Órgãos internos e trato digestório de novilhos superprecoces não castrados ou castrados, de dois grupos genéticos / Internal organs and digestive tract of non-castrated or castrate young steers of two genotypes

Avaliaram-se as características dos órgãos e do trato gastrintestinal de novilhos com duas condições sexuais - castrados e não castrados -, com predomínio genético Charolês ou Nelore com idade e peso médios iniciais de 12 meses e 267kg, respectivamente. Os novilhos foram confinados até o peso de abate médio preestabelecido de 400kg. A dieta alimentar continha relação volumoso:concentrado de 50:50 (base na matéria seca), com 10 por cento de proteína bruta. O delineamento experimental utilizado foi o inteiramente ao acaso, em arranjo fatorial de 2x2 (duas condições sexuais x dois predomínios genéticos). Para o peso absoluto do omaso, observou-se interação significativa de genótipo versus condição sexual dos novilhos. Animais não castrados apresentaram maiores pesos absolutos dos rins (0,81 versus 0,66kg), do abomaso (1,20 versus 1,00kg) e dos intestinos, nas diferentes formas de expressão, em comparação aos castrados. Os animais com predomínio Charolês apresentaram maiores pesos absolutos do omaso (4,24 versus 3,46kg), dos intestinos (8,18 versus 6,84kg) e do total do trato digestório (16,88 versus 14,90kg) em relação aos animais com predominância Nelore. Não houve correlação entre o rendimento de carcaça e os componentes não integrantes da carcaça.

The characteristics of non-integrant parts of carcass of steers with two sexual conditions - castrated and non-castrated - with Charolais or Nellore genetic predominance were evaluated. The average age and inicial weight were 12 months old and 267kg, respectively. The steers were feedlot finished until slaughter weight of 400kg. The experimental diet was formulated in a roughage:concentrate ratio 50:50 (dry matter basis), with 10 percent crude protein. A completely randomized experimental design in a 2x2 factorial arrangement (two sexual conditions and two genetic groups) was used. Significant interaction between genotypes and sexual conditions of steers was observed for the omasum absolute weight. The non-castrated animals showed heavier kidneys (0.81 versus 0.66kg) and abomasums (1.20 versus 1.00kg) and intestines in comparisson to castrated animals. Genotypes with Charolais predominance showed heavier omasums (4.24 versus 3.46kg), intestines (8.18 versus 6.84kg), and the total digestive tract (16.88 versus 14.90kg) in relation to animals with Nellore predominance. No significant correlation between carcass dressing percentage and non-integrant parts of carcass was observed.

Magnetic resonance cholangiography in the diagnosis of biliary complications after orthotopic liver transplantation.

OBJECTIVE: The aim of our study was to evaluate the role of magnetic resonance cholangiography (MRC) in the diagnosis of biliary tract complications (BC) after orthotopic liver transplantation (OLT). MATERIALS AND METHODS: Among 21 OLT patients who underwent routine follow-up MRC using a breath-hold T2-weighted turbo spin-echo sequence with half-Fourier acquisition (HASTE), 5 had an elevated serum alkaline phosphatase level. Diagnostic confirmation was obtained with endoscopic retrograde cholangiography (ERC) (n = 11), surgery (n = 3), or clinical and laboratory follow-up of at least 1 year (n = 8). RESULTS: In 13 patients, no abnormality of the biliary tract was detected using MRC. In 8 patients, anastomotic strictures were diagnosed, 7 of which were confirmed at surgery or using ERC. One patient with normal findings at MRC and abnormal liver function test results was found to have a stricture at ERC. All patients with normal MRC and liver function tests had 1 year of uneventful follow-up and were considered true-negative cases. We found that MRC had 87.5% sensitivity, 92.3% specificity, 87.5% positive predictive value, 92.3% negative predictive value, and 90.4% accuracy for the diagnosis of BC. CONCLUSION: MRC is a valuable examination to detect BC after OLT. It provides useful information for planning interventional procedures.

Simultaneous pancreas-kidney transplantation: infectious complications and microbiological aspects.

OBJECTIVE: The purpose of this study was to describe the clinical and microbiological characteristics of the infectious complications among simultaneous pancreas-kidney transplantations (SPKT). MATERIALS AND METHODS: Among the first 45 SPKT the mean age was 34 years (range, 21 to 49) and the mean duration of follow-up 13 months (range, 2 to 27 months). RESULTS: Twenty-three patients (51%) presented at least one to three episodes (1.7 mean) of infectious complications that needed hospitalization. The etiology of the infections included 71% bacterial (44% gram-negative rods and 27% gram-positive cocci), 16% viral (12% from CMV and 4% from Herpes sp) and 13% fungal (8% by Candida sp and 4% by others fungus). Wound and urinary infections were most frequent, occurring in 22% and 28% of the patients, respectively. All patients who were submitted to vesical drainage developed infections in contrast a rate of only 44% among patients undergoing enteric drainage. CONCLUSION: Infectious complications are the main cause of morbidity and mortality following simultaneous pancreas-kidney transplantation, especially with vesical drainage. The use of enteric drainage combined with administration of broad spectrum prophylactic antibiotics is recommended.

Value of CEA level determination in gallbladder bile in the diagnosis of liver metastases secondary to colorectal adenocarcinoma.

CONTEXT: The relevance of colorectal adenocarcinoma lies in its high incidence, with the liver being the organ most frequently affected by distant metastases. Liver metastases occur in 40 to 50% of patients with colorectal adenocarcinoma, accounting for approximately 80% of deaths in the first three postoperative years. Nevertheless, despite this, they are occasionally susceptible to curative treatment. OBJECTIVE: The present investigation focused on the relationship between the level of carcinoembryonic antigen (CEA) in gallbladder bile and the presence of liver metastases secondary to colorectal adenocarcinoma. DESIGN: Diagnostic test study. SETTING: Surgical Gastroenterology Discipline at the São Paulo Hospital, São Paulo, Brazil. SAMPLE: Forty-five patients with colorectal adenocarcinoma were studied, 30 without liver metastases (group I), and 15 with liver metastases (group II). Diagnosis of liver metastases was made through computed tomography, magnetic resonance imaging and computed tomography during arterial portography. Samples of peripheral blood, portal system blood, and gallbladder bile were collected from patients during the surgical procedure. A control group composed of 18 organ donors underwent the same material collection procedures. CEA level determination was made through fluoroimmunoassay. RESULTS: Mean CEA value in peripheral serum was 2.0 ng/ml (range: 0.7 to 3.8 ng/ml) in the control group, 11.4 ng/ml (range: 0.5 to 110.3 ng/ml) in group I, and 66.0 ng/ml (range: 2.1 to 670 ng/ml) in group II. In the portal system, serum mean values found were 1.9 ng/ml (range: 0.4 to 5.0 ng/ml) in the control group, 15.3 ng/ml (range: 0.8 to 133.3 ng/ml) in group I, and 70.8 ng/ml (range: 1.8 to 725 ng/ml) in group II. Mean values found in gallbladder bile were 4.1 ng/ml (range: 1.0 to 8.6 ng/ml) in the control group, 14.3 ng/ml (range: zero to 93.0 ng/ml) in group I, and 154.8 ng/ml (range: 14.0 to 534.7 ng/ml) in group II. CONCLUSIONS: The CEA level in gallbladder bile is elevated in patients with liver metastases. Determination of CEA both in peripheral serum and in gallbladder bile enabled patients with liver metastases to be distinguished from those without such lesions. The level of CEA in gallbladder bile, however, seems to lead to a more accurate diagnosis of liver metastases secondary to colorectal adenocarcinoma.