Effectiveness of 6 weeks of vestibular exercises as adjunctive therapy in the management of depression, anxiety, and stress in gastric ulcer patients

Background: Vestibular stimulation was reported to inhibit the stress axis and brings individual stress to lower levels. This is very beneficial as the management of psychological factors is equivalently important in the management of peptic ulcers. Aims and Objectives: The present study was undertaken to observe the effectiveness of vestibular exercises in the management of depression, anxiety, and stress in gastric ulcer patients. Materials and Methods: A total of 20 gastric ulcer patients without severe complications were part of the study after obtaining written informed consent. After recruiting, the participants were randomly assigned into two groups with ten participants in each group. Standard vestibular exercises mentioned in the literature were adopted. Each session of exercises comprises 45 min. Two sessions per week were administered to the participants for a period of 1 month. Results: Depression, anxiety, and stress scores were not significantly different between the control and intervention groups before the intervention. There was a significant decrease in depression, anxiety, and stress in the intervention group followed by the intervention. Conclusion: The present study results showed the beneficial effects of vestibular exercises in the management of negative psychological emotions such as depression, anxiety, and stress in patients with gastric ulcers. There is a need for large-scale studies in this area to recommend the adoption of vestibular stimulation in the management of gastric ulcers.

Occurrence of gastric ulcers and serum gastrin levels in jumping horses / Ocorrência de úlceras gástricas e níveis séricos de gastrina em cavalos de hipismo

The aim of this study was to determine the occurrence of EGUS and to quantify serum gastrin levels in jumping horses during competition season and interseason period. Forty jumping horses, competing at high level were randomly allocated into two groups, the Training Group: twenty jumping horses undergoing intense training and participating in competitions, and the Rest Group: twenty jumping horses in the interseason (resting period). The gastroscopic examinations and blood samples of the horses in the training group were performed 1-2 days following the competition while in the horses of the rest group, following 4 weeks of rest. The serum gastrin levels were measured at two different times: pre-feeding and two hours after feeding the horses (postprandial) by ELISA kit. Gastric lesion score data were compared by the Mann-Whitney U test (α= 0.05) and the mean gastrin values were compared between the groups and between the two moments by the paired tet tests, respectively (α= 0, 05). Squamous gastric ulcers were detected in 42.5% of all jumping horses examined independent of the period, competition season or interseason. Serum gastrin levels were significantly higher in the Training Group with no difference between pre-feeding and postprandial values.(AU)

O objetivo deste estudo foi determinar a ocorrência de EGUS e quantificar os níveis séricos de gastrina em cavalos de hipismo durante a época de competições e o período de férias. Quarenta cavalos de hipismo de alta performance foram aleatoriamente distribuídos em dois grupos, grupo treinamento: vinte cavalos de hipismo submetidos a treinamento intenso e participando de competições, e grupo descanso: vinte cavalos de hipismo em férias (período de descanso). As avaliações gastroscópicas e as coletas de sangue dos cavalos em treinamento foram realizadas um ou dois dias após as competições, enquanto nos cavalos do grupo descanso foram realizadas após quatro semanas de repouso. Os níveis séricos de gastrina foram mensurados por kit de ELISA, em dois momentos: antes da alimentação e duas horas após. Os dados de escore das lesões gástricas foram comparados pela prova U de Mann-Whitney (α= 0,05) e os valores médios de gastrina foram comparados entre os grupos e entre os dois momentos pelos testes t e t pareado, respectivamente (α= 0,05). Foram encontradas úlceras gástricas em 42,5% de todos os cavalos examinados, independentemente do período de competições ou repouso. Os níveis séricos de gastrina foram significativamente maiores no grupo treinamento, sem diferença entre os períodos pré e pós-alimentação.(AU)

Evaluation of antiulcerogenic activity of combination of Aloe vera and Aegle marmelos in indomethacin induced gastric ulcers

Background: Most important adverse effect of NSAID is peptic ulceration. Even though H2 blockers and proton pump inhibitors are effective in preventing NSAID associated peptic ulceration, they are not without side effects. Hence there is a need for drugs which are effective in preventing NSAID induced peptic ulcer without producing side effects. Two plant products Aloe vera leaf extract and Aegle marmalos leaves are commonly used in Indian traditional medicine for treatment of peptic ulcers. Hence this study is undertaken to assess the antiulcerogenic potential of combination of these two drugs in comparison with ranitidine in preventing NSAID induced peptic ulcers.Methods: 18 albino rats were divided into 3 groups of 6 rats each. Group A: received ulcerogen only. Group B: pretreated with ranitidine before exposing to ulcerogen. Group C: pretreated with combination of Aloe vera and Aegle marmelos before exposing to ulcerogen. Two doses of indomethacin were administered at an interval of 15 hrs. Animals were sacrificed 6 hrs after the second dose of Indomethacin. Number of ulcers was noted, and ulcer index was calculated.Results: There was significant reduction in total score, mean score and ulcer index in ranitidine pretreated group and test compound group as compared to control group. Even though the total score and ulcer index in test group were lesser as compared to standard control group, it was not statistically significant.Conclusions: Combination of Aloe vera leaf extract and Aegle marmelos leaf extract produced very significant protection against indomethacin induced gastric ulcer.

Protective roles of Vigna subterranea (Bambara nut) in rats with aspirin-induced gastric mucosal injury / 中西医结合学报

<p><b>OBJECTIVE</b>Vigna subterranea is widely consumed as a traditional staple food in Nigeria and some West African countries. The ethanolic seed extract of V. subterranea (EEVS) was investigated for its gastroprotective effects on aspirin plus pylorus ligation-induced gastric ulcerated rats using an in vivo assay.</p><p><b>METHODS</b>Gastric mucosal ulceration was induced experimentally in Groups 2 to 5 using aspirin plus pylorus ligation. Rats in Group 1 were orally pretreated with 3% Tween 80 only as normal control. Groups 2 to 5 were pretreated with 3% Tween 80 (ulcer group), 20 mg/kg of omeprazole (positive group), and 200 and 400 mg/kg of EEVS (experimental groups), respectively, once daily for 21 days before ulcer induction. Parameters including those for gastric secretions, ulcerated areas and gastric wall histology were assessed. Levels of superoxide dismutase (SOD), glutathione peroxidase (GP), and malondialdehyde (MDA) in the gastric tissue homogenate were also determined.</p><p><b>RESULTS</b>Pretreatment with EEVS significantly (P < 0.05) reduced the ulcer index, gastric volume and total acidity in rats with aspirin plus pylorus ligation-induced ulcer. The pH and mucus of gastric content increased significantly (P < 0.05) while the levels of SOD and GP were observed to be elevated with a reduced amount of MDA. Significant severe gastric mucosal injury was exhibited in the ulcer group and EEVS or omeprazole offered significant (P < 0.05) protection against mucosal ulceration. Histologically, the gastric submucosal layer showed remarkable decrease in edema and leucocytes infiltration compared with ulcer group.</p><p><b>CONCLUSION</b>The study suggests that EEVS offered a protective action against aspirin plus pylorus ligation-induced gastric ulcers in Wistar rats. The protective effect might be mediated via antisecretory, cytoprotective and antioxidative mechanisms.</p>

Observation on the effect of esomeprazol in the elderly patients with gastric ulcers and influence for the pepsinogen,cAMP and cGMP / 中国生化药物杂志

Objective To observe and investigate the effect of esomeprazol in the elderly patients with gastric ulcers and influence for the pepsinogen,cAMP and cGMP.Methods 86 elderly patients with gastric ulcers in our hospital from June 2015 to August 2016 were selected as the research object,and they were randomly divided into control group 43 cases and observation group 43 cases, the control group were treated with omeprazole,the observation group were treated with esomeprazol,the total effective rates,symptom score and pepsinogen, cAMP, cGMP levels before and after the treatment of two groups were compared.Results The total effective rates of observation group at different time after the treatment were higher than those of control group,the symptom scores after the treatment were all lower than those of control group ,the serum pepsinogen were all lower than those of control group,the plasma cAMP and cAMP /cGMP were lower than those of control group,the plasma cGMP were higher than those of control group, (P<0.05), the differences were all significant.Conclusion The clinical effect of esomeprazol in the elderly patients with gastric ulcers is better,and it can significantly improve the expression situation of pepsinogen, cAMP and cGMP of patients, so its application value in the elderly patients with gastric ulcers is higher.

Frecuencia de alteraciones gástricas de caballos (Equus caballus) faenados en un frigorífico de Temuco, Chile / Frequency of Gastric Pathologies In Horses (Equus caballus) Slaughtered in an Abattoir of Temuco, Chile

El objetivo del presente estudio fue determinar la frecuencia de alteraciones gástricas en caballos (Equus caballus) faenados en un frigorífico de Temuco (IX región), Chile. Se evaluaron 240 estómagos de 130 machos (34 enteros y 96 castrados) y 110 hembras, con un rango de edad entre 3 y 16 años, en los cuales el estómago fue evaluado, caracterizado y fotografiado post mortem. Los datos de sexo, edad y patología fueron diligenciados en los formatos respectivos y posteriormente digitalizados. De la población total (240 estómagos de caballos), se encontró algún tipo de patología en el 100% de las muestras, de las cuales 95% presentó ulceración gástrica (87,5% en el área escamosa de la mucosa, 47,9% en el glandular de la mucosa, 45,8% en ambas áreas de la mucosa), 64,6% presentó gastritis crónica y el 36,3% gastritis aguda. En el 60,4% de los estómagos presentó miasis cavitaria (Gasterophilus spp.) y el 17,5% parasitosis (Trichostrongylus axei). El estudio demostró que hubo dependencia estadística significativa (P<0,05) entre la edad y el grado de severidad de las úlceras gástricas. Se puede concluir que existe una elevada frecuencia de alteraciones gástricas en los caballos faenados en el sur de Chile, siendo las úlceras escamosas las de mayor frecuencia, seguida de las gastritis crónicas y de las miasis cavitarias, por lo que se hace necesario realizar más investigaciones y concientización sobre el manejo de estas alteraciones en este tipo de animales.

The aim of the present study was to determine the frequency of gastric pathologies in horses (Equus caballus) slaughtered in a refrigerated abattoir of Temuco (IX Region), Chile. A total of 240 stomachs of 130 males (34 non-castrated and 96 castrated) and 110 females were assessed. The age of the horses ranged between 3 and 16 years. The stomachs were evaluated, characterized, and photographed post mortem. The data on sex, age, and pathology were filled out in their respective formats and subsequently digitized. Of the total population (240 stomachs), some kind of pathology was found in 100% of the samples, of which 95% had gastric ulceration (87.5% located in the squamous area of the mucosa; 47.9% in the glandular mucosa; and 45.8% in both areas). 64.6% of the stomachs showed chronic gastritis and 36.3% acute gastritis. In 60.4% of the stomachs cavitary myiasis (Gasterophilus spp.) was detected and 17.5% were infected with Trichostrongylus axei. The study demonstrated a statistically significant dependence (P<0.05) between age and severity of gastric ulcers. It is concluded that there is a high incidence of gastric pathologies in horses slaughtered in southern Chile, being the squamous ulcers, the most frequent, followed by chronic gastritis and cavitary myiasis. Therefore, it is necessary to perform more research and be aware of the management of these diseases in these animals.

Efectos del policosanol en la acción gastroprotectora del D-002 / Effects of policosanol on gastroprotective action of D-002

INTRODUCTION: policosanol, a mixture of higher aliphatic alcohols purified from sugar cane wax, is used to treat hypercholesterolemia. D-002 (Abexol), a mixture of higher aliphatic alcohols from beeswax, is an antioxidant supplement with gastroprotective effects. Then, concomitant intake of D-002 and policosanol may occur in routine practice, so potential pharmacological interactions between them should be researched on. OBJECTIVE: to find out the influence of policosanol on the gastroprotective effect of D-002 on the ethanol-induced gastric ulcer model. METHODS: rats were randomized into eight groups: one treated with the vehicle (control), two with D-002 (25 and 200 mg/kg), two with policosanol (25 and 200 mg/kg), two with the same doses of D-002 + policosanol and other with sucralfate (100 mg/kg). Treatments were given as single oral doses. One hour after treatment, rats received 60 percent ethanol orally and one hour later they were killed and their stomachs exposed. Effects on ulcer indexes (UI) were assessed. RESULTS: acute oral administration of D-002 (25 and 200 mg/kg) significantly reduced the ulcer indexes by 40 percent and 68 percent, respectively, as compared to the control group, and policosanol by 26 percent and 47 percent, respectively. The concomitant administration of the same doses of D-002 and policosanol significantly decreased ulcer indexes by 64 percent or ciento (both given at 25 mg/kg) and by 92 percent (both given at 200 mg/kg) as compared to the respective monotherapies. Sucralfate (100 mg/kg) significantly reduced ( 99 percent) ulcer indexes compared to the control group. CONCLUSIONS: the concomitant oral administration of policosanol with D-00 2 gives greater gastroprotection than D-002 monotherapy, so both products can be taken together(AU)

INTRODUCCIÓN: el policosanol, mezcla de alcoholes alifáticos de alto peso molecular obtenida de la cera de caña de azúcar (Saccharum officinarum L), se emplea en el tratamiento de la hipercolesterolemia. El D-002 (Abexol), mezcla de alcoholes alifáticos obtenida de la cera de abejas, es un suplemento antioxidante con efectos gastroprotectores. Así, el consumo concomitante de D-002 y policosanol puede ocurrir en la práctica rutinaria, por lo cual algunas interacciones entre ellos deben ser investigadas. OBJETIVO: determinar la influencia del policosanol sobre el efecto gastroprotector del D-002 en el modelo de úlcera gástrica inducida por etanol MÉTODOS: las ratas se distribuyeron en ocho grupos: uno tratado con el vehículo (control), dos con D-002 (25 y 200 mg/kg), dos con policosanol (25 y 200 mg/kg), dos con las mismas dosis de D-002 + policosanol, y otro con sucralfato (100 mg/kg). Los tratamientos se administraron como dosis únicas orales. Una hora después las ratas recibieron por vía oral etanol 60 por ciento y se sacrificaron; los estómagos se extrajeron y se cuantificó el índice de úlceras. RESULTADOS: la administración oral aguda de D-002 (25 y 200 mg/kg) redujo significativamente el índice de úlceras en un 40 por ciento y un 68 por ciento, respectivamente, con respecto al grupo control y el policosanol en un 26 por ciento y un 47 por ciento, respectivamente. La administración concomitante de D-002 y policosanol redujo significativamente el índice de úlceras en un 64 por ciento ambos administrados a 25 mg/kg) y un 92 por ciento (ambos administrados a 250 mg/kg) al compararse con las respectivas monoterapias. Sucralfato (100 mg/kg) redujo significativa y marcadamente ( 99 por ciento el índice de úlceras con respecto al grupo control. CONCLUSIONES: la administración oral concomitante de policosanol más D-002 confiere una gastroprotección mayor que las respectivas monoterapias, de modo que pueden ser administrados conjuntamente(AU)

Estudo comparativo da atividade antiinflamatória, ulcerogênica e citotóxica do S-ibuprofeno e ibuprofeno racêmico / Comparative study of anti-inflammatory, ulcerogenic and cytotoxic activities of racemate and S-ibuprofen

Ibuprofen is widely commercialized in racemic form. Although metabolic chiral inversion occurs through the conversion of R(-)-ibuprofen to S(+)-ibuprofen and the latter enantiomer is considered the active form, clinical trials involving the administration of a racemate to S-enantiomer dosage ratio of 1:0.5 have demonstrated that S(+)-ibuprofen is as efficacious as the racemic formulation. Moreover, the R(-)-enantiomer has been implicated in adverse gastrointestinal effects found with the racemic form, but the mechanisms involved in this process are not yet fully understood. The aim of the present study was to evaluate the anti-inflammatory activity of a racemate to S(+)-ibuprofen dosage ratio of 1:0.5 using the carrageenan air pouch model of inflammation and determine both ulcerogenic activity and the chiral conversion rate in rats. An in vitro study of the cytotoxicity of racemate and S(+)-ibuprofen in gastric cells was also performed. Although the plasma level of S(+)-ibuprofen was raised after racemate administration, no significant difference was found in anti-inflammatory activity, as assessed by exudate formation, PGE2 production and leukocyte migration to the air pouches. Fewer gastric lesions were found after S(+)-ibuprofen administration, despite the low gastric PGE2 content. In the in vitro study, the racemic compound proved more cytotoxic than S(+)-ibuprofen. The present findings suggest that the S-enantiomer of ibuprofen could be considered a therapeutic alternative to minimize gastrointestinal side effects, since the chiral inversion of R(-)-ibuprofen to S(+)-ibuprofen did not result in an improved anti-inflammatory response.

O Ibuprofeno é normalmente comercializado na forma racêmica. Embora ocorra inversão quiral convertendo a forma R(-)- em S(+)-ibuprofeno e, a última seja considerada a forma ativa, a administração da proporção 1:0,5 (racemato: S-enantiômero) demonstrou que o S(+)-ibuprofeno é mais eficaz que a formulação racêmica. Adicionalmente, o R(-)-enantiômero está envolvido nos efeitos adversos gastrintestinais descritos para a formulação racêmica, embora os mecanismos não sejam complemente compreendidos. O objetivo deste estudo foi avaliar a atividade antiinflamatória da proporção 1:0,5 (racemato:S-ibuprofeno) utilizando o modelo experimental de bolsa de ar, a atividade ulcerogênica e a taxa de conversão quiral em ratos. Também estudamos in vitro, a citotoxicidade provocada pelo racemato e S(+)-ibuprofeno em células gástricas. Embora os níveis plasmáticos de S(+)-ibuprofeno tenham aumentado após a administração do racemato, a atividade antiinflamatória avaliada pela formação de exsudato, produção de PGE2 e migração de leucócitos para a bolsa de ar não foram diferentes. As lesões gástricas foram reduzidas após a administração de S(+)-ibuprofeno, apesar da inibição de PGE2 gástrica. In vitro, o composto racêmico foi mais citotóxico que o S(+)-ibuprofeno. Nossos resultados sugerem que o S-enantiômero do ibuprofeno pode ser considerado uma alternativa terapêutica visando a redução dos efeitos colaterais gastrintestinais, visto que a inversão quiral do R(-)- para o S(+)-ibuprofeno não resultou em melhora do efeito antiinflamatório observado.

RESULTS OF THE STUDyOF THE PHARMACOLOGICAL ACTION OF EXPERIMENTAL DRUGSOF PLANT ORIGIN ON THE PATHOLOGICAL MODEL OF GASTRIC ULCERS / Монголын эм зүй, эм судлал

Background: To investigate the pharmacological actions ofthree groups of drugs containing: Plantago major L. extract, Calendula officinalis L. extract,or mixtures of both. The three investigational drugs were compared to Omeprazole, a standard drug produced in Bulgaria, which inhibits thereleaseof enzymesof the secretary cellsof the mucous membranesof the stomach.[1]Materials and Methods:The effects of the medicinalsubstances were investigated on “Wistar” breed of white rats. Pathological model of ulcers wasformed by injecting the rats with 10% acetic acid./ Okabe, Koth.S1978 /. [2] The experimental animals were given either of the three versions of the new herbal medicine and compared to the rats given Omeprazole. After treatment the ulcer index, MDA and sialic acids in the serum were determined. [3]Result: The results showed that in the third day of the investigation, the sialic acid levels in the blood of the test group, which was given the mixture of the two plants, was significantly reduced (p<0.05) compared to the control group.Conclusion:This indicates that medicinal substances given to the rats, whichcontained the mixture of Plantago major L. and Calendula officinalis L. has accelerated the regeneration of the stomach, decreased the stomach cell damage and overall has antioxidant protective effects.Key words: Stomach, gastric ulcers, acetic acid, sialic acidReferences:1. алтанцэцэг а, амбага м. амьтнû гаралтай зарим бэлдмэлийн ходооднû салст бүрхүүлийн гэмтлээс хамгаалах идэвхи. “монгол туургатнû уламжлалт анагаах ухаан” оу-ûн эрдэм шинжилгээний бага хурлûн илтгэлийн хураангуй уБ .1995, х 40-43.2. Okabe S. Koth J.L and others. “Amer.jour. dig,dis,1971, vol16. pp.277-2893. стальная и.д и др. методопределения мда с помошью тиобарбитуровой кислотû. совр. методû биохимии.м, 1977, с 66-68.

Results of the study of the pharmacological action of experimental drugs of plant origin on the pathological model of gastric ulcers / Монголын Анагаах Ухаан

BackgroundTo investigate the pharmacological actions of three groups of drugs containing: Plantago major L. extract, Calendula officinalis L. extract, or mixtures of both. The three investigational drugs were compared to Omeprazole, a standard drug produced in Bulgaria, which inhibits the release of enzymes of the secretary cells of the mucous membranes of the stomach.Materials and MethodsThe effects of the medicinal substances were investigated on “Wistar” breed of white rats. Pathological model of ulcers was formed by injecting the rats with 10% acetic acid (Okabe, Koth.S 1978).The experimental animals were given any of the three versions of the new herbal medicine and compared to the rats given Omeprazole. After treatment the ulcer index, MDA and sialic acids in the serum were determined.ResultThe results showed that in the third day of the investigation, the sialic acid levels in the blood of the test group, which was given the mixture of the two plants, was significantly reduced (p<0.05) compared to the control group.ConclusionThis indicates that medicinal substances given to the rats, which contained the mixture of Plantago major L. and Calendula officinalis L. has accelerated the regeneration of the stomach, decreased the stomach cell damage and overall has antioxidant protective effects.

Cytomegalovirus Infectious Mononucleosis in a Patient with a Gastric Ulcer / 대한소화기내시경학회지

Cytomegalovirus (CMV) is a prevalent pathogen, with 98~100% of Korean adults showing prior exposure by serology. A primary infection, such as CMV infectious mononucleosis, is very rare. CMV infectious mononucleosis often presents an initial diagnostic problem. Patients are often hospitalized with a wide variety of clinical diagnoses including fever of unknown origin without pharyngitis and lymphadenopathy. CMV gastrointestinal infections are rare in previously immunocompetent individuals. The most common sites involved are the colon and rectum, although lesions of the stomach have also been described. It is unusual to see CMV infectious mononucleosis and CMV gastrointestinal infection in the same patient. Our patient received symptomatic treatment and fully recovered. We present a case of CMV infectious mononucleosis with gastric ulcers in a previously healthy adult.

Evaluation of gastric tolerability, antinociceptive and antiinflammatory activity of combination NSAIDs in rats.

Background : Non-steroidal antiinflammatory drugs (NSAIDs) are one of the most commonly prescribed drugs in clinical practice. Presently, several varieties of fixed dose combinations (FDCs) of NSAIDs are available over the counter and are being prescribed too. There is paucity of literature regarding comparative efficacy of these combinations against their individual component. Various clinical studies have documented increased incidence of gastric ulcerations with usage of more than one NSAID simultaneously. Objectives : To study gastric tolerability, antinociceptive and antiinflammatory activity of combination NSAIDs in rats. Materials and Methods : Gastric tolerability of different NSAIDs was observed after administration of drugs for 7 days orally. On 7 th day, 4 h after drug administration, rats were sacrificed and stomach mucosa was examined for ulcerations. Analgesic or antinociceptive activity of single and combination NSAIDs was evaluated using Writhing test model. For induction of writhing, 4% normal saline (hypertonic saline) was injected (0.1 ml/10 gm) intraperitoneally. Evaluation of antiinflammatory activity for FDCs of NSAIDs was done by using rat paw edema model with the aid of plethysmometer. Paw edema was induced by injecting 0.1 ml of 1% formalin in sub-planter region of hind paw. Results : Analgesic activity was found to be enhanced or significant only in the group pretreated with combination of nimesulide with ibuprofen as compared to ibuprofen-alone group (P = 0.01). Decrease in mean paw edema (antiinflammatory activity) was not significant in rats pretreated with combination NSAIDs as compared to NSAID-alone group. Mean gastric ulcer index was significant in groups pretreated with diclofenac alone (P = 0.03) and in combination groups of nimesulide with diclofenac and ibuprofen with paracetamol as compared to control (P = 0.03, P = 0.007). Conclusion : Addition of ibuprofen to paracetamol and combining diclofenac to nimesulide, significantly increased severity of gastric ulcerations. Fixed dose combination does not possess additional analgesic activity over their individual components, only exception being combination of nimesulide with ibuprofen, which has additional analgesic activity over ibuprofen alone, and this combination was not found to be ulcerogenic. Antiinflammatory activity of ibuprofen, paracetamol and nimesulide was significantly enhanced after addition of diclofenac.

Alterações histológicas da pars esophagea de suínos e sua relação com Helicobacter spp / Histological findings in swine pars esophagea and its Helicobacter spp. relationship

A relação entre Helicobacter spp. e a presença de alterações histológicas na pars esophagea de suínos foi avaliada em 67 estômagos de animais em idade de abate. Para a identificação das helicobactérias, utilizou-se a técnica da PCR com primers específicos para o gênero Helicobacter. As alterações histológicas foram identificadas e classificadas como ulceração, erosão, degeneração epitelial, alongamento de papilas, hiperplasia, paraqueratose, intensidade do infiltrado inflamatório e aumento do número de folículos linfoides. As alterações mais frequentemente encontradas na pars esophagea foram a degeneração epitelial e o alongamento de papilas, observadas em 83,5 por cento (n=56) das amostras analisadas. Em 77,5 por cento (n=52) das amostras, observou-se paraqueratose e em 61,1 por cento (n=41) hiperplasia epitelial. Quarenta e sete (70,1 por cento) foram positivas na PCR para Helicobacter spp. Nessas amostras a erosão foi a lesão mais observada (40,2 por cento), seguida de ulceração da mucosa (11,9 por cento). Em 58,2 por cento das amostras positivas na PCR, não foram observadas ulcerações de mucosa. Observou-se associação significativa (P=0,003) entre a presença de Helicobacter spp. e a degeneração epitelial da pars esophagea de suínos em idade de abate.

The association between histological findings of gastric mucosa in pigs at slaughtering age and the presence of Helicobacter spp., identified by PCR, assay was investigated. Stomachs from 67 pigs were examined. Histological changes of pars esophagea were identified and classified as gastric ulcers, erosion, degeneration, distortion of papils, hyperplasia, paraqueratosis, and number of lymphoid follicles. Microscopic analysis revealed the most frequent alteration: 83.5 percent (n= 56) stomachs with epithelial degeneration and distortion of papils. Paraqueratosis of pars esophagea was observed in 77.5 percent (n=52) of the samples and epithelial hyperplasia in 61 percent (n=41). Forty-seven (70.1 percent) pigs were positive to Helycobacter spp. by PCR. Erosion of pars esophagea and ulceration were the most frequent findings in Helicobacter spp. PCR-positive pigs, occurring, respectively, in 40.2 percent and 11.9 percent. The frequency of animals without ulceration and Helicobacter spp. PCR-positive was 58.2 percent. It was observed a significant association (P=0.003) between Helicobacter spp. and epithelial degeneration of gastric mucosa in pigs at slaughtering age.

Influência da monofenilbutazona associada ou não ao omeprazol sobre o sistema digestório e renal de pôneis hígidos / Influence of mofebutazone associated or not to omeprazole on the digestive and renal tracts of healthy ponies

Os objetivos deste trabalho foram averiguar se a monofenilbutazona causa efeitos colaterais no trato digestório e lesões renais em pôneis hígidos e verificar a capacidade do omeprazol em inibir a gênese de úlceras gástricas. O experimento foi executado em duas etapas. Na primeira foram utilizados seis pôneis, sendo três deles tratados diariamente por via intravenosa (IV) com as doses de 3, 4,5 ou 6mg kg-1 de monofenilbutazona durante 12 dias. Os demais, além de antiinflamatório, também receberam 3mg kg-1 de omeprazol. Já na segunda etapa foram incluídos quatro pôneis hígidos, sendo dois tratados com doses diárias de 4,5mg kg-1 de monofenilbutazona durante 12 dias e os demais com 5mL de NaCl a 0,9 por cento, por via IV. Todos os pôneis foram submetidos à gastroscopia antes e após cada etapa experimental. Adicionalmente, na primeira etapa, foram realizadas urinálise e determinação dos valores de variáveis hematológicas (hematócrito e proteína plasmática total) e bioquímicas (creatinina, albumina, Ca+2 e P+3). Na primeira etapa, apenas os dois pôneis tratados com 6mg kg-1 de monofenilbutazona apresentaram úlceras na região aglandular, ao longo da margo plicatus. Na segunda etapa, dois animais também apresentaram úlceras gástricas, sendo que um deles havia recebido apenas NaCl a 0,9 por cento. A ocorrência das úlceras não foi influenciada (P>0,05) pela administração e pela dose da monofenilbutazona, nem pela presença do omeprazol. O efeito da monofenilbutazona sobre as variáveis hematológicas e bioquímicas foi inexpressivo (P+3) ou ausente (hematócrito, proteína plasmática total, creatinina, albumina, Ca+2) (P>0,05). Os resultados obtidos permitem concluir que: a ocorrência de úlceras na região aglandular de pôneis hígidos não sofre a influência da aplicação e da dose de monofenilbutazona, quando administrada durante 12 dias; úlceras em grau 4 na região aglandular de pôneis não necessariamente estão acompanhadas de sintomatologia clínica...

This research aimed to investigate whether mofebutazone causes gastrointestinal and renal side effects in healthy ponies as well as to verify the capacity of omeprazole to inhibit the genesis of gastric ulcers. The experiment was carried out in two phases. In the first, six ponies were used, with three of them being treated daily with different doses (3, 4.5 and 6mg kg-1) of intravenous (IV) mofebutazone for 12 days. The other ponies were given 3mg kg-1 of omeprazole in addition to the anti-inflammatory drug. In the second phase, four ponies were included, with two of them being treated daily with 4.5mg kg-1 of mofebutazone for 12 days and the two remainders with 5mL of IV NaCl at 0.9 percent. All ponies underwent gastroscopy before and after each experimental phase. Additionally, in the first phase, urine, hematological (hematocrit, and total plasma protein) and biochemical (creatinine, albumin, Ca+2 and P+3) analysis were determined. In the first phase, only the two ponies treated with 6mg kg-1 of mofebutazone presented ulcers in the aglandular region along the margo plicatus. In the second phase, two animals also presented gastric ulcers, with one having received only NaCl at 0.9 percent solution. Ulcers occurrence was neither influenced (P>0.05) by the administration and dose of mofebutazone, nor by the presence of omeprazole. Mofebutazone effect on the hematological and biochemical variables was unremarkable (P+3) or absent (hematocrit, total plasma protein, creatinine, albumin, Ca+2) (P>0.05). Based on these results the following conclusions could be drawn: the occurrence of gastric ulcers in the aglandular region of healthy ponies was not influenced by application and dose of mofebutazone when administered for 12 days; grade four ulcers in the aglandular region of ponies may not be accompanied by clinical signs; healthy ponies tolerate application of up to 6mg kg-1 of IV mofebutazone for 12 days without the occurrence of renal...

A study on the acute anti-ulcer effects of narra (Pterocarpus Indicus Will.) on indomethacin-induced gastric ulcers in male albino rats (Rattus rattus)

Gastric, duodenal and peptic ulcers are collectively ranked as one of the causes of deaths in the country. Management of these diseases comes at a high cost. The researchers explored the use of indigenous narra (Pterocarpus indicus Will.) as a low cost alternative to other expensive medications. This study aimed to determine the presence and degree of ulcerations in Indomethacin-induced gastric ulcers in male albino rats after treatment with either narra leaf decoction or sucralfate. It also aimed to compare the anti-ulcer effects of different dosages of narra leaf decoction with that of sucralfateTwenty-five male rats weighting 115-200 grams were randomly divided into five groups. Gastric ulcers were induced by orally administering 30 mg/kg body weight (BW) of Indomethacin in all rats. Treatments were divided as follows: Negative control (NSS)-10 mg/kg BW normal saline solution; positive control (SUC)-1 g/kg BW sucralfate; Narra group 1 (N1)-3.94 g/kg BW narra leaf decoction; Narra group 2 (N2)-9.89 g/kg BW narra leaf decoction; and, Narra group 3 (N3)-24.84 g/kg BW narra leaf decoction. All treatments were administered using oral gavage and were repeated at intervals of 24 hours for three days. Six hours after the last administration of treatment, the rats were sacrificed and their stomachs excised. Gross analysis was done using the Bests Ulcer Staging Index while histopathological analysis was performed according to the presence and degree of ulcers and hemorrhage. Results were analyzed using Kruskal- Wallis Test for one-way ANOVAOn gross analysis, ulcers and hemorrhages were seen in some of the rat stomachs but the difference in the effects of the treatments on the different groups was not statistically significant. On histopathological analysis, ulcers and hemorrhages were evident in the NSS group but were not noted in the SUC group. The difference between the SUC and NSS groups was statistically significant. Histopathologic studies also showed the following: 2/5 rats had ulcers in Narra group 1; 2/5 in Narra group 2; and, none in Narra group 3 (but all of these rats died before the end of the experiment). However, histopathological differences among the treatment groups were not statistically significantThese findings suggest that narra may have anti-ulcer effects. It is recommended that a dosage higher than 24.84 g/kg BW (the highest narra dosage administered for three days in this experiment) be used in further experiments. The duration of exposure to the drug should also be lengthened. (Author)