160 resultados para sleeve gastrectomy


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Morphological and phenotypical patterns of proliferative epithelial lesions induced in the gastric stump mucosa by duodenal content reflux after Billroth II partial gastrectomy (BII) were evaluated in rats. Control animals were either sham-operated or submitted at different times after BII to Roux-en-Y (RY) surgical procedure which prevents duodenal reflux. The lesions were analysed using routine haematoxylin and eosin staining, immunohistochemical staining for pepsinogen isoenzyme 1 and histochemical procedures for mucins (paradoxical Concanavalin A, galactose oxidase Schiff and sialidase galactose oxidase Schiff reactions). Mucosal hyperplasia (H) was observed in the group submitted to BII procedure 6 weeks after surgery. Adenomatous hyperplasia (AH) also appeared 6 weeks after induction of the reflux and its incidence and size increased until the 54th week of the experiment. RY procedure performed in the normal animals at the beginning of the experiment or at the 24th week after BII gastrectomy led to a significantly lower incidence of AH which was related to the moment of surgery. Most of H was due to pyloric mucosal hyperplasia. AH consisted mainly of gastric type glands but in some animals glands of the intestinal type Were present probably originating from the intestinal mucosa. Six mucinous adenocarcinomas were observed, all of them of intestinal type. This study demonstrates that AH induced by BII procedure is a reversible lesion and that the anomalous epithelial proliferation in the stoma may lead to adenocarcinomas.

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Previously we reported the majority of lesions induced hy bile reflux, in the absence of chemical carcinogens, in the rat remnant stomach to consist primarily of gastric type and secondarily of intestinal type cells, and that they are reversible after diversion of bile reflux. The present study was designed to evaluate changes in proliferative activities in cells of each type under these conditions. The frequency of adenomatous hyperplasia (AH) induced in the gastric stump mucosa by duodenal content reflux after Billroth II partial gastrectomy (BII) increased until the 54th week of the experiment. Roux-en-Y (RY) surgical procedure which prevents duodenal reflux performed at the 24th or 36th week after BII led to a decrease in AH. Cell content of the lesions was analyzed using routine H&E staining, immunohistochemical staining for pepsinogen isoenzyme 1 and histochemical procedures for mucins (paradoxical concanavalin A, galactose oxidase Schiff and sialidase galactose oxidase Schiff reactions) and proliferation in each compartment evaluated by an immunohistochemical method using bromodeoxyuridine (BrdU) and a monoclonal antibody against BrdU. At the 54th week the number of BrdU-labeled cells per normal pyloric column was significantly (P < 0.05) increased to 10.63/pit after the BII operation, while it diminished to 5.23/pit after RY diversion, this being the same level as with the RY procedure alone. AH maintained a high rate of BrdU incorporation at 12.7% after BII operation, which was also significantly reduced (P < 0.01) to 7.0% by the RY surgery. The intestinal type cell showed highest (22.2%), the surface mucous type cell showed the next (16.5%) and the pyloric gland type cell showed lowest (5.2%) BrdU labeling indices after BII operation. All the cell types in AH showed similar proportional decreases in BrdU incorporation after RY diversion. Thus surgical intervention reverses the cell proliferation caused by bile reflux in the gastric stump.

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'Profusion Cherry' is a dwarf zinnia with prospect for pot use in Brazil. The success of flowering potted plants depends on its performance during transport and on the period of time that it performs well indoors. Benzyladenine application may retard leaf and flower senescence, increasing postproduction longevity and quality. Senescent flowers removal by consumers, to give a fresh appearance to home flowering potted plant, could influence source-sink relationship and postproduction. This study evaluated the effect of benzyladenine and senescent flowers removal on postproduction performance of 'Profusion Cherry', and observed the senescence symptoms. When plants, produced in greenhouse at São Paulo State, Brazil, had 4 to 5 open flowers, they were sprayed to runoff a single time (20ml/pot) with benzyladenine (0.4, 0.6, 0.8 or 1.0 mmol) and placed into plastic trays, without sleeve. The experimental design was a randomized blocks with 6 treatments (control, four benzyladenine concentrations and senescent flowers removal), 4 replications (2 pots per experimental unit), totalising 12 potted plants in each plastic tray (block). To simulate highway transport, plants remained for 4 days in a dark chamber, at 20.0 °C without irrigation. To include vibration, each plastic tray, was placed in an incubator shaker for 3hr a day, at 60 rpm, 25°C and darkness. After simulated transport, plants remained indoors (10h.day-1 with 18 μmol.m-2.s-1 PPF, 21.5 to 27.0°C and, 14 h.day-1 at darkness, 18.5 to 24.0°C) during 21 days. Plants performed well during simulated transport, and also indoors for two weeks. For most of evaluated parameters there was not significant effect of benzyladenine concentrations by Tukey's test. Senescent flowers removal did not delayed senescence or improved plants quality. The symptoms associated with the loss of decorative life were ray florets color fading and wilting, without abscission of flowers or petals.

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BACKGROUND AND OBJECTIVES: Due to the high incidence of technical and neurological complications, continuous spinal blocks were not performed for several years. With the advent of intermediate catheters the technique has been used more often and gaining acceptance among anesthesiologists. The objective of this report was to demonstrate the usefulness of the technique as a viable alternative for medium and major size surgeries. CASE REPORT: This is a 58 years old female patient, weighing 62 kg, physical status ASA I, with a history of migraines, low back pain, and prior surgeries under spinal block without intercurrence. The patient was scheduled for exploratory laparotomy for a probable pelvic tumor. After venoclysis with an 18G catheter, monitoring with cardioscope, non-invasive blood pressure and pulse oximetry was instituted; she was sedated with 2 mg of midazolam and 100 μg of fentanyl, and placed in left lateral decubitus. The patient underwent continuous spinal block through the median approach in L 3-L 4; 9 mg of 0.5% hyperbaric bupivacaine and 120 μ g of morphine sulfate were administered. Inspection of the abdominal cavity revealed a gastric stromal tumor that required an increase in the incision for a partial gastrectomy. A small dose of hyperbaric solution was required for the entire procedure, which was associated with complete hemodynamic stability. Postoperative admission to the ICU was not necessary; the patient presented a good evolution without complaints and with a high degree of satisfaction. She was discharged from the hospital after 72 hours without intercurrence. CONCLUSIONS: Intermediate catheters used in continuous spinal blocks have shown the potential to turn it an attractive and useful technique in medium and large size surgeries and it can even be an effective alternative in the management of critical patients to whom hemodynamic repercussions can be harmful.

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The uplift capacity of helical piles depends on the shear resistance of the soil above the helical plates. During helical pile installation, the soil traversed by the plates are sheared and displaced laterally, and consequently the soil structure is disturbed. Considering this fact, the aim of this paper is presenting the effect of helical piles installation in the soil mass by means of CPT tests carried out close to the soil cylinder above the pile helices. The CPT tests were performed at the CRHEA site from the Sao Carlos School of Engineering, Sao Carlos city, inland of Sao Paulo State, Brazil. In addition, an interpretation of CPT tests data for stratigrafic logging are presented and compared to Standard Penetration Tests (SPT) carried out at this site. This study showed that the CPT sleeve friction fs data were affected by the installation of helical pile in this particular tropical soil site. © 2013 Taylor & Francis Group.

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Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

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Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

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Pós-graduação em Biologia Geral e Aplicada - IBB

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Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)

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A aplicação das ligas com memória de forma (shape memory alloys – SMA) têm se mostrado como uma alternativa promissora no controle de vibração de máquinas e estruturas, devido principalmente aos fenômenos de memória de forma e pseudoelástico que elas apresentam. Do mesmo modo, tais ligas proporcionam grandes forças de recuperação e capacidade de amortecimento quando comparadas aos materiais tradicionais. Na literatura científica encontra-se um grande número de trabalhos que tratam da aplicação das SMA no controle de vibração em estruturas. Contudo, a aplicação desse tipo de material em máquinas rotativas ainda é um assunto pouco abordado. Nesse sentido, busca-se explorar numericamente o comportamento de atuadores baseados em ligas com memória de forma para o controle de vibração em máquinas rotativas. Na primeira análise deste trabalho um rotor tipo Jeffcott com luvas SMA em um dos mancais é utilizado. São empregadas diferentes espessuras de luvas nos estados martensítico e austenítico e as variações em termos de amplitude e frequência são então comparadas. Posteriormente, dois diferentes sistemas rotativos com dois discos e molas SMA aplicadas em um e dois mancais são estudados sob configurações variadas. As molas foram posicionadas externamente aos mancais e a temperatura de operação desses componentes é ajustada de acordo com a necessidade do controle de vibração. Além disso, foi utilizado um código computacional para a representação do comportamento termomecânico de molas SMA assim como um programa baseado no Método de Elementos Finitos (MEF) para a simulação do comportamento dinâmico dos rotores. Os resultados das análises numéricas demonstram que as SMA são eficientes no controle de vibração de sistemas rotativos devido obterem-se reduções significativas das amplitudes de deslocamento, modificações nas velocidades críticas, supressão de movimentos indesejáveis e controle das órbitas de precessão.

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Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

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PURPOSE:To evaluate morphological changes of the gastric stump and not resected stomach mucosa after the completion of truncal vagotomy.METHODS:Eighty male Wistar rats were divided into four groups: CT, TV, RY and RYTV. In CT group, abdominal viscera were manipulated and the abdominal cavity was closed, in TV vagal trunks were isolated and sectioned, in RY a partial Roux-en-Y gastrectomy was performed and in RYTV the vagal trunks were sectioned and a partial Roux-en-Y gastrectomy was performed. At the 54th week after surgery, the rats were euthanized. The findings were submitted to histological analyses.RESULTS:None macroscopic or histological alterations in groups TV and CT was observed. Specimens from RY and RYTV groups did not show alterations in the gastric stump mucosa. At the jejunal side of the gastroenterostomy we found shallow ulcerative lesions always single, well-defined and with variable diameter 3 to 6 mm, six times in the RY group and none in the RYTV group (RY>RYTV, p=0.008). Neoplastic or preneoplastic lesions were not diagnosed in all groups.CONCLUSION:Truncal vagotomy is a safe and non-carcinogenic method in not resected and partially resected stomach.

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Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq)

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The study of gastrointestinal tract (GIT) functions is necessary due to the increasing number of pathologies associated with it. Directly influencing the quality of life, the gastrointestinal tract provides a number of parameters that, when analyzed, allow us to describe its dysfunctions. Thus, many techniques can be combined to obtain these properties related to the GIT. However, these techniques are often invasive, require surgery, catheter insertion, or to build a temporal model of these functions, require the sacrifice of animals in a series of data collection. The technique used in this study has the advantage of having a low operating cost, being free of ionizing radiation, non-invasive and is known as biosusceptometry AC (BAC), used to evaluate the properties of the GI tract by monitoring the position and concentration of materials magnetically marked. The sensor consists of two pairs of coils, one reference and one for detection. A fixed base line separates the sensing and reference coils, and also functions as support for the instrumentation. It is also important to note that the detection coils are arranged in a first order (subtraction) gradiometric way. The objective of this study was to analyze the effects of gastrectomy in gastric emptying and gastrointestinal transit time of solid food in rats using a BAC system associated with magnetic markers. To realize this study was constructed a dedicated BAC sensor, built to analyze these GIT properties. Data acquisition was obtained by aligning the magnetic sensor with the stomach and colon of the animal at pre-determined intervals. Thus, when approaching the magnetic material of the sensor, the balance created between the two sides of the sensor is broken. This imbalance can be measured, digitized and acquired. Tracer was used as a ration magnetically marked with ferrite... (Complete abstract click electronic access below)