• 제목/요약/키워드: Gastrointestinal tract

검색결과 844건 처리시간 0.027초

Expression of the ATP-gated $P2X_7$ Receptor on M Cells and Its Modulating Role in the Mucosal Immune Environment

  • Kim, Sae-Hae;Lee, Ha-Yan;Jang, Yong-Suk
    • IMMUNE NETWORK
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    • 제15권1호
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    • pp.44-49
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    • 2015
  • Interactions between microbes and epithelial cells in the gastrointestinal tract are closely associated with regulation of intestinal mucosal immune responses. Recent studies have highlighted the modulation of mucosal immunity by microbe-derived molecules such as ATP and short-chain fatty acids. In this study, we undertook to characterize the expression of the ATP-gated $P2X_7$ receptor ($P2X_7R$) on M cells and its role in gastrointestinal mucosal immune regulation because it was poorly characterized in Peyer's patches, although purinergic signaling via $P2X_7R$ and luminal ATP have been considered to play an important role in the gastrointestinal tract. Here, we present the first report on the expression of $P2X_7R$ on M cells and characterize the role of $P2X_7R$ in immune enhancement by ATP or LL-37.

위장관 질환의 연구전략수립을 위한 최근 5년간 한의약논문의 체계적 고찰 (Systemic Analysis for Research Strategy Establishment of Gastrointestinal Disease with Oriental Medicine in Korea)

  • 김병주;홍진우;황민우;채한;권영규
    • 동의생리병리학회지
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    • 제23권6호
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    • pp.1273-1281
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    • 2009
  • To research the trends of study and the guidelines of investigation and management about gastrointestinal (GI) disease in oriental medicine, we reviewed and analysed articles published in Korea from 2004 to 2009. The western medicine in medical treatments of GI tract is notorious for their side effects. But, in oriental medicine, we couldn't find any side effects. Although we treat or manage clinical practices of the GI disease every day, however, we do not have abundant evidences about scientific mechanisms of those treated with oriental medicine therapy. Therefore, we suggest that the upward of qualities of life and the improvement of health-care system through the development of oriental medicine therapies in Korea will be need.

Endoscopic vacuum therapy for treatment of spontaneous and iatrogenic upper gastrointestinal defects

  • Kavea Panneerselvam;Jake S. Jacob;Ronald E. Samuel;Andy Tau;Gyanprakash A. Ketwaroo;Wasif M. Abidi;Robert J. Sealock
    • Clinical Endoscopy
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    • 제56권6호
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    • pp.754-760
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    • 2023
  • Background/Aims: Endoscopic vacuum therapy (EVT) can heal a variety of defects within the gastrointestinal (GI) tract via applying negative pressure, which reduces the defect size, aspirates the infected fluid, and promotes granulation tissue. Here we present our experience with EVT as it relates to both spontaneous and iatrogenic upper GI tract perforations, leaks, and fistulas. Methods: This retrospective study was conducted at four large hospital centers. All patients who underwent EVT between June 2018 and March 2021 were included. Data on multiple variables were collected, including demographics, defect size and location, number and intervals of EVT exchanges, technical success, and hospital length of stay. Student t-test and the chi-squared test were used to analyze the data. Results: Twenty patients underwent EVT. The most common defect cause was spontaneous esophageal perforation (50%). The most common defect location was the distal esophagus (55%). The success rate was 80%. Seven patients were treated with EVT as the primary closure method. The mean number of exchanges was five with a mean interval of 4.3 days between exchanges. The mean length of hospital stay was 55.8 days. Conclusions: EVT is a safe and effective initial management option for esophageal leaks and perforations.

Microflora Management in the Gastrointestinal Tract of Piglets

  • Metzler, B.;Bauer, E.;Mosenthin, R.
    • Asian-Australasian Journal of Animal Sciences
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    • 제18권9호
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    • pp.1353-1362
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    • 2005
  • The stressful physiological and environmental conditions around weaning often promote the proliferation of pathogens in the digestive tract of piglets resulting in diarrhoea and reduced daily weight gain. Typical dietary practices to maintain growth performance and health have led to an increased use of antimicrobial growth promoters. Due to the advanced ban of antibiotics in pig production, new concepts have been developed to secure animal health and growth performance, feed efficiency, and product quality as well. Several naturally occurring compounds seem to beneficially affect the composition and activity of the microflora in the gastrointestinal tract (GIT) of pigs. These are, among others, organic acids, probiotics, prebiotics, and enzymes. Organic acids are already widely used, especially in pigs, due to their positive effects on GIT health and growth performance. Probiotics have been shown to be effective against diarrhoea though effects may be dependent on diet composition and environmental conditions. Prebiotics may influence composition and activity of the intestinal microflora. Additionally, pre- and probiotics may exert positive influences on immune response, whereas enzymes may enhance feed digestibility by breaking down anti-nutritional factors. In the following, the focus will be directed to the role of organic acids, probiotics, prebiotics, and feeding enzymes as potential modulators of GIT health.

Studies on the etiological agents in pups with the concurrent intestinal and respiratory tract disorders

  • Park, Hee-myung;Oh, Tae-ho;Youn, Sin-keun;Han, Hong-ryul
    • 대한수의학회지
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    • 제39권4호
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    • pp.825-831
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    • 1999
  • This study was performed to determine the etiological agents in concurrent disorders in gastrointestinal and respiratory tract. Most of dogs had clinical signs including nasal and ocular discharge, coughing, vomiting, and diarrhea. Of the 22 dogs, seropositive rates of each virus were 54.5% (12/22) against canine distemper virus, 90.9% (20/22) against canine adenovirus 1, 36.4% (8/22) against canine adenovirus 2, 18.2% (4/22) against canine parvovirus, 81.8% (18/22) against canine hepatitis virus and 59.1% (13/22) against canine coronavirus. Canine distemper virus and canine parvovirus infection were 54.6% (12/22) in histopathological examination. In addition, mixed infections of canine distemper virus and adenovirus 2 were 9.1% (2/22). While simple infection of canine adenovirus 2 were 9.1% (2/22). E coli and Staphylococcus spp were isolated in facts as a rate of 72.7% (16/22) and 40.9% (9/22), respectively. Conclusionally, it is also estimated that environmental stress might be one of the causative factors.

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내시경으로 진단된 소아 상부 위장관의 종양성 질환에 대한 고찰 (The Role of Endoscopy for Tumorous Conditions of the Upper Gastrointestinal Tract in Children)

  • 김혜영;박재홍
    • Pediatric Gastroenterology, Hepatology & Nutrition
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    • 제8권1호
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    • pp.31-40
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    • 2005
  • 목 적: 소아에 대한 상부 위장관 내시경술이 보편화되면서 종양성 질환의 진단이 늘고 있으나, 이에 대한 체계적인 보고가 미미한 실정이어서 상부 위장관에서 종양성 질환의 진단과 치료에서 있어서 내시경술의 역할에 대해 조사하였다. 방 법: 1994년 1월부터 2004년 7월까지 부산대학교병원 소아과에서 상부 위장관 내시경 검사 중 종양성 질환이 발견된 26명을 대상으로 후향적으로 의무기록을 분석하였다. 내시경 검사는 Olympus사의 GIF (Q240, Q260, P230)를 사용하였고, 전처치로 midazolam이나 ketamine을 단독 또는 병용하였다. 결 과: 1) 이 기간 중 총 1,283명에서 상부 위장관 내시경술이 시행되었으며, 이 중 26명(2.0%)에서 종양성 질환이 진단되었다. 2) 남아가 11명, 여아가 15명이었고, 평균 연령은 6.93세(1달~15세)였다. 3) 진단된 질환으로는 이소성 췌장 6례(23.0%), 위식도 경계부 용종 5례(19.2%), 후두개곡 낭종 3례(11.5%), 유두종 3례(11.0%), Brunner's gland 과증식증과 위 점막하 종양이 각각 2례(7.7%)였으며, 그 외 위장관 간질성 종양, Henoch-$Sch{\ddot{o}}lein$ 자반증에 합병된 십이지장 벽내 거대 혈종, 십이지장 T세포 림프종, 식도 지방종, Peutz-Jeghers 증후군에서의 과오종이 각각 1례(3.8%)였다. 4) 내시경 검사를 하게 된 주 증상으로는 복통이 21례(80.7%), 오심 또는 구토가 8례(30.8%), 위장관 출혈이 7례(30.7%) 등의 순이었다. 5) 병변의 위치는 위가 8례(30.7%), 십이지장이 7례(26.9%), 위식도 경계부가 6례(23.0%), 인두가 5례(19.2%), 식도가 2례(7.7%)였다. 6) 병변의 크기는 10 mm 미만이 14례(53.8%), 10~20 mm가 7례(26.9%), 20 mm 이상이 5례(19.2%)였다. 7) 내시경적 육안 소견만으로 진단된 경우가 6례(23.1%)있었고, 내시경 초음파 검사로 위 점막하 종양 1례를 진단하였으며, 그 외 19례(73.1%)는 내시경 검사와 조직 생검을 통해 진단하였다. 8) 종양에 대한 처리로는 레이저 절제술 3례, 수술적 절제 및 항암요법 1례, 부분 위절제술 1례, 올가미를 이용한 내시경하 용종 절제술 2례, 생검 겸자를 이용한 내시경하 제거술 1례 등이 있었고, 18례는 특별한 치료없이 경과 관찰 중이다. 결 론: 소아에서 상부 위장관 내시경 검사를 통해 다양한 종류의 종양성 질환이 진단되었으며, 이들 질환의 진단 및 치료에 있어 내시경 검사는 정확하고 안전하고 효과적이고 검사이다.

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보두(寶豆)의 수치법(修治法)에 따른 독성(毒性) 및 소화기계(消化器系)에 미치는 영향(影響) (The Effects of Strychni Ignatii Semen on Toxicity Levels and Gastrointestinal Tract)

  • 김진성;윤상협;류봉하;류기원;조유경
    • 대한한방내과학회지
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    • 제23권1호
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    • pp.107-115
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    • 2002
  • Objective : These experiments were designed to investigate the effects of Strychni Ignatii Semen on the gastrointestinal system and declining of toxicity. About experiments of acute toxicity, I investigated the quantity of Strychni $(C_{21}H_{22}N_2O_2)\;and\;LD_{50}$. In order to study the effects on gastrointestinal tract, I investigated the changes of gastric juice, discharging level of pepsin, inhibiting effects of ulceration, and transporting of intestine. Methods : Sample I : No making Strychni Ignatii Semen Sample II : Depositing for three days in water and then dry it. Sample III : Depositing for one hour in sesame oil and bum it. The results were as follows : 1. The average values of Strychnine decreased in Sample III. 2. The levels of $LD_{50}$ increased in Sample Ⅲ by about 70%. 3. In Sample III, inhibiting effects of ulceration and discharging level of pepsin were great. 4. In the level of gastric juice decreased in Sample I.II.III. 5. The transporting ability of large intestine elevated in Sample I.II.III. According to the results, making Strychni Ignatii Semen, especially Sample 3, toxicity decreased and has good effects on the gastrointestinal system.

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Utility of forward-view endoscopic ultrasound in fine-needle aspiration in patients with a surgically altered upper gastrointestinal anatomy

  • Asmaa Bakr;Kazuo Hara;Moaz Elshair;Shin Haba;Takamichi Kuwahara;Nozomi Okuno;Daiki Fumihara;Takafumi Yanaidani;Samy Zaky;Hanaa Omar
    • Clinical Endoscopy
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    • 제56권3호
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    • pp.367-374
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    • 2023
  • Background/Aims: Endoscopic ultrasound (EUS)-guided fine-needle aspiration (FNA) using oblique-view EUS in patients with a surgically altered anatomy (SAA) of the upper gastrointestinal tract is limited because of difficult scope insertion due to the disturbed anatomy. This study aimed to investigate the efficiency of forward-view (FV)-EUS in performing FNA in patients with a SAA. Methods: We retrospectively investigated 32 patients with a SAA of the upper gastrointestinal tract who visited Aichi Cancer Center Hospital in Nagoya, Japan, between January 2014 and December 2020. We performed upper gastrointestinal EUS-FNA using FV-EUS combined with fluoroscopic imaging to confirm tumor recurrence or to make a decision before chemotherapy or after a failure of diagnosis by radiology. Results: We successfully performed EUS-FNA in all studied patients (100% technical success), with the specificity, sensitivity, and accuracy of 100%, 87.5%, and 87.8%, respectively, with no complications. Conclusions: EUS-FNA using FV-EUS combined with fluoroscopic imaging is an effective and safe technique for tissue acquisition in patients with a SAA.