scholarly journals ROENTGEN RAY INTOXICATION

1922 ◽  
Vol 35 (2) ◽  
pp. 213-224 ◽  
Author(s):  
S. L. Warren ◽  
G. H. Whipple
Keyword(s):  
Small Intestine ◽  
Intestinal Mucosa ◽  
Moderate Increase ◽  
X Rays ◽  
Fatal Intoxication ◽  
Initial Exposure ◽  
Functional Disturbance ◽  
Lymph Glands ◽  
Liver And Pancreas ◽  
Notable Increase

Exposure to large doses of x-rays will cause notable increase in the speed of autolysis of the crypt or secretory epithelium of the dog's small intestine. These changes can be demonstrated readily in material obtained from dogs killed 2, 24, 48, 72, or 96 hours after the initial radiation (Text-figs. 1 and 2). In the radiated dogs the secretory crypt epithelium of the small intestine autolyzes first and the epithelium of the villi last, while the reverse is true in the normal control small intestine. These abnormalities of autolysis associated with lethal Roentgen ray exposures can be demonstrated for the small intestine over the whole 4 day period subsequent to radiation. The colon shows little change and the stomach no demonstrable changes in autolysis under like conditions. The kidney likewise is negative. The spleen, lymph glands, liver, and pancreas show a moderate increase in speed of autolysis in tissues taken from radiated animals within 48 hours of the initial exposure. What the significance of this disturbance of cell ferments in the intestinal mucosa may be, we cannot pretend to say. At least these observations strengthen one's confidence in the profound functional disturbance of this important intestinal epithelium—a disturbance which we believe is responsible for the clinical abnormalities and fatal intoxication.

scholarly journals ROENTGEN RAY INTOXICATION

1922 ◽  
Vol 35 (2) ◽  
pp. 187-202 ◽  
Author(s):  
S. L. Warren ◽  
G. H. Whipple
Keyword(s):  
Small Intestine ◽  
Clinical Evidence ◽  
Clinical Work ◽  
X Rays ◽  
Fatal Intoxication ◽  
Unit Dose ◽  
Slight Rise ◽  
Almost All ◽  
Proper Consideration ◽  
Urinary Nitrogen

Roentgen radiation of the thorax (abdomen shielded) in dogs, even with large doses (up to 512 milliampere minutes), gives no clinical evidence of intoxication. There may be a transient leucopenia and a slight rise in urinary nitrogen. Roentgen radiation of the abdomen (thorax shielded) in dogs, with a dose of 350 milliampere minutes, will almost certainly cause a fatal intoxication. Smaller doses may be survived but usually with signs of gastrointestinal intoxication. This lethal intoxication due to abdominal radiation presents a remarkably uniform clinical and anatomical picture. There is a latent period of 24 to 36 hours, during which the dog is perfectly normal clinically. The 2nd day usually shows the beginning of diarrhea and perhaps some vomitus. The 3rd and 4th days show progressive intoxication with increasing vomiting and bloody diarrhea until the dog becomes stuporous. Death is almost always on the 4th day. Anatomically the only lesions of significance are to be found in the small intestine. The epithelium of the crypts and villi shows more or less complete necrosis, and this condition may involve almost all of the small intestine. The epithelium may vanish completely except for a few cells here and there which have escaped and are often found in mitosis, probably an effort at repair and regeneration. We are forced to the conclusion that this remarkable injury of the epithelium of the small intestine is responsible for the various abnormal reactions and final lethal intoxication which follow a unit dose of Roentgen radiation over the abdomen of a normal dog. This sensitiveness of the intestinal epithelium to x-rays is not appreciated and should be given proper consideration in clinical work.

scholarly journals ROENTGEN RAY INTOXICATION

1922 ◽  
Vol 35 (2) ◽  
pp. 203-211 ◽  
Author(s):  
S. L. Warren ◽  
G. H. Whipple
Keyword(s):  
Bone Marrow ◽  
Small Intestine ◽  
Ileocecal Valve ◽  
Fatal Intoxication ◽  
Lymph Glands ◽  
The Third ◽  
Physiological Reaction ◽  
Crypt Epithelium ◽  
Nuclear Changes ◽  
Lethal Dosage

Roentgen radiation in lethal dosage, given over the abdomen of a normal dog, is followed by a physiological reaction of remarkable uniformity. The first 24 hour period following the exposure is negative clinically and anatomically, but histologically we see frank changes in the bone marrow, spleen, lymph glands, and ovaries. There are definite nuclear changes with degeneration in the crypt epithelium of the small intestine. The second 24 hour period shows slight clinical disturbances of gastrointestinal nature (vomitus and diarrhea). The mucosa of the small intestine shows scattered ecchymoses, but the histology of the small intestine is important. The necrosis of the crypt epithelium may be almost complete, while the epithelium of the villi remains practically intact. There are a little edema and invasion of wandering cells. The third 24 hour period shows increasing clinical disturbance with vomiting and bloody diarrhea. Anatomically the small intestine from the edge of the pylorus to the rim of the ileocecal valve looks raw, red, and inflamed. The crypt and villous epithelium has in large part vanished, leaving a collapsed framework of the mucosa showing a little edema and invasion of wandering cells. The 4th day marks the peak of the intoxication, and death usually takes place at this time, preceded by coma. Anatomically and histologically the picture is like that of the 3rd day. There is more evidence of mitosis and efforts of repair on the part of the intestinal epithelium. The stomach is not concerned in this reaction, but the colon may show evidences of a slight injury. The colon is obviously much more resistant than is the small intestine. We believe the evidence is conclusive that the injury done the epithelium of the small intestine is wholly responsible for the stormy clinical picture and fatal intoxication.

scholarly journals Biodistribution of the radiophamarceutical sodium pertechnetate (Na99mTcO4) after massive small bowel resection in rats

2007 ◽  
Vol 22 (6) ◽  
pp. 430-435 ◽  
Author(s):  
Dâmaso de Araújo Chacon ◽  
Irami Araújo-Filho ◽  
Arthur Villarim-Neto ◽  
Amália Cínthia Meneses Rêgo ◽  
Ítalo Medeiros Azevedo ◽  
...  
Keyword(s):  
Small Intestine ◽  
Short Bowel Syndrome ◽  
Intestinal Mucosa ◽  
Intestinal Resection ◽  
Small Bowel Resection ◽  
Control Group ◽  
Short Bowel ◽  
Massive Resection ◽  
Mucosal Thickness ◽  
Misleading Interpretation

PURPOSE: To evaluate the biodistribution of sodium pertecnetate (Na99mTcO4) in organs and tissues, the morphometry of remnant intestinal mucosa and ponderal evolution in rats subjected to massive resection of the small intestine. METHODS: Twenty-one Wistar rats were randomly divided into three groups of 7 animals each. The short bowel (SB) group was subjected to massive resection of the small intestine; the control group (C) rats were not operated on, and soft intestinal handling was performed in sham rats. The animals were weighed weekly. On the 30th postoperative day, 0.l mL of Na99mTcO4, with mean activity of 0.66 MBq was injected intravenously into the orbital plexus. After 30 minutes, the rats were killed with an overdose of anesthetic, and fragments of the liver, spleen, pancreas, stomach, duodenum, small intestine, thyroid, lung, heart, kidney, bladder, muscle, femur and brain were harvested. The biopsies were washed with 0.9% NaCl.,The radioactivity was counted using Gama Counter WizardTM 1470, PerkinElmer. The percentage of radioactivity per gram of tissue (%ATI/g) was calculated. Biopsies of the remaining jejunum were analysed by HE staining to obtain mucosal thickness. Analysis of variance (ANOVA) and the Tukey test for multiple comparisons were used, considering p<0.05 as significant. RESULTS: There were no significant differences in %ATI/g of the Na99mTcO4 in the organs of the groups studied (p>0.05). An increase in the weight of the SB rats was observed after the second postoperative week. The jejunal mucosal thickness of the SB rats was significantly greater than that of C and sham rats (p<0.05). CONCLUSION: In rats with experimentally-produced short bowel syndrome, an adaptive response by the intestinal mucosa reduced weight loss. The biodistribution of Na99mTcO4 was not affected by massive intestinal resection, suggesting that short bowel syndrome is not the cause of misleading interpretation, if an examination using this radiopharmaceutical is indicated.

Intestinal Lesions Containing Coronavirus-like Particles in Neonatal Necrotizing Enterocolitis: An Ultrastructural Analysis

PEDIATRICS ◽  
1984 ◽  
Vol 73 (2) ◽  
pp. 218-224
Author(s):  
S. Rousset ◽  
O. Moscovici ◽  
P. Lebon ◽  
J. P. Barbet ◽  
P. Helardot ◽  
...  
Keyword(s):  
Electron Microscopy ◽  
Small Intestine ◽  
Necrotizing Enterocolitis ◽  
Intestinal Mucosa ◽  
Light And Electron Microscopy ◽  
Anaerobic Bacteria ◽  
Intestinal Lesions ◽  
Maternity Hospitals ◽  
Neonatal Necrotizing Enterocolitis

Since the outbreaks of neonatal necrotizing enterocolitis occurring in maternity hospitals of Paris and suburbs in 1979-1980, it has been possible to examine by light and electron microscopy gut specimens from ten newborns with this illness. Coronavirus-like particles, enclosed in intracytoplasmic vesicles of damaged epithelial cells of the intestinal mucosa, were observed in the small intestine, appendix, and colon. The ultrastructural study, supported by bacteriologic findings, suggests the role of coronavirus-like particles in the appearance of the lesions. Secondary proliferation of mainly anaerobic bacteria, probably responsible for pneumatosis, may aggravate the disease.

scholarly journals Гістоморфологічні зміни в органах і тканинах мурчаків, інфікованих ентеротоксигенними штамами Y. Enterocoliticа

2015 ◽  
pp. 73-83
Author(s):  
Б. В. Борисевич ◽  
В. Г. Скибіцький ◽  
Г. В. Козловська ◽  
А. В. Козловська
Keyword(s):  
Small Intestine ◽  
Lymph Nodes ◽  
Causative Agent ◽  
Guinea Pigs ◽  
Degenerative Changes ◽  
Necrotic Enteritis ◽  
Immune Organs ◽  
Liver And Pancreas ◽  
Histomorphological Changes ◽  
Significant Activation

Викладено результати дослідження гістоморфо-логічних змін органів і тканин мурчаків, інфікованихентеротоксигенними штамами Y. enterocoliticа. Зок-рема встановлено, що найбільше уражається тонкакишка, де виявляють поверхневий некротичний енте-рит. Токсини збудника хвороби, потрапляючи в кров,спричиняють дистрофічні зміни в печінці та підшлун-ковій залозі, спричиняють екстракапілярний серознийгломерулонефрит та дистрофічні зміни епітеліюканальців нирок, а також серозний міокардит. Інфі-кування мурчаків призводить до значної активаціївсіх імунокомпетентних органів організму – тимусу,селезінки, соматичних і вісцеральних лімфовузлів. The results of the study of histomorphological changes in organs and tissues of guinea pigs infected with enterotoxigenic strains of Y. enterocolitica were presented. We established, in particular, the most affected in small intestine, where superficial necrotic enteritis was determined. Toxins are causative agent, getting into the bloodstream cause degenerative changes in the liver and pancreas. And also serous ecstracapillary glomerulonephritis and degenerated changes of epithelial tubules of the kidneys and serous myocarditis were caused. The infecting of guinea pigs leads significant activation of immune organs: thymus, spleen, somatic and visceral lymph nodes.

Video Capsule Endoscopy and Deep Enteroscopy

2017 ◽  
Author(s):  
Neil Marya ◽  
Veronica Baptista ◽  
Anupam Singh ◽  
Joseph Charpentier ◽  
David Cave
Keyword(s):  
Small Intestine ◽  
Small Bowel ◽  
Carcinoid Tumor ◽  
Capsule Endoscopy ◽  
Crohn Disease ◽  
Malignant Tumors ◽  
Video Capsule Endoscopy ◽  
X Rays ◽  
Small Bowel Tumors ◽  
Peutz Jeghers Syndrome

Until 2001, the nonsurgical evaluation of the small intestine was largely limited to the use of radiologic imaging (e.g., small bowel follow-through or enteroclysis). With the now widespread availability of video capsule endoscopy and deep enteroscopy since 2001, we are now able to visualize the length and most of the mucosa of the small intestine and manage small bowel lesions that were previously inaccessible except by surgical intervention. This review serves as an overview for these two procedures, detailing the indications and contraindications, proper timing of the procedure, technical aspects of the devices themselves, possible complications, and outcomes. Figures show endoscopic images that demonstrate multiple angioectasias, bleeding during capsule endoscopy, active Crohn disease of the small bowel, severe mucosal scalloping, small bowel carcinoid tumor, small bowel polyp associated with Peutz-Jeghers syndrome, and nonsteroidal antiinflammatory drug enteropathy; serial x-rays of a patient with a patency capsule retained inside the small intestine; a computer image showing the distribution of small bowel tumors; and a pie chart displaying the breakdown of the distribution of benign and malignant tumors that can be found in the small intestine. Videos show multiple angioectasias, bleeding during capsule endoscopy, active Crohn disease of the small bowel, small bowel carcinoid tumor, and small bowel polyp associated with Peutz-Jeghers syndrome. This review contains 10 highly rendered figures, 5 videos, and 50 references.

scholarly journals Gene expression in human small intestinal mucosa in vivo is mediated by iron-induced oxidative stress

2006 ◽  
Vol 25 (2) ◽  
pp. 242-249 ◽  
Author(s):  
Freddy J. Troost ◽  
Robert-Jan M. Brummer ◽  
Guido R. M. M. Haenen ◽  
Aalt Bast ◽  
Rachel I. van Haaften ◽  
...  
Keyword(s):  
Oxidative Stress ◽  
Gene Expression ◽  
Lipid Peroxidation ◽  
Small Intestine ◽  
Antioxidant Capacity ◽  
Intestinal Mucosa ◽  
Thiobarbituric Acid ◽  
Thiobarbituric Acid Reactive Substances ◽  
Oxidative Challenge ◽  
Gene Reporters

Iron-induced oxidative stress in the small intestine may alter gene expression in the intestinal mucosa. The present study aimed to determine which genes are mediated by an iron-induced oxidative challenge in the human small intestine. Eight healthy volunteers [22 yr(SD2)] were tested on two separate occasions in a randomized crossover design. After duodenal tissue sampling by gastroduodenoscopy, a perfusion catheter was inserted orogastrically to perfuse a 40-cm segment of the proximal small intestine with saline and, subsequently, with either 80 or 400 mg of iron as ferrous gluconate. After the intestinal perfusion, a second duodenal tissue sample was obtained. Thiobarbituric acid-reactive substances, an indicator of lipid peroxidation, in intestinal fluid samples increased significantly and dose dependently at 30 min after the start of perfusion with 80 or 400 mg of iron, respectively ( P < 0.001). During the perfusion with 400 mg of iron, the increase in thiobarbituric acid-reactive substances was accompanied by a significant, momentary rise in trolox equivalent antioxidant capacity, an indicator of total antioxidant capacity ( P < 0.05). The expression of 89 gene reporters was significantly altered by both iron interventions. Functional mapping showed that both iron dosages mediated six distinct processes. Three of those processes involved G-protein receptor coupled pathways. The other processes were associated with cell cycle, complement activation, and calcium channels. Iron administration in the small intestine induced dose-dependent lipid peroxidation and a momentary antioxidant response in the lumen, mediated the expression of at least 89 individual gene reporters, and affected at least six biological processes.

scholarly journals Transient changes of transforming growth factor-β expression in the small intestine of the pig in association with weaning

2005 ◽  
Vol 93 (1) ◽  
pp. 37-45 ◽  
Author(s):  
Jie Mei ◽  
Ruo-Jun Xu
Keyword(s):  
Small Intestine ◽  
Growth Factor ◽  
Western Blot ◽  
Intestinal Mucosa ◽  
Blot Analysis ◽  
Transforming Growth Factor ◽  
Transforming Growth Factor Β ◽  
Intestinal Villus ◽  
Weaning Pigs ◽  
Tgf Β1

It is well known that early weaning causes marked changes in intestinal structure and function, and transforming growth factor-β (TGF-β) is believed to play an important regulatory role in post-weaning adaptation of the small intestine. The present study examined the distribution and expression intensity of TGF-β in the small intestinal mucosa of pre- and post-weaning pigs using a specific immunostaining technique and Western blot analysis. The level of TGF-β in the intestinal mucosa, as estimated by Western blot analysis, did not change significantly during weaning. However, when examined by the immunostaining technique, TGF-β1 (one of the TGF-β isoforms dominantly expressed in the tissue) at the intestinal villus epithelium, particularly at the apical membrane of the epithelium, decreased significantly 4 d after weaning, while the staining intensity increased significantly at the intestinal crypts compared with that in pre-weaning pigs. These changes were transient, with the immunostaining intensity for TGF-β1 at the intestinal villi and the crypts returning to the pre-weaning level by 8 d post-weaning. The transient decrease in TGF-β1 level at the intestinal villus epithelium was associated with obvious intestinal villus atrophy and marked reduction of mucosal digestive enzyme activities. Furthermore, the number of leucocytes staining positively for TGF-β1 increased significantly in the pig intestinal lamina propria 4 d after weaning. These findings strongly suggest that TGF-β plays an important role in the post-weaning adaptation process in the intestine of the pig.

scholarly journals Evolution of Stellar Activity in Early Post-Main-Sequence Phases

1993 ◽  
Vol 137 ◽  
pp. 648-650
Author(s):  
A. Maggio ◽  
S. Sciortino ◽  
L. Bianchi ◽  
F.R. Harnden ◽  
R. Rosner
Keyword(s):  
Spectral Type ◽  
Main Sequence ◽  
Activity Level ◽  
Sensitivity Threshold ◽  
Moderate Increase ◽  
X Rays ◽  
Late Type ◽  
Lower Mass ◽  
X Ray ◽  
Radiative Emission

We present preliminary observational evidences on the variation of the activity level in late type stars, during the evolutionary phases on the main sequence and beyond. We have selected a sample of 51 stars (Fig. 1), lying mostly along evolutionary tracks between 1.3 and 1.7 solar masses, which have been observed in soft X-rays with the Einstein Observatory, and in UV with IUE (Maggio et al. 1990; Haisch et al.1990). Two ROSAT targets, and four new IUE observations are also included.We find that the radiative emission from the outer atmospheres of stars with M > 1.6M⊙ seems to behave differently than for stars with lower mass.On the main sequence, the X-ray luminosity of most stars with B-V < 0.42 (spectral type F3) is relatively low, at Lx ~ 3 × 1028erg s-1 (Fig. 2). In the early evolutionary phases beyond the main sequence, the X-ray luminosity of the higher mass stars tend to increase sistematically up to ~ 1030erg s-1, while the lower mass stars show an initial moderate increase followed by a drop, at B-V ~ 0.6, below our sensitivity threshold.

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