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[Carcinoma of the large intestine following ureterosigmoidostomy in a patient with bladder exstrophy].

The paper reports a case of intestinal occlusion due to adenocarcinoma of the large intestine as a sequel to ureterosigmoidostomy for exstrophy of the bladder which was subsequently converted to ureteroileocutaneostomy. Inadequate follow-up did not allow an early diagnosis to be made. The authors underline the need for annual colonoscopy in all patients suffering from or with previous ureterosigmoidostomy given the high incidence of malignant transformation of the colon.

Adenocarcinoma↗

The glycosylation of rat intestinal Muc2 mucin varies between rat strains and the small and large intestine. A study of O-linked oligosaccharides by a mass spectrometric approach.

The large glycosylated domains obtained from the rat intestinal mucin Muc2 were isolated from the large and small intestine of the inbred rat strains GOT-W and GOT-BW. The expression of the rat Muc2 in the large intestine was confirmed immunochemically and by Northern blotting. Released oligosaccharides were structurally characterized by gas chromatography-mass spectrometry (neutral and sialylated species) or by tandem mass spectrometry (sulfated species), and a total of 63 structures was assigned. The large intestinal oligosaccharides were found to be identical between the strains, while the small intestinal glycosylation differed. Until now, detailed structural analysis of oligosaccharides isolated from a single mucin core or mucin domain with different origin have not been performed, and the information of different mucin glycoforms has been limited to immunochemistry. Blood group A-determinants (GalNAcalpha1-3(Fucalpha1-2)Galbeta1-, and structures related to the blood group Sda/Cad-related epitope NeuAc/NeuGcalpha1-3(GalNAcbeta1-4)Galbeta1-, were found in GOT-BW small intestine, and also in both large intestines. Blood group H-determinants and NeuAc/NeuGcalpha1-3Galbeta1- were found in all samples. Core 1 (Galbeta1-3GalNAcalpha1-), core 2 (Galbeta1-3(GlcNAcbeta1-6)GalNAcalpha1-), core 3 (GlcNAcbeta1-3GalNAcalpha1-), and core 4 (GlcNAcbeta1-3(GlcNAcbeta1-6)GalNAcalpha1- were also found in all the samples. The large intestine were enriched in sulfated oligosaccharides and the small intestine contained higher amounts of sialylated species. Sulfation were found exclusively on C-6 of GlcNAc.

ABO Blood-Group System↗

The effects of age and chronic restricted feeding on protein synthesis and growth of the large intestine of the rat.

1. In vivo rates of protein synthesis and growth of the large intestine were studied in ad libitum fed control and chronic diet restricted rats between 3 and 149 weeks post partum. 2. Restricted feeding (50% reduced intake) when imposed from weaning significantly extends the life span of rodents through an unknown biochemical mechanism. 3. The change in nutritional status slows the accumulation of RNA, DNA and protein in the large intestine but does not modify the fractional rate of protein synthesis. 4. It was therefore deduced, that intracellular protein degradation, or the rate of mucosal cell extrusion into the gut lumen, is accelerated by chronic restricted feeding.

Age Factors↗

[The functional morphology of the large intestinal mucosa of the ox (Bos primigenius f. taurus), sheep (Ovis ammon f. aries) and goat (Capra aegagrus f. hircus)].

The mucous membrane of the large intestine of the ox, sheep and goat was studied using light and electron microscopy. The surface epithelium possesses the well-known complement of organelles with a conspicuous number of mitochondria as a source of energy for absorptive activities. Occasionally, brush cells are found in the epithelium; the functional significance of this type of cell is still under discussion. In the present material, electron-lucid spheroids (diameter: 45 x 35 nm), which tend to fuse, appear in the supranuclearly located osmiophilic granules. The structure and appearance of the epithelium cells in the crypts of these species correspond to previous descriptions in other mammals. In the epithelial cells of the deep glandular region, dense accumulations of mainly rounded granules (diameter up to 400 nm) are found apically in the cytoplasm. Their functional significance is still under discussion. Acid phosphatase activity, as a marker enzyme for lysosomes, points to degenerative processes in connection with the physiological death of enterocytes. In contrast, the negative alkaline phosphatase reaction indicates that, according to our findings, the epithelial transport of substances in the large intestine of ruminants--in principle contrary to the situation in the small intestinal enterocytes--occurs without the aid of this enzyme. The demonstrated ATPase activity on the other hand, is related to a primary active ion transport linked with membrane exchange of non-electrolytes in connection with transepithelial events of absorption and secretion in the large intestine.

Animals↗

[Ischemic disorders of the large intestinal wall. Ischemic colitis and rectitis secondary to intrinsic vascular disorders].

Ischaemic diseases of the large intestinal wall is a characteristic syndrome caused by vascular insufficiency of varying degrees. The ischaemia results from haemodynamic disturbances and often arises in spite of the patency of the vessels. The mucosa of the intestine is the tissue layer that is most vulnerable to ischaemia. Ischaemia of the colon occurs in the presence of a microbial flora that is often highly pathogenic, and hence the lesions rapidly become infected. For this reason the inflammatory features of the disease tend to conceal its vascular origin and ischaemic colitis has often been confused with other infectious, inflammatory, ulcero-haemorrhagic disorders of the large intestine. Although the syndrome may occur in any patient, it is much more common in elderly subjects with a history of arteriesclerosis and cardiac disease. Two main varieties can be identified, depending on the extent of the vascular insufficiency. In the first, the lesion may heal spontaneously or evolve towards fibrous strictures of the colonic wall; in the second, gangrenous necrosis of the colon or rectum may develope, the clinical picture of which has more in common with an "acute abdomen' than with ulcerative disease of the colon.

Colitis↗

Gradients of serotoninergic innervation of the large intestine.

Experiments were performed on nembutal-narcotized rabbits. To study motor activity of the large intestine stimulation was applied to the right vagus nerve and left sympathetic trunk, as well as to the right pelvic nerve and left sympathetic trunk. We found a decreasing gradient of serotoninergic innervation from the ascending colon to the transverse colon and rectum (45-50, 30-35, and 25-30%, respectively) during simultaneous stimulation of the sympathetic trunk and vagus nerve and an increasing gradient of serotoninergic innervation in the large intestine during simultaneous stimulation of the sympathetic trunk and pelvic nerve. Stimulation of serotoninergic fibers was accompanied by arterial spasm in the microcirculatory bed and venous congestion.

Animals↗

Fermentation in the rumen and human large intestine.

Fermentation of food by the microbial community of the rumen is essential for the maintenance and growth of ruminants. The microbial ecosystem and its interaction with the host are described, along with recent attempts to manipulate the composition and activity of the microbial community by adding antibiotics and other chemicals to ruminant diets. A similar microbial community and fermentation occur in the large intestine or cecum of most nonruminant animals including the large intestine of humans. The microbial ecosystems of the rumen and human large intestine are compared.

Animals↗

[Humoral factors (beta-endorphin and adrenocorticotropin) in irritable bowel syndrome and their relations with psychological disorders and characteristics of disorders in the large intestine motility].

The object of this study was to discover mental functions, humoral regulation and large intestinal motor dysfunction in patients with the irritable bowels syndrome (IBS) in order to develop principles of their differential correction. A group of 106 patients (26 men and 80 women) with the irritable bowels syndrome was examined. The IBS diagnosis was made in accordance with the Rome criteria (1999). The control group included 21 somatically healthy volunteers (16 women and 5 men). Patients from both of the groups underwent clinical and psychological as well as plasma beta-endorphin concentration studies; colonic motor activity was also studied in patients with the IBS by the method of electric colonoscopy. Mental changes and certain particular features of the large intestine humoral regulation and motor activity determining the differential treatment for this category of patients were discovered.

Adolescent↗

[The correction of the thyroid status in the surgical treatment of malignant tumors of the stomach and large intestine].

We evaluated changes in thyroid status of patients with carcinoma of the stomach and large intestine in pre- and postoperative periods under the influence of triiodothyronine (T3) prescribed to make up for deficient endogenous hormone. With T3 returning to normal in preoperative period, T4 blood level gets lowered from the upper limit of the norm to the lower one. However these patients show unchanged blood T4 concentration after surgical intervention, while without administration of T3 the level of T4 decreases. Prescription of T3 promotes greater depression of thyroid-stimulating hormone in pre- and postoperative periods. Incorporation of T3 into conventional corrective therapy of metabolism tends to improve the immediate results of surgical treatment of malignant tumours of the stomach and large intestine.

Adenocarcinoma↗

The characterization of intraepithelial lymphocytes, lamina propria leukocytes, and isolated lymphoid follicles in the large intestine of mice infected with the intestinal nematode parasite Trichuris muris.

Despite a growing understanding of the role of cytokines in immunity to the parasitic helminth Trichuris muris, the local effector mechanism culminating in the expulsion of worms from the large intestine is not known. We used flow cytometry and immunohistochemistry to characterize the phenotype of large intestinal intraepithelial lymphocytes (IEL) and lamina propria leukocytes (LPL) from resistant and susceptible strains of mouse infected with T. muris. Leukocytes accumulated in the epithelium and lamina propria after infection, revealing marked differences between the different strains of mouse. In resistant mice, which mount a Th2 response, the number of infiltrating CD4+, CD8+, B220+, and F4/80+ IEL and LPL was generally highest around the time of worm expulsion from the gut, at which point the inflammation was dominated by CD4+ IEL and F4/80+ LPL. In contrast, in susceptible mice, which mount a Th1 response, the number of IEL and LPL increased more gradually and was highest after a chronic infection had developed. At this point, CD8+ IEL and F4/80+ LPL were predominant. Therefore, this study reveals the local immune responses underlying the expulsion of worms or the persistence of a chronic infection in resistant and susceptible strains of mouse, respectively. In addition, for the first time, we illustrate isolated lymphoid follicles in the large intestine, consisting of B cells interspersed with CD4+ T cells and having a central zone of rapidly proliferating cells. Furthermore, we demonstrate the organogenesis of these structures in response to T. muris infection.

Animals↗

Gut-associated lymphoid tissue in the large intestine of calves. I. Distribution and histology.

Gut-associated lymphoid tissue (GALT) in the large intestine was characterized in 12 calves (10 to 84 days old) obtained at necropsy (7, group A) or healthy animals (5, group B). Patches of mucosal lymphoid follicles were in all calves at ileocecal entrances (ICE), 23-42 cm distal to the ICE in the proximal loop of the ascending colon (proximal colon [PC] patch), and in the terminal rectum. PC patches varied from 8 to 30 cm in length. Solitary lymphoid follicles were found in the cecum of three calves, between the ileocecal entrances and the PC patch in four calves, adjacent to the PC patch in all calves, and in the ampulla recti. GALT occupied 7.8% of the large intestinal wall in animals of group A: 0.6% at the ileocecal entrance, 4.8% in the proximal colon, and 2.4% in the rectum. There were two different types of mucosal lymphoid follicles in group B: propria nodules with lymphoid follicles predominantly in the lamina propria, and lymphoglandular complexes with lymphoid follicles in the submucosa. In three 3-, 6-, and 7-day-old, germfree calves, distinct follicle-associated epithelium covered propria nodules and covering folds in depths of the lymphoglandular complexes; it was characterized by numerous intraepithelial cells and lack of goblet cells.

Animals↗

Intraluminal hexadecane enhances large intestinal excretion of tissue hexachlorobenzene in rats.

In young adult female rats with a cecal stoma, administration of hexadecane into the stomach (750 or 500 mg) and into the ligated colon (250 mg) enhanced 2- to 3-fold the intestinal excretion of [14C]hexachlorobenzene. Apparent sites of increased transferral from the blood into luminal contents were (caudal) ileum, cecum and colon. Presence of nonabsorbed hexadecane in luminal contents seems to be a prerequisite for the effect. Results support previous reports that enhancement of intestinal excretion of lipophilic chemicals by liquid paraffins takes place in the large intestine.

Alkanes↗