On the Rat Gastric Motility

Total Page:16

File Type:pdf, Size:1020Kb

On the Rat Gastric Motility The Japanese Journal of Physiology 16, pp.497-508, 1966 ON THE RAT GASTRIC MOTILITY Takesi HUKUHARA AND Toshiaki NEYA Department of Physiology, Okayama University Medical School, Okayama From the results obtained in the experiments carried out on the automa- ticity of the motility of dogs small intestine, HUKUHARA, NAKAYAMA and FU- KUDA8) concluded that the origin of the intestinal motility was of neurogenic nature, that is, rhythmic contractions of the small intestine were maintained by acetylcholine which was spontaneously released from the intramural ganglion cells, including not only their cell bodies, but also their axons. This hypothesis is naturally expected to be applied to the gastric motility. Taking these facts and hypothesis into consideration, a series of experiments has been performed on the gastric motility. The experimental results here reported are concerned with the problems: the localization and specificity of the pacemaker, the difference of behavior of different regions of the stomach and the mechanism underlying these phenomena. As for the gastric peristalsis, the results obtained by investigators until 1924 were summarized by MCCREA et al.14) Since then there could be found only a few literatures4,6,10,11) related with the problems concerned. METHODS In order to observe the movement of the rat stomach in vivo, the well-fed animals weighing from 80 to 200 g were anesthetized with the intraperitoneal administration of 50 mg/kg pentobarbital sodium (Nembutal, ABBOT). It was characteristic that the movement of the rat stomach was not impaired despite administering such a large dose of the drug as described above. The animal was then set in supine position to the frames installed in the internal space of the double-walled trough, the lumen of the wall being irrigated with water appropriately warmed to keep the temperature of the space at about 37•Ž. After the abdominal cavity had been opened wide by the midline incision of the abdominal wall, the incised edges of the wall and the limb of the liver were connected at several spots to the frames by means of of cotton threads or serrefines in such a way that the ventral surface of the stomach was exposed to view. The abdominal cavity was then filled with Tyrode solution which was modified after TAKEMASA16)(1957) as follows: 0.221M-NaCl, 0.0028M-KCl, 0.0015M-CaCl2, 0.0024M-NaHCO3, 0.00032M-NaH2PO4 and 0.0101M-Glucose. For the purpose of observing the movements of the stomach in vitro the whole Received for publication February 8, 1966. *福 原 武 ,祢 屋 俊 昭 497 498 T. HUKUHARA AND T. NEYA stomach was isolated from the animal, which was not fed for 24 to 48 hours before the experiments, and immersed in the bath filled with Tyrode solution which was warmed to the constant temperature of 37•Ž and bubbled with oxgen gas . Leaving the small amount of original gastric content, the glass cannulae were inserted into the esophageal and duodenal lumens, respectively. The former was connected by means of a vinyl tube to a small, double-walled glass vessel which was filled with Tyrode solution and located as high as 5 cm H2O above the level of the stomach , while the latter was located at the level of the stomach. This Tyrode solution was kept at the temperature of about 37•Ž by irrigating the lumen of the wall of the vessel with water appropriately warmed. The gastric movement in vitro was observed sometimes on the dorsal side and sometimes on the ventral side of the stomach by means of a binocular dissecting microscope with low magnifications. Occasionally, the gastric motility was recorded by means of levers assorted with strain gauge transducers , the levers being set up at the two different points of the gastric surface, several millimeters apart from each other along its curved long axis. In order to study the features of the movements of various regions of the stomach strips consisting of the whole gastric layers, about 15 mm long and 1.5 mm wide, were made from the various regions of the stomach and immersed in Tyrode solution cooled to 3•‹ to 5•Ž (See FIG. 1): A) pacemaker strip which included the root of the left gastric artery and the spot at which the 2nd and the 3rd branches of artery bifurcated, B) body strip which was made from the region of the body distal to the pacemaker region, C) pyloric strip which was made from the pyloric part of the stomach distal to the angular incisure, D) sphincter strip which was made from the pyloric sphincter and E) fundus strip which was made from the pars proventricularis, to record their movements. The strips were suspended in the Tyrode bath, the temperature of which was kept constant at 37•Ž. Drugs used were physostigmine sulfate (Merck) and acetylcholine chloride (Daiichi Seiyaku). FIG. 1. Ventral view of rat stomach. In the diagram are shown the arteries providing the blood supply to the stomach. The pacemaker area is hatched. The areas surrounded by broken lines show those from which the strip preparations were made. ON THE RAT GASTRIC MOTILITY 499 RESULTS 1) Observations of the rat stomach in vivo. Rat stomach was supplied with the left and right gastric arteries as shown in FIG. 1: At the site just distal to the cardia, the left gastric artery bran- ched into two main branches, the ventral and dorsal ones, each of which then diverged into small branches spreading radially over the corresponding surfaces of the stomach. In the present experiments they were, for convenience sake, named V1, V2-V6 and D1, D2-D6, respectively, according as to whether they supplied the ventral or dorsal surfaces, and were arranged from the small curvature to the pars proventricularis. In addition, two isolated branches came from the left gastric artery on its way to the cardia to supply the pars proventricularis, and the right gastric artery supplied the pyloric part as well as the region of the corps ventriculi adjacent to the the greater curvature. Observing the ventral surface of the stomach, it was noted that the gas- tric peristalsis always started from the cross-sectional area a few millimeters wide in which the root of the left gastric artery and the point where branch V3 of the artery ramified from V2 were included (hatched area shown in FIG. 1). This area would be conveniently referred to as the pacemaker area. It was characteristic that every spot involved in this band of contraction almost simultaneously contracted. Every point of the band then caudally propagated with the same speed along the long axis of the stomach until it terminated at the pylorus, without, however, propagating beyond the pylorus to the duodenum. The peristaltic waves repeatedly appeared with a regular time interval of about 10 seconds. As the cardia was about 12 mm apart from the pylorus and the time elapsed in a whole swing was estimated at about 12 seconds, the velocity of the peristalsis was estimated at about 1 mm/sec. The peristaltic wave was considerably strong in the whole course along the lesser curvature, while along the greater curvature it was weak until it arrived at the angular incisure but then the nearer the wave approached the sphincter the stronger it became. On the other hand, as soon as the peristaltic wave nearly reached the middle of the pyloric part, the next one appeared at the pacemaker area, two bands of contractions being thus distinctly seen at the same time on the stomach. In FIG. 2 is shown the course of the gastric peristalsis. The pars proventricularis was apparently motionless. In addition, so far as the site of initiation of peristaltic waves was concerned, the bilateral severance of vagus and/or splanchnic nerves had no effect. 2) The movements of the stomach in vitro. A) On the peristalsis of the whole isolated stomach. Within the first 10 500 T. HUKUHARA AND T. NEYA . 2. Pictures indicating the course of the peristaltic waves of rat stomach in vivo. The stomach is view- ed from the ventral side. The pic- tures are taken with every 2 seconds intervals. Arrows show shallow de- pressions produced as the peristalsis sweeps down. Note that two depres- sions are seen at the same time in the pictures 1, 2, 5 and 6. minutes after the lumen of the isolated stomach had been parfused, the peris- taltic waves as usual appeared similarly to those observed in the stomach in vivo. And a minute amount of gastric content was expelled through the duodenal cannula, every time when the peristaltic wave reached the pylorus. On observing the stomach on its dorsal surface the gastric peristalsis showed the mirror image of that observed on the ventral surface. It was worthy to note that in this condition of the experiment the pacemaker shift occurred: FIG ON THE RAT GASTRIC MOTILITY 501 the transverse band of contraction so faint as one might overlook appeared sometimes at the midportion and sometimes at the top of the pars prov- entricularis, propagating distally to reach the pylorus. By utilizing the device described in Chapter 'Methods', the change of motility associated with the peristaltic wave was recorded at two different points which were several millimeters apart from each other along the curved long axis of the stomach. These mechanograms allowed to estimate accurately the velocity of the conduction as well as the period of the peristaltic contrac- tions. The example is shown in FIG. 3. In this case the period and the FIG. 3. Mechanograms of the peristalsis of the whole isolated rat stomach. Utilizing the levers assorted with strain gauge transducers the gastric peristalses were recorded at pacemaker area (A) and pyloric area (B) which were 11 millimeters apart from each other.
Recommended publications
  • Esophagus and Stomach
    anatomy Mohammad Almuhtaseb Majdoleen Hamed Bayan Zaben Esophagus The esophagus is a tubular structure (muscular, collapsible tube) about 10 in. (25 cm) long that is continuous above with the laryngeal part of the pharynx opposite the sixth cervical vertebra. .In general, the esophagus starts at the lower border of cricoid cartilage and ends at the cardia of the stomach. The esophagus conducts food from the pharynx into the stomach. Wavelike contractions of the muscular coat, called peristalsis, propel the food onward. It passes through the diaphragm by an opening called ESOPHAGEAL HIATUS (orifice) at the level of the 10th thoracic vertebra to join the stomach. In the neck, the esophagus lies in front of the vertebral column; laterally, it is related to the lobes of the thyroid gland; and anteriorly, it is in contact with the trachea and the recurrent laryngeal nerve. In the thorax, it passes downward and to the left through the superior and then the posterior mediastinum. At the level of the sternal angle, the aortic arch pushes the esophagus over to the midline. The relations of the thoracic part of the esophagus: 1-Anteriorly: The trachea and the left recurrent laryngeal nerve; the left principal bronchus, which constricts it (that’s mean any foreign body enters the esophagus will lodge in one of the 4 sites→At the beginning, left main bronchus, arch of the aorta, piercing of diaphragm) ; and the pericardium, which separates the esophagus from the left atrium. 2-Posteriorly: The bodies of the thoracic vertebrae; the thoracic duct; the azygos veins; the right posterior intercostal arteries; and, at its lower end, the descending thoracic aorta.
    [Show full text]
  • Case Report High Fever As an Initial Symptom of Primary Gastric Inflammatory Myofibroblastic Tumor in an Adult Woman
    Int J Clin Exp Med 2014;7(5):1468-1473 www.ijcem.com /ISSN:1940-5901/IJCEM0000684 Case Report High fever as an initial symptom of primary gastric inflammatory myofibroblastic tumor in an adult woman Jiang-Feng Qiu, Yi-Jiu Shi, Lei Fang, Hui-Fang Wang, Mou-Cheng Zhang Department of Gastrointestinal Surgery, Ningbo First Hospital, Ningbo, 315010, China Received March 29, 2014; Accepted May 9, 2014; Epub May 15, 2014; Published May 30, 2014 Abstract: Inflammatory myofibroblastic tumor, also known as inflammatory pseudotumor, plasma cell granuloma or inflammatory myofibroblastoma, is characterized histopathologically by myofibroblastic spindle cells with inflamma- tory cell infiltrates composed of plasma cells, lymphocytes and eosinophils. Inflammatory myofibroblastic tumor is typically seen in children or young adults and is most commonly localized to the lungs, but it can occur anywhere in the body. To date, however, only a few cases involving the stomach have been reported. Herein, we present a case of gastric inflammatory myofibroblastic tumor in an adult woman with an initial symptom of high fever. Keywords: Inflammatory myofibroblastic tumor, stomach, inflammatory pseudotumor, high fever, surgery Introduction tenderness. Routine blood tests revealed mi- crocytic hypochromic anemia with a hemoglo- Inflammatory myofibroblastic tumor (IMT) is an bin level of 10.8 g/dl and a hematocrit of 34.3%. uncommon mesenchymal neoplasm occurring Repeated blood cultures came up negative for mainly in children and young adults. IMT was the presence of bacteria or fungus. Radio- first described in the lung, but has since been logically, chest X-rays were normal, but con- observed in a wide variety of extrapulmonary trast-enhanced abdominal computed tomogra- sites such as the liver, urinary bladder, mesen- phy (CT) showed a 3.0 × 3.0 cm low-density tery, retroperitoneum, omentum and central mass located on the lesser curvature of the nervous system [1].
    [Show full text]
  • How Can Upper Gastrointestinal Endoscopy Help Me Make a Diagnosis in Dogs and Cats? Part 1
    26 SURGERY VP SEPTEMBER 2017 How can upper gastrointestinal endoscopy help me make a diagnosis in dogs and cats? Part 1 DISEASE OF THE UPPER of all dogs and cats using a gastroscope Rugal folds can be used to guide GASTROINTESTINAL TRACT with an insertion tube diameter of you through the stomach as they run is common in small animal practice up to 10mm. The critical factor is the length of the stomach and not and flexible endoscopy can provide the ability to pass the gastroscope transversely. So, if you want to reach a powerful diagnostic tool in the through the pylorus and intubate the the pylorus, in general follow the rugal investigation of such cases. duodenum. folds. The problem facing the clinician is Most endoscopists will freely admit The angular incisure marks the the range in size of patients which may that this is the most difficult procedure entrance to the antral canal, appearing require endoscopic investigation; from to carry out, even with the best as a sharp fold on the lesser curvature. small cats and dogs to giant breeds equipment available. The procedure It is also where carcinoma of the such as the Great Dane. This variation can, though, be made much more canine stomach is most often detected. in size creates difficult if a To ensure that the important real challenges large diameter landmarks you are looking for are JAMES W. SIMPSON Figure 2. Normal anatomy of the in being able insertion tube always in the same place as you enter feline and canine stomach. to physically provides some tips on is used.
    [Show full text]
  • SPLANCHNOLOGY Part I. Digestive System (Пищеварительная Система)
    КАЗАНСКИЙ ФЕДЕРАЛЬНЫЙ УНИВЕРСИТЕТ ИНСТИТУТ ФУНДАМЕНТАЛЬНОЙ МЕДИЦИНЫ И БИОЛОГИИ Кафедра морфологии и общей патологии А.А. Гумерова, С.Р. Абдулхаков, А.П. Киясов, Д.И. Андреева SPLANCHNOLOGY Part I. Digestive system (Пищеварительная система) Учебно-методическое пособие на английском языке Казань – 2015 УДК 611.71 ББК 28.706 Принято на заседании кафедры морфологии и общей патологии Протокол № 9 от 18 апреля 2015 года Рецензенты: кандидат медицинских наук, доцент каф. топографической анатомии и оперативной хирургии КГМУ С.А. Обыдённов; кандидат медицинских наук, доцент каф. топографической анатомии и оперативной хирургии КГМУ Ф.Г. Биккинеев Гумерова А.А., Абдулхаков С.Р., Киясов А.П., Андреева Д.И. SPLANCHNOLOGY. Part I. Digestive system / А.А. Гумерова, С.Р. Абдулхаков, А.П. Киясов, Д.И. Андреева. – Казань: Казан. ун-т, 2015. – 53 с. Учебно-методическое пособие адресовано студентам первого курса медицинских специальностей, проходящим обучение на английском языке, для самостоятельного изучения нормальной анатомии человека. Пособие посвящено Спланхнологии (науке о внутренних органах). В данной первой части пособия рассматривается анатомическое строение и функции системы в целом и отдельных органов, таких как полость рта, пищевод, желудок, тонкий и толстый кишечник, железы пищеварительной системы, а также расположение органов в брюшной полости и их взаимоотношения с брюшиной. Учебно-методическое пособие содержит в себе необходимые термины и объём информации, достаточный для сдачи модуля по данному разделу. © Гумерова А.А., Абдулхаков С.Р., Киясов А.П., Андреева Д.И., 2015 © Казанский университет, 2015 2 THE ALIMENTARY SYSTEM (systema alimentarium/digestorium) The alimentary system is a complex of organs with the function of mechanical and chemical treatment of food, absorption of the treated nutrients, and excretion of undigested remnants.
    [Show full text]
  • Abdomen 4.Pdf
    بسم هللا الرحمن الرحيم 1 Abdomen Part 4 2 Greater Omentum and Abdominal Vicsera 3 Greater Omentum and Abdominal Vicsera, Greater Omentum Raised 4 Mesenteric Relations of Intestines Transverse Colon Elevated 5 Mesenteric Relations of Intestines Small Intestine Removed 6 The Root of Mesentery • The short root of small intestinal mesentery is continuous with parietal peritoneum on posterior abdominal wall along a line that extends downward to right from left side of 2nd lumbar vertebra to region of right sacroiliac joint • It permits exit and entrance of arterial, venous and lymphatic vessels, and nerves to intestine 7 Function of Peritoneum • 1- Movements (gliding) of viscera on each other • 2- Peritoneal fluid contains leukocytes secreted from peritoneum • 3- Peritoneal fluid is not static and moves continuously toward subphrenic space quickly absorbed into lymphatic capillaries of diaphragmatic peritoneum • 4- Vessels and nerve supply to viscera • 5- Fat storage (large amount) • 6-Providing extensive surface for absorption and secretion (peritoneal dialysis) 8 Mesenteric Relations of Intestines Sigmoid Colon Reflected 9 Mesenteric Relations of Intestines Stomach Reflected 10 Suspensory Muscle of Duodenum (Ligament of Treitz, Dirived from Right Diphragmatic Crus) 11 12 13 14 15 16 17 18 19 Relations of Epiploic foramen • Anterior: free border of lesser omentum & its components • Posterior: IVC • Superior: Caudate process of liver • Inferior: 1st part of duodenum 20 21 Question 1 • How do you define peritoneal pouches? 22 Mesenteric Relations
    [Show full text]
  • Ta2, Part Iii
    TERMINOLOGIA ANATOMICA Second Edition (2.06) International Anatomical Terminology FIPAT The Federative International Programme for Anatomical Terminology A programme of the International Federation of Associations of Anatomists (IFAA) TA2, PART III Contents: Systemata visceralia Visceral systems Caput V: Systema digestorium Chapter 5: Digestive system Caput VI: Systema respiratorium Chapter 6: Respiratory system Caput VII: Cavitas thoracis Chapter 7: Thoracic cavity Caput VIII: Systema urinarium Chapter 8: Urinary system Caput IX: Systemata genitalia Chapter 9: Genital systems Caput X: Cavitas abdominopelvica Chapter 10: Abdominopelvic cavity Bibliographic Reference Citation: FIPAT. Terminologia Anatomica. 2nd ed. FIPAT.library.dal.ca. Federative International Programme for Anatomical Terminology, 2019 Published pending approval by the General Assembly at the next Congress of IFAA (2019) Creative Commons License: The publication of Terminologia Anatomica is under a Creative Commons Attribution-NoDerivatives 4.0 International (CC BY-ND 4.0) license The individual terms in this terminology are within the public domain. Statements about terms being part of this international standard terminology should use the above bibliographic reference to cite this terminology. The unaltered PDF files of this terminology may be freely copied and distributed by users. IFAA member societies are authorized to publish translations of this terminology. Authors of other works that might be considered derivative should write to the Chair of FIPAT for permission to publish a derivative work. Caput V: SYSTEMA DIGESTORIUM Chapter 5: DIGESTIVE SYSTEM Latin term Latin synonym UK English US English English synonym Other 2772 Systemata visceralia Visceral systems Visceral systems Splanchnologia 2773 Systema digestorium Systema alimentarium Digestive system Digestive system Alimentary system Apparatus digestorius; Gastrointestinal system 2774 Stoma Ostium orale; Os Mouth Mouth 2775 Labia oris Lips Lips See Anatomia generalis (Ch.
    [Show full text]
  • The Topography and Gross Anatomy of the Abdominal Gastrointestinal Tract of the Persian Squirrel (Sciurus Anomalus)
    Int. J. Morphol., 30(2):524-530, 2012. The Topography and Gross Anatomy of the Abdominal Gastrointestinal Tract of the Persian Squirrel (Sciurus anomalus) La Topografía y Anatomía Macroscópica del Tracto Gastrointestinal Abdominal de la Ardilla Persa (Sciurus anomalus) *Sadeghinezhad, J.; *Tootian, Z.; *Akbari, G. H. & **Chiocchetti, R. SADEGHINEZHAD, J.; TOOTIAN, Z.; AKBARI, G. H. & CHIOCCHETTI, R. The topography and gross anatomy of the abdomi- nal gastrointestinal tract of the persian squirrel (Sciurus anomalus). Int. J. Morphol., 30(2):524-530, 2012. SUMMARY: The Persian Squirrel (Sciurus anomalus) is the only member of the Sciuridae family found in the Middle East. It is herbivorous, feeding mostly on pine acorns and other seeds and fruits. It is a wild animal nesting in forest trees, although it is frequently found close to city gardens and parks. As Persian squirrels are also found in homes as “companion animals”, veterinarian assistance may be sometimes required; this is a good reason to gain more specific knowledge of the anatomical features of this animal. Due to the scantiness of relevant literature, we carried out this study with the aim to provide further information on the topography and gross anatomy of its abdominal gastrointestinal tract (GIT). Seven animals of this species were utilized to measure the length, content weight and area surface of the relative segments of the abdominal GIT. The stomach is unilocular, lined with glandular epithelium; the small intestine is divided into duodenum, jejunum and ileum. The cecum is situated on the right side of the abdominal cavity and lacks the vermiform appendix observed in some rodents.
    [Show full text]
  • Alimentary System2
    The Alimentary SystemⅡ 张 正 洪 副教授 Yunyang Medical College Composition Mouth Digestive tube 消化管 Pharynx • oral cavity Esophagus • Pharynx Major salivary glands • Esophagus Duodenum Stomach • Stomach Liver • Small intestine Jejunum Ileum Pancreas Duodenum • Large intestine Digestive glands 消化腺 Large intestine • Major salivary glands唾液腺 肝 Jejunum • Liver Ileum • Pancreas 胰 The Stomach 胃 The stomach is a mascular capsule ,and it is the most dilated portion of the alimentary canal,and is situated between the end of the esophagus and the beginning of the small intestine. The Stomach 胃 Shape Two surfaces: anterior and posterior Two curvatures两个弯曲 Lesser curvature 胃小弯 : angular incisure 角切迹 Greater curvature 胃大弯 Two openings Cardia 贲门 Pylorus 幽门 Fundus of Parts of stomach stomach 胃底 Cardiac part 贲门部 Cardiac part 贲门部 Fundus of stomach 胃底 胃体 Body Body of stomach of stomach Pyloric part 幽门部 胃体 Pyloric antrum 幽门 Pyloric canal 幽门管 Pyloric antrum 幽门窦 窦 Pyloric part 幽门部 Pyloric canal 幽门管 Position -Main parts is situated in the left hypochondriac region, small in the epigastric region; the cardia is situated in the left of T11, the pylorus lies in the right of L1 The Small Intestine小肠 It extends from the pylorus to the ileocecal orifice,and it is About 5- Duodenum 7m long. Be divided into Duodenum 十二指肠 Ileum Jejunum Jejunum 空肠 Ileum回肠 Duodenum十二指肠 It is the shortest,widest and most fixed part of the small intestine,and is about 20-25cm long. Position and shape It lies on the posterior abdominal wall (L1- L3) ,and likes a C-shape which enclose the head of the pancreas Four parts Superior part Duodenal bulb 十二指肠球 Descending part Longitudinal fold of duodenum Major duodenal papilla 十二指肠大乳头 Horizontal part Ascending part duodenojejunal flexure 十二指 肠空肠曲 Suspensory muscle of duodenum十 二指肠悬肌 (ligament of Treitz) Jejunum and ileum 空肠和回肠 The upper 2/5 of this part of small intestine is called jejunum and the lower 3/5,ileum..
    [Show full text]
  • Shaken Baby Syndrome” Talbert DG* Institute of Reproductive and Developmental Biology, Imperial College School of Medicine, UK
    rauma & f T T o re Talbert, J Trauma Treat 2013, 2.3 l a t a m n r e u n DOI: 10.4172/2167-1222.1000170 o t J Journal of Trauma & Treatment ISSN: 2167-1222 Research Article OpenOpen Access Access On the 2:1 Preponderance of Male Infants in the incidence of Pyloric Stenosis and in Convictions for “Shaken Baby Syndrome” Talbert DG* Institute of Reproductive and Developmental Biology, Imperial College School of Medicine, UK Abstract Introduction: It is known that in Pyloric Stenosis, Macrocephaly, and convictions for “Shaken Baby Syndrome”(SBS) the infant is twice as likely to be male as female. It has previously been hypothesised that the injuries assumed to prove SBS actually result from transient venous hypertension occurring during violent vomiting caused by pyloric stenosis. Macrocephaly also can be explained in terms of venous hypertension. By 1912 the pylorus had been recognized as a three part organ (antrum, canal, sphincter) independent of the stomach, but capable of cooperative action. Much of this has now been forgotten and the pylorus is considered to be merely the distal part of the stomach. Understanding of the early development and function of the pylorus is essential to understanding the development of stenosis and hence assymetrical gender distribution. Mechanics: At birth the human pylorus is proportionately longer and thinner than in the adult. In the first few months of life, before weaning, it has to grow thicker and more compact to be powerful enough to reduce food lumps to paste before passing food onwards into the duodenum.
    [Show full text]
  • Clinical Science Endoscopic Submucosal Dissection for the Treatment of Early Esophageal and Gastric Cancer
    CLINICS 2010;65(4):377-82 CLINICAL SCIENCE ENDOSCOPIC SUBMUCOSAL DISSECTION FOR THE TREATMENT OF EARLY ESOPHAGEAL AND GASTRIC CANCER - INITIAL EXPERIENCE OF A WESTERN CENTER Dalton Marques Chaves,I Fauze Maluf Filho,II Eduardo G. H. de Moura,I Marcos Eduardo Lera dos Santos,I Livia Ronise Garcia Arrais,I Fabio Kawaguti,II Paulo SakaiII doi: 10.1590/S1807-59322010000400005 Chaves DM, Maluf-Filho F, de Moura EGH, dos Santos MEL, Arrais LRG, Kawaguti F et al. Endoscopic submucosal dissection for the treatment of early esophageal and gastric cancer – initial experience of a western center. Clinics. 2010;65(4):377-82. BACKGROUND: Endoscopic submucosal dissection is a new Japanese technique characterized by en-bloc resection of the entire lesion irrespective of size, with lower local recurrence when compared to endoscopic mucosal resection. OBJECTIVE: To evaluate the feasibility, early results and complications of the endoscopic submucosal dissection technique for treating early gastric and esophageal cancer at the Endoscopic Unit of Clinics Hospital and Cancer Institute of the São Paulo University. MATERIALS AND METHODS: Twenty patients underwent endoscopic resection using the endoscopic submucosal dissection technique for early gastric or esophageal cancer. The patients were evaluated prospectively as to the executability of the technique, the short-term results of the procedure and complications. RESULTS: Sixteen gastric adenocarcinoma lesions and six esophageal squamous carcinoma lesions were resected. In the stomach, the mean diameter of the lesions was 16.2 mm (0.6-3.5 mm). Eight lesions were type IIa + IIc, four were type IIa and four IIc, with thirteen being well differentiated and three undifferentiated.
    [Show full text]
  • Gastritis – Facts and Doubts
    Original paper Gastritis – facts and doubts Jacek Muszyński1, Bartłomiej Ziółkowski1, Paweł Kotarski1, Adam Niegowski1, Barbara Górnicka2, Magdalena Bogdańska2, Agnieszka Ehrmann-Jóśko1, Magdalena Zemlak1, Beata Młynarczyk-Bonikowska3, Jolanta Siemińska4 1Department of Gastroenterology and Internal Medicine, Medical University of Warsaw, Warsaw, Poland 2Chair and Department of Pathomorphology, Medical University of Warsaw, Warsaw, Poland 3Department of Diagnostics of Sexually Transmitted Diseases, Chair of Dermatology and Venereology, Medical University of Warsaw, Warsaw, Poland 4First Faculty of Medicine, Medical University of Warsaw, Warsaw, Poland Gastroenterology Rev 2016; 11 (4): 286–295 DOI: 10.5114/pg.2016.57793 Key words: gastritis, Helicobacter pylori. Address for correspondence: Prof. Jacek Muszyński MD, PhD, Department of Gastroenterology and Internal Medicine, Medical University of Warsaw, 1a Banacha St, 02-097 Warsaw, Poland, phone: +48 22 599 2639, e-mail: [email protected] Abstract Introduction: Many clinicians consider chronic gastritis to be equivalent to Helicobacter pylori infection. However, it is known that there are numerous other causes of the condition. Aim: Determination of the incidence of gastritis in patients with dyspepsia referred for diagnostic endoscopy of the upper part of the digestive tract, identification of the parts of the stomach most frequently affected by the inflammation, as well as the impact of an insufficient number of collected samples on the correct diagnosis. Material and methods: Upper gastrointestinal endoscopy due to dyspepsia was performed in 110 patients. In the course of gastroscopy two biopsy specimens were collected for histopathological examination and towards H. pylori infection from the lesser and greater curvature in the antrum 3 cm from the pyloric sphincter, in the body – 4 cm proximally to the stomach angular incisure on the lesser curvature, and in the middle of the greater curvature, as well as in the subcardiac region on the side of the lesser and greater curvature.
    [Show full text]
  • Dissecting Transcriptional Heterogeneity in Primary Gastric Adenocarcinoma by Single Cell RNA Sequencing
    Stomach Original research Dissecting transcriptional heterogeneity in primary Gut: first published as 10.1136/gutjnl-2019-320368 on 12 June 2020. Downloaded from gastric adenocarcinoma by single cell RNA sequencing Min Zhang,1,2 Shuofeng Hu,1,3 Min Min,2 Yanli Ni,2 Zheng Lu,2 Xiaotian Sun,2,4 Jiaqi Wu,1,3 Bing Liu,1,2 Xiaomin Ying,1,3 Yan Liu 2 ► Additional material is ABSTRact published online only. To view, Objective Tumour heterogeneity represents a major Significance of this study please visit the journal online obstacle to accurate diagnosis and treatment in gastric (http:// dx. doi. org/ 10. 1136/ What is already known on this subject? gutjnl- 2019- 320368). adenocarcinoma (GA). Here, we report a systematic ► Gastric adenocarcinoma (GA) is a highly 1 transcriptional atlas to delineate molecular and cellular Academy of Military Medical heterogeneous malignant disease that is Sciences, Beijing, China heterogeneity in GA using single- cell RNA sequencing 2 affected by multiple genetic and environmental The Fifth Medical Center of (scRNA- seq). Chinese PLA General Hospital, Design We performed unbiased transcriptome-wide factors. Beijing, China ► The molecular and cellular heterogeneity in GA 3 scRNA-seq analysis on 27 677 cells from 9 tumour Center for Computational and 3 non-tumour samples. Analysis results were are rarely described at single-cell resolution. Biology, Institute of Military ► Chief cell predominant GA (GA- FG- CCP) is a Cognition and Brain Sciences, validated using large-scale histological assays and bulk Academy of Military Medical transcriptomic datasets. rare variant of gastric cancer in the fundic gland Sciences, Beijing, China Results Our integrative analysis of tumour cells region predominant of differentiated chief cells.
    [Show full text]