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1.
Sci Adv ; 10(28): eado2483, 2024 Jul 12.
Artigo em Inglês | MEDLINE | ID: mdl-38996017

RESUMO

Noninvasive tracking of biochemical processes in the body is paramount in diagnostic medicine. Among the leading techniques is spectroscopic magnetic resonance imaging (MRI), which tracks metabolites with an amplified (hyperpolarized) magnetization signal injected into the subject just before scanning. Traditionally, the brief enhanced magnetization period of these agents limited clinical imaging. We propose a solution based on amalgamating two materials-one having diagnostic-metabolic activity and the other characterized by robust magnetization retention. This combination slows the magnetization decay in the diagnostic metabolic probe, which receives continuously replenished magnetization from the companion material. Thus, it extends the magnetization lifetime in some of our measurements to beyond 4 min, with net magnetization enhanced by more than four orders of magnitude. This could allow the metabolic probes to remain magnetized from injection until they reach the targeted organ, improving tissue signatures in clinical imaging. Upon validation, this metabolic MRI technique promises wide-ranging clinical applications, including diagnostic imaging, therapeutic monitoring, and posttreatment surveillance.


Assuntos
Meios de Contraste , Imageamento por Ressonância Magnética , Imageamento por Ressonância Magnética/métodos , Meios de Contraste/química , Humanos , Animais , Magnetismo
2.
Methods Mol Biol ; 2819: 535-572, 2024.
Artigo em Inglês | MEDLINE | ID: mdl-39028523

RESUMO

Genomes carry the genetic blueprint of all living organisms. Their organization requires strong condensation as well as carefully regulated accessibility to specific genes for proper functioning of their hosts. The study of the structure and dynamics of the proteins that organize the genome has benefited tremendously from the development of single-molecule force spectroscopy techniques that allow for real-time, nanometer accuracy measurements of the compaction of DNA and manipulation with pico-Newton scale forces. Magnetic tweezers, in particular, have the unique ability to complement such force spectroscopy with the control over the linking number of the DNA molecule, which plays an important role when DNA-organizing proteins form or release wraps, loops, and bends in DNA. Here, we describe all the necessary steps to prepare DNA substrates for magnetic tweezers experiments, assemble flow cells, tether DNA to a magnetic bead inside a flow cell, and manipulate and record the extension of such DNA tethers. Furthermore, we explain how mechanical parameters of nucleoprotein filaments can be extracted from the data.


Assuntos
DNA , Imagem Individual de Molécula , DNA/química , DNA/genética , Imagem Individual de Molécula/métodos , Microscopia de Força Atômica/métodos , Magnetismo , Conformação de Ácido Nucleico , Pinças Ópticas
3.
Biointerphases ; 19(4)2024 Jul 01.
Artigo em Inglês | MEDLINE | ID: mdl-38994898

RESUMO

Magnetic motors are a class of out-of-equilibrium particles that exhibit controlled and fast motion overcoming Brownian fluctuations by harnessing external magnetic fields. The advances in this field resulted in motors that have been used for different applications, such as biomedicine or environmental remediation. In this Perspective, an overview of the recent advancements of magnetic motors is provided, with a special focus on controlled motion. This aspect extends from trapping, steering, and guidance to organized motor grouping and degrouping, which is known as swarm control. Further, the integration of magnetic motors in soft robots to actuate their motion is also discussed. Finally, some remarks and perspectives of the field are outlined.


Assuntos
Robótica , Robótica/métodos , Movimento (Física) , Campos Magnéticos , Magnetismo , Proteínas Motores Moleculares/química , Proteínas Motores Moleculares/metabolismo , Fenômenos Magnéticos
4.
Sci Rep ; 14(1): 14265, 2024 06 20.
Artigo em Inglês | MEDLINE | ID: mdl-38902360

RESUMO

With the increasing application of magnetic compression anastomosis (MCA) in gastrointestinal anastomosis, we identified an interesting phenomenon that an anastomosis is more prone to stenosis after endoscopic gastrointestinal MCA. We hypothesized that the increase in tissue tension during endoscopic procedures is the cause of anastomotic stenosis. In this study, we investigated the effect of tissue tension on gastroduodenal bypass MCA in Sprague-Dawley (SD) rats. Twenty SD rats were divided into the study group (high-tension group, n = 10) and control group (no tension group, n = 10), wherein the rats underwent complete gastroduodenal bypass magnetic anastomosis under high tension and no tension of the digestive tract, respectively. Anastomotic specimens were obtained 4 weeks after the operation, and anastomotic diameters of the two groups were observed and measured. The histological difference was observed by hematoxylin & eosin and Masson staining. The operation was successfully completed in all rats, and all survived until 4 weeks postoperatively. Anastomotic measurements revealed that the anastomosis diameter was significantly smaller in the study group than in the control group, and there were three cases of severe anastomotic stenosis. Histological observation showed that the amount of collagen fibers in the anastomosis was greater in the study group than in the control group. The results suggest that the high-tension state of the digestive tract is an important factor leading to anastomotic stenosis, and thus, we put forward the Yan-Zhang's Tissue Tension Theory of MCA to explain this phenomenon.


Assuntos
Anastomose Cirúrgica , Ratos Sprague-Dawley , Animais , Anastomose Cirúrgica/métodos , Ratos , Masculino , Trato Gastrointestinal/cirurgia , Constrição Patológica/cirurgia , Magnetismo
5.
Se Pu ; 42(6): 564-571, 2024 Jun.
Artigo em Chinês | MEDLINE | ID: mdl-38845517

RESUMO

Protein phosphorylation plays an important role in cellular signaling and disease development. Advances in mass spectrometry-based proteomics have enabled qualitative and quantitative phosphorylation studies as well as in-depth biological explorations for biomarker discovery and signaling pathway analysis. However, the dynamic changes that occur during phosphorylation and the low abundance of target analytes render direct analysis difficult because mass spectral detection offers no selectivity, unlike immunoassays such as Western blot and enzyme-linked immunosorbent assay (ELISA). The present study aimed to solve one of the key problems in the specific and efficient isolation of phosphorylated peptides. A method based on a magnetic carbon nitride composite coupled with matrix-assisted laser desorption/ionization time-of-flight mass spectrometry (MALDI-TOF-MS) was developed for the enrichment and analysis of phosphopeptides with low abundance in complex samples. Magnetic carbon nitride composite was synthesized and characterized by electron microscopy, infrared spectroscopy, and X-ray diffractometry. The composite showed a well-distributed two-dimensional layered structure and functional groups with excellent paramagnetic performance. Two classical phosphoproteins, namely, α- and ß-caseins, were selected as model phosphorylated samples to assess the performance of the proposed enrichment technique. The magnetic carbon nitride composite exhibited high selectivity and sensitivity for phosphopeptide enrichment. The limit of detection was determined by MALDI-TOF-MS analysis to be 0.1 fmol. The selectivity of the method was investigated using the digest mixtures of α-casein, ß-casein, and bovine serum albumin (BSA) with different mass ratios (1∶1∶1000, 1∶1∶2000, and 1∶1∶5000). Direct analysis of the samples revealed the dominance of spectral signals from the abundant peptides in BSA. After enrichment with the magnetic carbon nitride composite, the high concentration of background proteins was washed away and only the signals of the phosphopeptides were captured. The signals from the casein proteins were clearly observed with little background noise, indicating the high selectivity of the composite material. The robustness of the method was tested by assessing the reusability of the same batch of magnetic carbon nitride materials over 20 cycles of enrichment. The composite showed nearly the same enrichment ability even after several cycles of reuse, demonstrating its potential applicability for a large number of clinical samples. Finally, the method was applied to the analysis of phosphopeptides from several commonly used phosphoprotein-containing samples, including skimmed milk digest, human serum, and human saliva; these samples are significant in the analysis of food quality, disease biomarkers, and liquid biopsies for cancer. Without enrichment, no phosphopeptide was detected because of the high abundance of nonphosphopeptide materials dominating the spectral signals obtained. After pretreatment with the developed magnetic carbon nitride composite, most of the phosphosites were identified with high selectivity and sensitivity via MALDI-TOF-MS. These results revealed the practicality of the developed approach for clinical applications. In addition, our method may potentially be employed for phosphoproteomics with real complex biological samples.


Assuntos
Nitrilas , Fosfopeptídeos , Espectrometria de Massas por Ionização e Dessorção a Laser Assistida por Matriz , Fosfopeptídeos/análise , Fosfopeptídeos/química , Espectrometria de Massas por Ionização e Dessorção a Laser Assistida por Matriz/métodos , Nitrilas/química , Caseínas/química , Caseínas/análise , Fosforilação , Proteômica/métodos , Magnetismo
6.
PLoS One ; 19(6): e0304464, 2024.
Artigo em Inglês | MEDLINE | ID: mdl-38829915

RESUMO

The traction converter modulation generates switching-frequencies current harmonics. The trapped filters can eliminate these switching harmonics, reducing total inductance and filter size. Nonetheless, in comparison with the typical inductor-capacitor-inductor (LCL) filter, the trap inductor needs a larger magnetic core. Moreover, the trapped filter has not been analyzed in the traction systems. This paper proposes a magnetic integrated inductor-trap-inductor (LLCL) filter to decrease the filter's size and investigate its application in traction converters. In fact, the application range of this filter is quite broad, and it can be used in various electrical power systems, including industrial power systems, renewable energy systems, transportation systems, and building power systems. The LC-trap may be formed by connecting the equivalent trap inductor, introduced through the magnetic coupling between inverter-side and grid-side inductors, in series with the filter capacitor. Furthermore, for H-bridge unipolar pulse width modulation (PWM) traction converters, the prominent switching harmonics are concentrated at the double switching frequencies. Therefore, the stability zone is expanded by moving the resonance above the Nyquist frequency. The presented filter's features and design are thoroughly analyzed. The proposed method is finally validated by the MATLAB/Simulink simulation and hardware-in-the-loop (HIL) experimental results. Compared to the discrete windings, the integrated ones can save two magnetic cores. Furthermore, the proposed filter can meet IEEE criteria with 0.3% for all the harmonics and total harmonic distortion (THD) of 2.15% of the grid-side current.


Assuntos
Ferrovias , Desenho de Equipamento , Fontes de Energia Elétrica , Magnetismo
7.
Microb Biotechnol ; 17(6): e14481, 2024 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-38850268

RESUMO

In this review article, a perspective on the immobilization of various hydrolytic enzymes onto magnetic nanoparticles for synthetic organic chemistry applications is presented. After a first part giving short overview on nanomagnetism and highlighting advantages and disadvantages of immobilizing enzymes on magnetic nanoparticles (MNPs), the most important hydrolytic enzymes and their applications were summarized. A section reviewing the immobilization techniques with a particular focus on supporting enzymes on MNPs introduces the reader to the final chapter describing synthetic organic chemistry applications of small molecules (flavour esters) and polymers (polyesters and polyamides). Finally, the conclusion and perspective section gives the author's personal view on further research discussing the new idea of a synergistic rational design of the magnetic and biocatalytic component to produce novel magnetic nano-architectures.


Assuntos
Enzimas Imobilizadas , Enzimas Imobilizadas/química , Enzimas Imobilizadas/metabolismo , Nanopartículas de Magnetita/química , Biocatálise , Magnetismo
8.
Methods Mol Biol ; 2804: 65-75, 2024.
Artigo em Inglês | MEDLINE | ID: mdl-38753140

RESUMO

In recent years, the analysis of circulating cell-free DNA (cfDNA) containing tumor-derived DNA has emerged as a noninvasive means for cancer monitoring and personalized medicine. However, the isolation of cfDNA from peripheral blood has remained a challenge due to the low abundance and high fragmentation of these molecules. Here, we present a dynamic Magnetic ExTRactiOn (METRO) protocol using microfluidic fluidized bed technology to isolate circulating cfDNA from raw biological materials such as undiluted serum. This protocol maximizes the surface area for DNA binding within the chip in order to capture short DNA fragments. It uses only a few µL of sample and reagents. The protocol can be automated, and it is fully compatible with sensitive DNA amplification methods such as droplet-based digital PCR (ddPCR).


Assuntos
Ácidos Nucleicos Livres , Dispositivos Lab-On-A-Chip , Humanos , Ácidos Nucleicos Livres/isolamento & purificação , Ácidos Nucleicos Livres/sangue , Ácidos Nucleicos Livres/genética , Reação em Cadeia da Polimerase/métodos , Técnicas Analíticas Microfluídicas/métodos , Técnicas Analíticas Microfluídicas/instrumentação , Magnetismo/métodos , Neoplasias/sangue , Neoplasias/genética , Neoplasias/diagnóstico
9.
Methods Mol Biol ; 2804: 163-176, 2024.
Artigo em Inglês | MEDLINE | ID: mdl-38753147

RESUMO

Multiomics studies at single-cell level require small volume manipulation, high throughput analysis, and multiplexed detection, characteristics that droplet microfluidics can tackle. However, the initial step of molecule bioseparation remains challenging. Here, we describe a unique magnetic device to trap and extract magnetic particles in sub-nanoliter droplets, for compartmentalisation of detection steps. Relying on electrodeposition of NiFe structures and microfluidic manipulation, the extraction of 1 µm diameter magnetic particles was achieved at high throughput (20 droplets per second) with an efficiency close to 100% in 450 pL droplets. The first demonstration of its adaptability to single-cell analysis is demonstrated with the extraction of mRNA. Using a purified nucleic acid solution, this unique magnetic configuration was able to reach a RNA extraction rate of 72%. This is the first demonstration of a physical separation in droplets at high throughput at single-cell scale.


Assuntos
Análise de Célula Única , Análise de Célula Única/métodos , Técnicas Analíticas Microfluídicas/instrumentação , Técnicas Analíticas Microfluídicas/métodos , Ensaios de Triagem em Larga Escala/métodos , Magnetismo/métodos , RNA Mensageiro/genética , RNA Mensageiro/isolamento & purificação , Humanos , Microfluídica/métodos , Microfluídica/instrumentação
10.
Sci Rep ; 14(1): 10602, 2024 05 08.
Artigo em Inglês | MEDLINE | ID: mdl-38719935

RESUMO

Although the application of magnetic compression anastomosis is becoming increasingly widespread, the magnets used in earlier studies were mostly in the shape of a whole ring. Hence, a deformable self-assembled magnetic anastomosis ring (DSAMAR) was designed in this study for gastrointestinal anastomosis. Furthermore, its feasibility was studied using a beagle model. The designed DSAMAR comprised 10 trapezoidal magnetic units. Twelve beagles were used as animal models, and DSAMARs were inserted into the stomach and colon through the mouth and anus, respectively, via endoscopy to achieve gastrocolic magnamosis. Surgical time, number of failed deformations, survival rate of the animals, and the time of magnet discharge were documented. A month later, specimens of the anastomosis were obtained and observed with the naked eye as well as microscopically. In the gastrocolic anastomosis of the 12 beagles, the procedure took 65-120 min. Although a deformation failure occurred during the operation in one of the beagles, it was successful after repositioning. The anastomosis was formed after the magnet fell off 12-18 days after the operation. Naked eye and microscopic observations revealed that the anastomotic specimens obtained 1 month later were well-formed, smooth, and flat. DSAMAR is thus feasible for gastrointestinal anastomosis under full endoscopy via the natural orifice.


Assuntos
Anastomose Cirúrgica , Estudos de Viabilidade , Animais , Cães , Anastomose Cirúrgica/métodos , Estômago/cirurgia , Imãs , Magnetismo , Cirurgia Endoscópica por Orifício Natural/métodos , Cirurgia Endoscópica por Orifício Natural/instrumentação , Colo/cirurgia , Masculino
11.
Nat Commun ; 15(1): 3759, 2024 May 04.
Artigo em Inglês | MEDLINE | ID: mdl-38704384

RESUMO

Millimeter-scale soft continuum robots offer safety and adaptability in transluminal procedures due to their passive compliance, but this feature necessitates interactions with surrounding lumina, leading to potential medical risks and restricted mobility. Here, we introduce a millimeter-scale continuum robot, enabling apical extension while maintaining structural stability. Utilizing phase transition components, the robot executes cycles of tip-based elongation, steered accurately through programmable magnetic fields. Each motion cycle features a solid-like backbone for stability, and a liquid-like component for advancement, thereby enabling autonomous shaping without reliance on environmental interactions. Together with clinical imaging technologies, we demonstrate the capability of navigating through tortuous and fragile lumina to transport microsurgical tools. Once it reaches larger anatomical spaces such as stomach, it can morph into functional 3D structures that serve as surgical tools or sensing units, overcoming the constraints of initially narrow pathways. By leveraging this design paradigm, we anticipate enhanced safety, multi-functionality, and cooperative capabilities among millimeter-scale continuum robots, opening new avenues for transluminal robotic surgery.


Assuntos
Procedimentos Cirúrgicos Robóticos , Procedimentos Cirúrgicos Robóticos/instrumentação , Procedimentos Cirúrgicos Robóticos/métodos , Humanos , Desenho de Equipamento , Robótica/instrumentação , Robótica/métodos , Campos Magnéticos , Microcirurgia/instrumentação , Microcirurgia/métodos , Animais , Magnetismo
12.
Proc Jpn Acad Ser B Phys Biol Sci ; 100(5): 281-292, 2024.
Artigo em Inglês | MEDLINE | ID: mdl-38735752

RESUMO

Magnetron production and use far exceed that of other microwave tubes due to their high operational efficiency, power efficiency, and cost-effectiveness in production. The magnetron was named by A. W. Hull; however, the device invented by Hull differs from the magnetron utilized as a microwave tube. The magnetron widely used today is based on the split-anode magnetron invented by K. Okabe. This overview introduces two papers published by Okabe in the Proceedings of the Imperial Academy and discusses the events that led to the discovery of the split-anode magnetron. In addition, the operation mechanisms of magnetrons are explained.


Assuntos
Eletrodos , Invenções , História do Século XX , Micro-Ondas , Magnetismo
13.
Biomed Phys Eng Express ; 10(4)2024 Jun 27.
Artigo em Inglês | MEDLINE | ID: mdl-38788696

RESUMO

Aims and objectives: This research aims to develop a kinetic model that accurately captures the dynamics of nanoparticle impact and penetration into cell membranes, specifically in magnetically-driven drug delivery. The primary objective is to determine the minimum initial kinetic energy and constant external magnetic force necessary for successful penetration of the cell membrane.Model Development: Built upon our previous research on quasi-static nanoneedle penetration, the current model development is based on continuum mechanics. The modeling approach incorporates a finite element method and explicit dynamic solver to accurately represent the rapid dynamics involved in the phenomenon. Within the model, the cell is modeled as an isotropic elastic shell with a hemiellipsoidal geometry and a thickness of 200 nm, reflecting the properties of the lipid membrane and actin cortex. The surrounding cytoplasm is treated as a fluid-like Eulerian body.Scenarios and Results: This study explores three distinct scenarios to investigate the penetration of nanoneedles into cell membranes. Firstly, we examine two scenarios in which the particles are solely subjected to either a constant external force or an initial velocity. Secondly, we explore a scenario that considers the combined effects of both parameters simultaneously. In each scenario, we analyze the critical values required to induce membrane puncture and present comprehensive diagrams illustrating the results.Findings and significance: The findings of this research provide valuable insights into the mechanics of nanoneedle penetration into cell membranes and offer guidelines for optimizing magnetically-driven drug delivery systems, supporting the design of efficient and targeted drug delivery strategies.


Assuntos
Membrana Celular , Simulação por Computador , Sistemas de Liberação de Medicamentos , Membrana Celular/metabolismo , Cinética , Nanopartículas/química , Análise de Elementos Finitos , Humanos , Modelos Biológicos , Magnetismo , Agulhas
16.
Waste Manag ; 184: 82-91, 2024 Jul 15.
Artigo em Inglês | MEDLINE | ID: mdl-38797126

RESUMO

Magnetic iron concentrate (MIC) and nonmagnetic tailings (NT) are obtained from magnetization roasting of iron tailings (IT). MIC containing Pb adversely affects blast furnace ironmaking, while Cu in NT poses leaching risks. This study utilizes fast pyrolysis-suspension magnetization roasting to recover iron from IT. The enrichment of Pb, Cu, and the phase transformation mechanism of Cu in the process of suspension magnetization roasting and magnetic separation were clarified. Results show 96.13 % of Cu in IT is in limonite and 47.23 % of Pb is associated with iron. At 750 °C, with 10 % dosage of biomass pyrolysis and 10 min roasting, Pb, Cu and Fe contents in MIC are 0.96, 2.14 and 3.17 times that of NT. Increasing roasting temperature enhances Cu associated with iron enrichment into the MIC, while oxidation of free copper oxide associated with iron forms magnetic copper ferrite. Increased pyrolyzed biomass leads to over-reduction of magnetite associated with Cu to FeO associated with Cu, promoting magnetic copper ferrite decomposition into FeO and free copper oxide. This research holds significant importance in controlling the quality of MIC and the storage risk of IT, and provides theoretical guidance for the regulation and recovery of valuable metals in subsequent processes.


Assuntos
Cobre , Ferro , Chumbo , Cobre/química , Ferro/química , Chumbo/química , Magnetismo , Fenômenos Magnéticos
17.
Nat Commun ; 15(1): 4154, 2024 May 16.
Artigo em Inglês | MEDLINE | ID: mdl-38755205

RESUMO

The precise neural mechanisms within the brain that contribute to the remarkable lifetime persistence of memory are not fully understood. Two-photon calcium imaging allows the activity of individual cells to be followed across long periods, but conventional approaches require head-fixation, which limits the type of behavior that can be studied. We present a magnetic voluntary head-fixation system that provides stable optical access to the brain during complex behavior. Compared to previous systems that used mechanical restraint, there are no moving parts and animals can engage and disengage entirely at will. This system is failsafe, easy for animals to use and reliable enough to allow long-term experiments to be routinely performed. Animals completed hundreds of trials per session of an odor discrimination task that required 2-4 s fixations. Together with a reflectance fluorescence collection scheme that increases two-photon signal and a transgenic Thy1-GCaMP6f rat line, we are able to reliably image the cellular activity in the hippocampus during behavior over long periods (median 6 months), allowing us track the same neurons over a large fraction of animals' lives (up to 19 months).


Assuntos
Hipocampo , Neurônios , Ratos Transgênicos , Animais , Hipocampo/citologia , Neurônios/metabolismo , Ratos , Masculino , Cálcio/metabolismo , Cabeça/diagnóstico por imagem , Magnetismo , Odorantes/análise , Feminino
18.
World J Gastroenterol ; 30(16): 2272-2280, 2024 Apr 28.
Artigo em Inglês | MEDLINE | ID: mdl-38690021

RESUMO

BACKGROUND: The magnetic compression technique has been used to establish an animal model of tracheoesophageal fistula (TEF), but the commonly shaped magnets present limitations of poor homogeneity of TEF and poor model control. We designed a T-shaped magnet system to overcome these problems and verified its effectiveness via animal experiments. AIM: To investigate the effectiveness of a T-shaped magnet system for establishing a TEF model in beagle dogs. METHODS: Twelve beagles were randomly assigned to groups in which magnets of the T-shaped scheme (study group, n = 6) or normal magnets (control group, n = 6) were implanted into the trachea and esophagus separately under gastroscopy. Operation time, operation success rate, and accidental injury were recorded. After operation, the presence and timing of cough and the time of magnet shedding were observed. Dogs in the control group were euthanized after X-ray and gastroscopy to confirm establishment of TEFs after coughing, and gross specimens of TEFs were obtained. Dogs in the study group were euthanized after X-ray and gastroscopy 2 wk after surgery, and gross specimens were obtained. Fistula size was measured in all animals, and then harvested fistula specimens were examined by hematoxylin and eosin (HE) and Masson trichrome staining. RESULTS: The operation success rate was 100% for both groups. Operation time did not differ between the study group (5.25 min ± 1.29 min) and the control group (4.75 min ± 1.70 min; P = 0.331). No bleeding, perforation, or unplanned magnet attraction occurred in any animal during the operation. In the early postoperative period, all dogs ate freely and were generally in good condition. Dogs in the control group had severe cough after drinking water at 6-9 d after surgery. X-ray indicated that the magnets had entered the stomach, and gastroscopy showed TEF formation. Gross specimens of TEFs from the control group showed the formation of fistulas with a diameter of 4.94 mm ± 1.29 mm (range, 3.52-6.56 mm). HE and Masson trichrome staining showed scar tissue formation and hierarchical structural disorder at the fistulas. Dogs in the study group did not exhibit obvious coughing after surgery. X-ray examination 2 wk after surgery indicated fixed magnet positioning, and gastroscopy showed no change in magnet positioning. The magnets were removed using a snare under endoscopy, and TEF was observed. Gross specimens showed well-formed fistulas with a diameter of 6.11 mm ± 0.16 mm (range, 5.92-6.36 mm), which exceeded that in the control group (P < 0.001). Scar formation was observed on the internal surface of fistulas by HE and Masson trichrome staining, and the structure was more regular than that in the control group. CONCLUSION: Use of the modified T-shaped magnet scheme is safe and feasible for establishing TEF and can achieve a more stable and uniform fistula size compared with ordinary magnets. Most importantly, this model offers better controllability, which improves the flexibility of follow-up studies.


Assuntos
Modelos Animais de Doenças , Imãs , Traqueia , Fístula Traqueoesofágica , Animais , Cães , Fístula Traqueoesofágica/cirurgia , Fístula Traqueoesofágica/patologia , Fístula Traqueoesofágica/etiologia , Traqueia/cirurgia , Traqueia/patologia , Esôfago/cirurgia , Esôfago/patologia , Esôfago/diagnóstico por imagem , Gastroscopia/instrumentação , Gastroscopia/métodos , Duração da Cirurgia , Masculino , Magnetismo/instrumentação , Desenho de Equipamento , Humanos
19.
Cir Esp (Engl Ed) ; 102(6): 331-334, 2024 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-38608757

RESUMO

One of the recent advances in bariatric surgery is the use of magnetic devices. This research paper describes magnetic liver retraction in morbidly obese patients during bariatric surgery. A descriptive, prospective and observational study was carried out, analyzing 100 patients in whom magnetic retraction was used. Mean and SD body mass index was 46.1 ± 5.09 kg/m2. The magnetic system was successfully used for liver retraction in 95% of cases; in only 5% of cases was its use not possible due to hepatomegaly and severe hepatic steatosis. According to the results, magnetic liver retraction can be safe and used in bariatric surgery, regardless of body mass index and with a low percentage of complications.


Assuntos
Cirurgia Bariátrica , Fígado , Obesidade Mórbida , Humanos , Cirurgia Bariátrica/métodos , Cirurgia Bariátrica/efeitos adversos , Estudos Prospectivos , Feminino , Masculino , Obesidade Mórbida/cirurgia , Obesidade Mórbida/complicações , Adulto , Pessoa de Meia-Idade , Fígado/cirurgia , Magnetismo
20.
J Gastroenterol Hepatol ; 39(7): 1256-1266, 2024 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-38638082

RESUMO

Magnetic compression anastomosis (MCA) is a new method that provides sutureless passage construction for tubular organs. Due to the high recurrence rate of conventional endoscopic treatment and the high morbidity and mortality of surgical procedures, the MCA technique shows promise. The aim of this review is to comprehensively examine the literature related to the use of MCA in different gastrointestinal diseases over the past few years, categorizing them according to the anastomotic site and describing in detail the various methods of magnet delivery and the clinical outcomes of MCA. MCA is an innovative technique, and its use represents an advancement in the field of minimally invasive interventions. Comparison studies have shown that the anastomosis formed by MCA is comparable to or better than surgical sutures in terms of general appearance and histology. Although most of the current research has involved animal studies or studies with small populations, the safety and feasibility of MCA have been preliminarily demonstrated. Large prospective studies involving populations are still needed to guarantee the security of MCA. For technologies that have been initially used in clinical settings, effective measures should also be implemented to identify, even prevent, complications. Furthermore, specific commercial magnets must be created and optimized in this emerging area.


Assuntos
Anastomose Cirúrgica , Imãs , Humanos , Anastomose Cirúrgica/métodos , Endoscopia Gastrointestinal/métodos , Gastroenteropatias/cirurgia , Animais , Magnetismo , Resultado do Tratamento , Procedimentos Cirúrgicos sem Sutura/métodos , Pressão
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