DhL if added 2 days after the start of drug exposure.


Asunto(s)
Lactonas/farmacología , Sesquiterpenos/farmacología , Trypanosoma cruzi/efectos de los fármacos , Animales , Artemisia/química , Medios de Cultivo , Lactonas/química , Lactonas/aislamiento & purificación , Microscopía Electrónica , Plantas Medicinales , Sesquiterpenos/química , Sesquiterpenos/aislamiento & purificación , Trypanosoma cruzi/crecimiento & desarrollo , Trypanosoma cruzi/ultraestructura
18.
Phytochemistry ; 55(7): 721-6, 2000 Dec.
Artículo en Inglés | MEDLINE | ID: mdl-11190387

RESUMEN

From the aerial parts of Laennecia sophiifolia (Kunth) G.L. Nesom, a neo-clerodane and an acyclic furano diterpene were isolated, along with four known compounds, 2beta-hydroxyhardwickiic acid, hawtriwaic acid, apigenin, and beta-sitosterol. Their structures were established as 12-epi-bacchotricuneatin A and (2E,6E)-9-(3-furyl)-6-methyl-2-(4-methylpent-3-enyl)-nona-2,6-dienoic acid, by analysis of spectral evidence. The absolute structure of 12-epi-bacchotricuneatin A was determined by a circular dichroism spectral comparison with that of bacchotricuneatin A.


Asunto(s)
Asteraceae/química , Diterpenos/aislamiento & purificación , Diterpenos/química , Estructura Molecular , Análisis Espectral
19.
Farmaco ; 55(6-7): 502-5, 2000.
Artículo en Inglés | MEDLINE | ID: mdl-11204754

RESUMEN

The chemical study of aerial parts of Lampaya hieronymi Schum. ex Moldenke yielded oleanolic acid, epi-oleanolic acid, epi-maslinic acid, 4'7-dimethoxyapigenin, p-hydroxyacetophenone, and p-hydroxyacetophenone-beta-glucoside. In searching for natural products as potential anti-inflammatory agents, all the compounds, except 4'7-dimethoxyapigenin were evaluated in vivo for their ability to inhibit acute inflammation. Our studies demonstrated that p-hydroxyacetophenone and the triterpenes produced protective effects in carrageenan induced paw edema in mouse, at 1-3 h and 3-5 h, respectively, after the injection of carrageenan. These results indicated that their effects might correlate with the release of histamine, serotonin, kinin and prostaglandins.


Asunto(s)
Antiinflamatorios no Esteroideos/aislamiento & purificación , Plantas Medicinales/química , Animales , Antiinflamatorios no Esteroideos/administración & dosificación , Antiinflamatorios no Esteroideos/farmacología , Carragenina , Edema/inducido químicamente , Edema/prevención & control , Femenino , Inyecciones Intraperitoneales , Masculino , Ratones , Extractos Vegetales/administración & dosificación , Extractos Vegetales/química , Extractos Vegetales/farmacología
20.
Minerva Chir ; 55(10): 721-32, 2000 Oct.
Artículo en Italiano | MEDLINE | ID: mdl-11236350

RESUMEN

BACKGROUND: In gastric cancer surgery, to search for a technique to remove the entire posterior mesogastric region using a standardised operation using well defined methods and anatomic-embryological planes. METHODS: A concise description of the embryological evolution of the posterior mesogastrium allow the formation of the mesogastric fascia (and the supramesocolic fascia of the omentum--which is a continuation) to be documented. It is also clear that the mesogastric fascia is the embryological--anatomical equivalent of Treitz's fascia, pancreatic retro-head, and Toldt's retrocolic fascia, of which it is a structural continuation. Like Treitz's and Toldt's fascias, the mesogastric fascia also represents the surgical plane for the detachment of the region in question and allows maximum safety and radicality. By carrying out primary ligature of the arteries at the origin and the veins at the outlet, the entire posterior mesogastric region, with the relative lymph node stations, can be removed en bloc with maximum radicality and safety, and also in line with the principle of "no touch isolation". We used this technique to operate 61 cases, 17% of all cases of gastric carcinomas between 1973 and 1994. RESULTS: Mesogastrectomy was required in 87% of cases with carcinoma in a high localisation or widespread nature of the linitis plastica type. Only 23 cases (37%) were at pTNM II and III A stages. Thirty-eight cases (63%) were at stages III B and IV. In non-selected cases and those with severe associated pathologies and undergoing emergency surgery, and those cases that were extended beyond mesogastrectomy, morbidity was above all linked to pleural effusion. There were only 2 cases (3%) of operating mortality owing to two technical errors: an esophago-jejunal anastomotic dehiscence (the only case in the series, 1.6%) caused by esophageal cancer nests in the suture and a case of necrosis in the left hepatic region following the section of the left gastric artery at the origin despite the existence of a large hepatic collateral vessel. The results for stages II and III A were excellent: stage II, 100% survival at 5, 10 and 15 years; stage III A 88% survival at 5 years, 70% at 10 years, 55% at 15 years, but only two deaths from neoplasia at 2.7 and 4.6 years. The results for stages III B and IV are comparable to large series undergoing traditional forms of surgery. Postoperative conditions of nutrition and quality of life were good and patients resumed activities with the aid of constant chlorhydric-peptic replacement treatment and the total extraction of gastric mucosa. CONCLUSIONS: We believe that mesogastrectomy represents a real advance in both technical terms and results for stages II and III A; it is debatable for stages III B and IV, although individual cases who survived for more than 10 years were also reported. The case of a stage pT3N0M1 = IV pathology, with a single hepatic metastasis that increased until one year and then spontaneously resolved leaving the patient alive and in good health 20 years and 6 months after the operation is truly amazing.


Asunto(s)
Gastrectomía/métodos , Neoplasias Gástricas/cirugía , Adulto , Anciano , Femenino , Humanos , Masculino , Persona de Mediana Edad
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