Renal arterial duplex Doppler ultrasound in dogs with urinary obstruction.

Recent clinical studies using duplex Doppler sonography identified an alteration in renal arterial blood flow in obstructed hydronephrotic kidneys that reportedly can be used to distinguish obstructive from nonobstructive collecting system dilatation. We attempted to verify these clinical findings and establish the temporal relationship of the alteration in the Doppler spectrum to the onset of urinary obstruction by evaluating surgically induced urinary obstruction in dogs. We performed laparotomies on 11 dogs, with the left ureter isolated and ligated in five dogs, and left intact in six dogs (control group). Duplex Doppler examination of the left renal arteries performed nine times during the first postoperative month identified a statistically significant difference (p less than .05) in the Doppler resistive index calculation between the two groups on days 1, 2, 4, and week 4. A resistive index discriminatory threshold of 0.7 (greater than 0.7, obstructed; less than 0.7, nonobstructed) produced a test sensitivity of 74% and specificity of 77%. We conclude from our study that renal arterial duplex Doppler sonography can detect a change in renal perfusion as a result of urinary obstruction and that this change can be detected as early as 24 hours after obstruction. However, high false-positive and false-negative rates may limit the ability of this modality to reliably distinguish obstructive from nonobstructive collecting system dilatation.

Penetrating injury of a duplicated ureter: case report.

Duplications of the genitourinary tract are uncommon and may be a source of confusion in the early diagnosis of ureteral trauma when their presence is not suspected. We present a case of delayed diagnosis of a penetrating injury to a duplicated ureter and its management.

Effects of liquid versus solid diet on colonic transit in humans. Evaluation by standard colonic transit scintigraphy.

The effects of liquid versus solid diet on human colonic transit were investigated, and transit following cecal instillation of tracer was compared with transit following instillation in the proximal jejunum. In a randomized cross-over, single-blind fashion, 6 normal volunteers ingesting either normal solid foods or a liquid diet were studied using colonic transit scintigraphy. 111In-DTPA was instilled either into the cecum via a long intestinal tube or into the proximal jejunum via a feeding tube. Compared with the liquid diet, the solid diet slowed transit in the cecum and ascending colon (p less than 0.025) and delayed progression of the geometric center (p less than 0.05) during the first 4 h of the study. Transit from 18 to 48 h was similar on the 2 diets. On the solid diet, transit was similar whether 111In-DTPA was instilled into the proximal jejunum or into the cecum. Transit from the terminal ileum to the cecum was assessed in an additional 5 volunteers following jejunal instillation of 99mTc-DTPA. Cecal filling was rapid (T1/2 = 0.49 h) and complete in all subjects before the onset of cecal emptying. These results suggest that colonic transit is slower on a solid than a liquid diet and that jejunal instillation of radiopharmaceuticals should be suitable for colonic transit studies in most subjects.

Role of opiate receptors in the regulation of colonic transit.

The effects of morphine and the opiate antagonist naloxone on human colonic transit were investigated. In a crossover, double-blind fashion, two groups of 6 normal volunteers were studied using colonic transit scintigraphy during the administration of a test drug or control. The test drugs were morphine (0.1 mg/kg every 6 h s.c.) or naloxone (0.8 mg every 6 h s.c.); control was saline (1 ml every 6 h s.c.). Morphine significantly delayed transit in the cecum and ascending colon (p less than 0.05), slowed the progression of the geometric center (p less than 0.01), and decreased the number of bowel movements per 48 h (p less than 0.005). Naloxone accelerated transit in the transverse colon and rectosigmoid colon (p less than 0.05) and accelerated the progression of the geometric center (p less than 0.05), but had no effect on the number of bowel movements per 48 h (p greater than 0.05). These results suggest that narcotic analgesics may cause constipation in part by slowing colonic transit in the proximal colon and by inhibiting defecation. Acceleration of transit by naloxone suggests that endogenous opiate peptides may play an inhibitory role in the regulation of human colonic transit.

Prolactin levels and molecular heterogeneity in rat strains with high and low incidence of DMBA-induced mammary tumors.

We compared the following parameters in Long-Evans (LE) and Sprague-Dawley (SD) female rats: 1) mammary tumor incidence after DMBA, 2) plasma prolactin (PRL) during the estrous cycle before and after DMBA, 3) plasma PRL in immature females from 0900 hr on day 29 to 0900 hr on day 30, 4) plasma PRL from 1200 to 1700 hr and before and 10 min after i.p. TRH administration in ovariectomized (OVX) rats treated with 200 micrograms polyestradiol phosphate (PEP), 5) anterior pituitary (AP) PRL concentration in OVX rats treated with 200 micrograms PEP, and 6) levels and Sephadex G-100 gel filtration patterns of plasma PRL 10 min after i.p. TRH administration in OVX rats treated with 200 micrograms PEP. We observed marked mammary tumor incidence in SD rats from one supplier (S-SD, Spartan) (96%) compared to SD from another supplier (CR-SD, Charles River) (40%) or LE rats (10%). Plasma PRL was significantly decreased on metestrus-diestrus and increased on proestrus-estrus in SD (both suppliers) but not in LE rats 90 days after DMBA compared to rats not given DMBA and sacrificed at same stages of the estrous cycle on day 55 of age. Immature LE and SD-CR females exhibited significant late afternoon and early morning prolactin surges on days 29-30 whereas SD-H rats had either no surges or poorly synchronized surges at the same times.(ABSTRACT TRUNCATED AT 250 WORDS)