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31.
32.
Bloodflowvariationandenergymetabolisminthegastricmucosafollowing7.5%hypertonicsalineresuscitationWangJunyi(王俊义);WuGuosheng;(吴... 相似文献
33.
胃粘膜上皮“适应性细胞保护”机制防止胃肿瘤发生的作用 总被引:4,自引:0,他引:4
投用致癌剂的对照组其胃肿瘤发生率为22.2%。若同时给予40%Z醇液空腹灌胃,则胃肿瘤发生率达55.9%。如在给乙醇液前15分钟,先给予4%的辣椒煎液灌胃,则胃肿瘤发生率只有20.0%,相近于对照组的水平(后2组差别有极显著意义,P<0.01)。这种给损伤剂(乙醇)之前先给予微刺激剂(辣椒)所产生的胃粘膜的保护作用,是通过促使胃粘膜上皮细胞合成内源性前列腺素(PGs)来实现的,是一种“适应性细胞保护”机制。这种保护胃粘膜的作用可降低胃肿瘤的发生率。 相似文献
34.
Yutaka Yonemura Masataka Segawa Hisashi Matsumoto Kouichirou Tsugawa Itasu Ninomiya Luis Fonseca Takashi Fujimura Kazuo Sugiyama Kouichi Miwa Itsuo Miyazaki 《Surgery today》1994,24(6):488-493
Because gastric cancers located in the upper third of the stomach are difficult to detect at an early stage, the surgical results remain poor. We performed R4 gastrectomy as a radical procedure for 25 patients, involving complete resection of the latero-aortic and interaorticovenous lymph modes above and below the left renal vein, in combination with the ordinary R2 or R3 gastrectomy (the R4 group). These patients were compared with 156 others who underwent R2 gastrectomy alone (the R2 group). There were no significant differences in operation time, blood loss, or the incidence of complications between the two groups; however, when the survival rates of the patients with tumors invading beyond the subserosa were compared, the 5-year survival rate was found to be significantly higher in the R4 group than in the R2 group. Furthermore, in patients with para-aortic nodal involvement, a significant survival advantage was observed in the R4 group, as compared with the R2 group. These results suggest that the R4 gastrectomy is a rational approach for patients with advanced gastric cancer located in the upper third of the stomach. 相似文献
35.
Outcome Following Bariatric Surgery in Super versus Morbidly Obese Patients: Does Weight Matter? 总被引:4,自引:2,他引:2
Mark Bloomston MD Emmanuel E Zervos MD Mario A Camps MD Sarah E Goode RN Alexander S Rosemurgy MD 《Obesity surgery》1997,7(5):414-419
Background: Numerous investigators have attempted to identify prognostic indicators for successful outcome following bariatric
surgery. The purpose of this study was to determine whether degree of obesity affects outcome in super obese [>225% ideal
body weight (IBW)] versus morbidly obese patients (160-225% IBW) undergoing gastric restrictive/bypass procedures. Methods:
Since 1984, 157 patients underwent either gastric bypass or vertical banded gastroplasty. Super obese (78) and morbidly obese
(79) patients were followed prospectively, documenting outcome and complications. Results: Super obese patients reached maximum
weight loss 3 years following bariatric surgery, exhibiting a decrease in body mass index (BMI) from 61 to 39 kg/m2 and an average loss of 42% excess body weight (EBW). Morbidly obese patients had a decrease in BMI from 44 to 31 kg/m2 and carried 39% EBW at 1 year. After their respective nadirs, each group began to regain the lost weight with the super obese
exhibiting a current BMI of 45 kg/m2 (61% EBW) versus 34 kg/m2 (52% EBW) in the morbidly obese at 72 months cumulative follow-up. Currently, loss of 50% or more of EBW occurred in 53%
of super obese patients versus 72% of morbidly obese (P < 0.01). Twenty-six percent of super obese patients returned to within 50% of ideal body weight (IBW) while 71% of morbidly
obese were able to reach this goal (P < 0.01). Co-morbidities and complications related to surgery were similar in each group. Conclusions: Super obese patients
have a greater absolute weight loss after bariatric surgery than do morbidly obese patients. Using commonly utilized measures
of success based on weight, morbidly obese patients tend to have better outcomes following bariatric surgery. 相似文献
36.
Michael J. Rutten 《Methods in Cell Science》1992,14(4):235-245
Summary The adherence, growth, and electrophysiologic properties of guinea pig gastric mucous epithelial cells were investigated using porous membrane filters. We also tested three commercially available Ussing-type chambers that were designed to be used with the various porous membrane supports. Overall, the 0.45-µm Falcon-Cyclopore porous membrane was found to be very favorable for the consistent attachment and growth of our cells. This same filter also gave good results in the detection of periodic acid Schiff-positive mucous glycoprotein and Nile red neutral lipid fluorescence in the gastric mucous cells. Our cells grew poorly on collagen-coated Costar-Snapwells and Millipore Millicell-CM porous filters. For measurement of transepithelial potential difference resistance, and short-circuit current, the Costar-Snapwell with the Costar-Snapwell Diffusion-chamber system was superior in design and operation when compared to the Costar Transwell-COL, Falcon-Cyclopore, or Anotec-Anocell porous inserts used with conventional Ussing-chambers. The gastric mucous cells grew best on ICN-Cellagen membranes, but these filters routinely detached from their plastic holder and therefore could not be used for Ussing-chamber studies. The large 24.5-mm, 0.40-µm pore size Costar-Transwell-COL and the 24.1-mm, 0.45-µm Falcon-Cyclopore membranes gave good results when used in a modified horizontal-chamber for microelectrode analysis of membrane potentials and resistances of the gastric mucous cell monolayers. 相似文献
37.
正常人及胃癌患者胃蛋白酶原C基因多态性研究 总被引:2,自引:0,他引:2
以PGC301为探讨,对10例胃癌组织及11例正常人体组织基因组DNA中胃蛋白酶原C基因的EcoR I限制性片段长度多态性作了观察分析。发现在正常人体有三种常见等位片段,分别为20kb、5.7kb及3.6kb;一种稀有片段,3.5kb。在胃癌患者,未发现与正常人体不同的等位片段。但是,稀有片段及稀有杂交带型的出现频率高于正常组。这一结果对深入探讨胃蛋白酶原C基因稀有片段及稀有杂交带型对胃癌的诊断价 相似文献
38.
39.
采用石蜡切片免疫组化法,测定了48例胃癌组织中雌激素受体的分布。结果阳性者17例,阳性率35.4%;同时测定12例非肿瘤性胃粘膜(慢性炎症及胃溃疡)作为对照,结果仅1例阳性(8.3%),两者之间有明显差异(P<0.01)。各年龄组及性别间差异均无统计学意义。将胃癌分成分化型及未分化型(包括印戒细胞癌)两组,结果显示未分化型癌的阳性率(61.5%)比分化型者(18.2%)明显增高(P<0.0l)。表示雌激素在癌的发生、发展中有明显的刺激作用,癌细胞的生长及恶性度对雌激素有一定依赖性。临床上应用内分泌疗法对雌激素受体阳性肿瘤进行辅助治疗是行之有效的。 相似文献
40.
本文利用细胞集落形成测定细胞存活率的方法,检测了仓鼠细小病毒(PVH-1)对2株不同分化程度的胃癌细胞的抑制作用。同时收集感染后48h、72h、96h、144h的胃癌细胞,利用电镜观察胃癌细胞的变化。结果表明,PVH-1能抑制不同分化程度的胃癌细胞株,其敏感性与胃癌细胞的分化程度有关。 相似文献