Colon cancer in Argentina. I: Risk from intake of dietary items.

A case-control study has been conducted to investigate the relationship between dietary components and risk of colon cancer in the La Plata area of Argentina. Cases are 110 patients newly diagnosed with colon cancer in 10 major hospitals between 1985 and 1986. Two neighbourhood controls per case were individually matched by age, sex and place of residence. Personal interviews elicited information on frequency of consumption of 140 food items during the 5-year period up to 6 months prior to interview. Risk is analyzed by quartiles of individual food items and groups of items. Multivariate conditional logistic regression modelling indicates that consumption of eggs is associated with increased risk for colon cancer (odds ratios by quartile: 1.0, 1.58, 2.02, 4.66), as are some dairy products (ORs of 1.93 for the highest quartile of consumption of cheese). Intake of vegetables, fish and poultry is associated with statistically significant decreasing risk (ORs of 0.075, 0.39 and 0.39, for the highest categories of consumption of vegetables, fish and poultry, respectively). The risk for red meat does not consistently increase as consumption increases. Risks are not altered by the inclusion of potential confounders such as education or body mass index. These findings confirm those of several previous studies and are of particular interest, since the Argentinean diet typically includes a high intake of red meat.

Colon cancer in Argentina. II: Risk from fibre, fat and nutrients.

A case-control study has been conducted to investigate the relationship between total energy intake, fibre and nutrients and colon cancer in Argentina. Cases are 110 newly diagnosed patients from 10 hospitals between 1985 and 1986. Two neighbourhood controls per case were matched on age, sex and place of residence. The intake of calories, fibre and nutrients was estimated from the information collected on food consumption during the 5-year period up to 6 months prior to interview of subjects, based on a pilot study and standard portion sizes in Argentina. In conditional regression models, dietary fibre is highly protective (odds ratio (OR) = 0.07 per 19.02 g/day; 95% confidence interval (CI): 0.02 to 0.25) and total energy intake increases risk (RR = 1.82 per 1000 kcal/day; 95% CI: 1.20 to 2.77), each with adjustment for the other. Analysis of caloric components (fat, protein and carbohydrates) reveals that carbohydrates are the most important factor driving the total energy effect. Other nutrients make little apparent contribution to risk.

[Current significance of polypectomy of the upper gastrointestinal tract]. / Significación actual de la polipectomía del tracto gastrointestinal superior.

Author's experience about 70 endoscopic polipectomy of high gastrointestinal tract, realized on 53 patients during 1978-1983 period was evaluated. Esophaguel polyps incidence was 0.06% among 7.900 endoscopic studies; gastric polyps was 0.8% and duodenal was 0.03%. Diagnosis was radiologically suspected in 58%. Gastric antrum was the predominant localization (45.7%) and macroscopic Yamada types IV (32.8%) and III (30.0%) were found more frequently. Most of patients presented solitary polips (86.7%). 63.2% of pieces were under 10 mm in size and 35.2% between 10 - 20 mm. High frecuency of adenomas (23.5%) and a low one of hyperplasiogenic (7.3%) was the prominent finding; only one case of early gastric cancer was founded (1.5%). Neither adenoms or hyperplasiogenic polyps were founded on gastric fundus, and no direct relation between size and histopatologic type was observed. Only one hemorragic complication (1.4%) was present. Polips incidence on 800 consecutive auptopsy protocols in adults was 0.12%.

Significación actual de la polipectomía del tracto gastrointestinal superior. / [Current significance of polypectomy of the upper gastrointestinal tract]

Authors experience about 70 endoscopic polipectomy of high gastrointestinal tract, realized on 53 patients during 1978-1983 period was evaluated. Esophaguel polyps incidence was 0.06

among 7.900 endoscopic studies; gastric polyps was 0.8

and duodenal was 0.03

. Diagnosis was radiologically suspected in 58

. Gastric antrum was the predominant localization (45.7

) and macroscopic Yamada types IV (32.8

) and III (30.0

) were found more frequently. Most of patients presented solitary polips (86.7

). 63.2

of pieces were under 10 mm in size and 35.2

between 10 - 20 mm. High frecuency of adenomas (23.5

) and a low one of hyperplasiogenic (7.3

) was the prominent finding; only one case of early gastric cancer was founded (1.5

). Neither adenoms or hyperplasiogenic polyps were founded on gastric fundus, and no direct relation between size and histopatologic type was observed. Only one hemorragic complication (1.4

) was present. Polips incidence on 800 consecutive auptopsy protocols in adults was 0.12

.

[Presence of antisinusoid antibodies in alcoholic hepatitis. Its probable pathogenic implications]. / Presencia de anticuerpos anti-sinusoide en las hepatitis alcohólicas. Su probable implicancia patogénica.

In nine patients with histological diagnosis of alcoholic hepatitis, in-situ deposition of autologous immunoglobulins (IgG, Iga, IgM) were investigated by inmmuno fluorescent techniques (IF). In three patients a linear fluorescent pattern was seen on the sinusoidal walls. The bound inmunoglobulins could be eluted by treatment with low pH buffers. In the same patients circulating antibodies against liver structures were investigated by indirect IF using normal murine or human liver as targets. In the same patients showing bound immunoglobulins in their liver, curculating antibodies against human sinusoids and not against murine liver could be found. On the basis of these findings the probable pathogenetic role of immune mechanism in alcoholic liver damage is discussed.

Presencia de anticuerpos anti-sinusoide en las hepatitis alcohólicas. Su probable implicancia patogénica / [Presence of antisinusoid antibodies in alcoholic hepatitis. Its probable pathogenic implications]

In nine patients with histological diagnosis of alcoholic hepatitis, in-situ deposition of autologous immunoglobulins (IgG, Iga, IgM) were investigated by inmmuno fluorescent techniques (IF). In three patients a linear fluorescent pattern was seen on the sinusoidal walls. The bound inmunoglobulins could be eluted by treatment with low pH buffers. In the same patients circulating antibodies against liver structures were investigated by indirect IF using normal murine or human liver as targets. In the same patients showing bound immunoglobulins in their liver, curculating antibodies against human sinusoids and not against murine liver could be found. On the basis of these findings the probable pathogenetic role of immune mechanism in alcoholic liver damage is discussed.

Presencia de anticuerpos anti-sinusoide en las hepatitis alcohólicas. Su probable implicancia patogénica. / [Presence of antisinusoid antibodies in alcoholic hepatitis. Its probable pathogenic implications]

In nine patients with histological diagnosis of alcoholic hepatitis, in-situ deposition of autologous immunoglobulins (IgG, Iga, IgM) were investigated by inmmuno fluorescent techniques (IF). In three patients a linear fluorescent pattern was seen on the sinusoidal walls. The bound inmunoglobulins could be eluted by treatment with low pH buffers. In the same patients circulating antibodies against liver structures were investigated by indirect IF using normal murine or human liver as targets. In the same patients showing bound immunoglobulins in their liver, curculating antibodies against human sinusoids and not against murine liver could be found. On the basis of these findings the probable pathogenetic role of immune mechanism in alcoholic liver damage is discussed.