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Biomedical subjects

J F Grenier

Publications and source records attributed to J F Grenier.

At least 37 records · Page 2Linked to original sources
PubMed1988

[Limy bile syndrome. Study of a case with double localization in the gallbladder and common bile duct].

We report the case of a patient with limy bile located in both the gallbladder and common bile duct, and disappearing spontaneously. Since the first description of this syndrome in 1911, approximately 300 cases have been reported in the literature, including 20 cases with double localization. The male/female ratio was 1/3. All patients were more than 40 year old. Conventional radiogram was sufficient to establish diagnosis. Spontaneous disappearance of limy bile is rare. The etiopathogenesis remains unclear; cholecystectomy is appropriate.

Adult↗
PubMed1987

[Role of protective colostomy in colorectal surgery. Apropos of 68 cases].

A retrospective study was made from the records of 68 patients who had temporary loop colostomy with left colectomy between 1975 and 1985. Six fecal fistula occurred. Two of these patients died in spite of the colostomy. The colostomy closure was complicated by six leakages and four wound infections. The results are compared with those from literature. Finally loop colostomy for protecting an anastomosis keeps good indications with sub-obstructions and acute obstructions without large colectasia, infections without abscess, bowels no or bad prepared, and some low colo-rectal anastomosis. Large bowel obstruction with megacolon, and peritonitis avoid all kind of anastomosis. The colostomy closure is a high colonic surgery procedure. It must occur three months after its formation. A barium enema is necessary before loop colostomy closure.

Adult↗
PubMed1986

Cyclic motor activity and trophicity after jejunal resection and bypass in rats.

The aim of the study was to examine the changes in intestinal motility induced by an extensive jejunal resection and bypass in rats using an electromyographic technique. The relationship, if any, between the development of motility and adaptive modifications of intestinal trophicity was also studied. A massive jejunal resection, preserving a 7-cm segment distal to the ligament of Treitz, was performed in one group of animals. In a second group, the jejunum was bypassed as a self-emptying blind loop. Two sham-operated groups underwent transection and reanastomosis on the proximal jejunum or ileum. Electromyographic activity was studied at the 10th and 30th postoperative days by means of electrodes implanted throughout the remaining or bypassed bowel and was expressed by means of the pattern of recurrence of the migrating myoelectric complex (MMC). After a month, the animals were sacrificed. Mucosal and muscular wet weight and protein content (mg/cm) of the intestine were then determined. The results showed that 10 days after the jejunal resection in the fasting state, MMC cycle duration is different in the remaining jejunum and in the ileum. However, the distribution of MMC phases in the jejunum was modified and was similar to the one in the ileum. Thirty days after resection, MMC cycle duration, as well as phase distribution in the remaining jejunum, resemble the MMC patterns in the ileum. These changes were not observed after bypass. After the return of MMCs after postprandial inhibition produced by a meal, MMC duration in the ileum was greatly decreased until a month after jejunal resection. In contrast, the jejunal bypass did not produce this modification.

Action Potentials↗
PubMed1986

Electromyographic characteristics of small bowel motility in the rat.

Rats are widely used in intestinal motility studies, but no precise observation has yet been carried out on the organization of motility throughout the whole small bowel of the rat. The aim of this work was to investigate the characteristics of small intestinal motility of the rat using an electromyographic technique. The variables describing the pattern of occurrence of the migrating myoelectric complex (MMC) were studied as well as the relative distribution of the 3 phases within the MMC cycles. The mean duration of the MMC was 20 min on the jejunum, and it increased up to twofold along the ileum. The propagation of the MMCs was regular in the jejunum, but about half the MMCs disappeared along the ileum and did not reach the caecum. The electromyographic characteristics of the jejunum are greatly different from those of the ileum, and the motility of a segment is not representative of the whole small bowel motility. Considering these particularities of intestinal motility, rats differ in many details from other species.

Animals↗
PubMed1985

Effects of supplemental pantothenic acid on wound healing: experimental study in rabbit.

The effect of pantothenic acid supplementation and deficiency on wound healing was investigated over a one month postoperative period in rabbits. The supplemented group was injected with pentothenate (20 mg/kg of body weight/24 h) for three weeks and compared to a placebo group (0.5 ml of distilled water). Deficient animals were fed with a pantothenate free diet also for three weeks. These three experimental groups were matched against a control group. The degree of wound healing was determined by the mean of postoperative breaking strength and wound fibroblast population changes. Pantothenic acid urinary excretion measured by gas chromatography served as control of pantothenate consumption. With regard to these three parameters no significant difference has been found between placebo and controls. The average urinary elimination in the pantothenic acid group was significantly higher as far as the pantothenate supplemented group was concerned, while the deficient group showed no significant decrease when compared to controls. Chronic pre- and postoperative pantothenic acid supplementation significantly increased aponeurosis strength after surgery; it improved slightly, but not significantly the strength of the skin. Furthermore, the fibroblast content of the scar became significantly greater during the fibroblast proliferation phase after pantothenic supplementation. These data suggest that pantothenic acid induces an accelerating effect of the normal healing process. The mechanism responsible for this improvement seems to be an increase in cellular multiplication during the first postoperative period. But the exact intimate mechanism of the beneficial effect of pantothenate remains unclear.

Animals↗
PubMed1985

Changes in motility after jejunal and ileal resection: electromyographic study in rats.

The aim of this work was to compare the effects of massive jejunal and ileal resections on intestinal motility using an electromyographic technique. Male Wistar rats were used: in the first group a massive jejunal resection was performed, conserving a 7-cm segment after the ligament of Treitz; the rats of the second group underwent an ileal resection, preserving 7 cm of the terminal ileum. Motility was studied at the 10th and 30th postoperative days by means of electrodes implanted throughout the remaining bowel and was expressed by the pattern of recurrence of the migrating myoelectric complex (MMC). In a fasting state, in both transected and resected animals at the 10th postoperative day, the gradient in the duration of MMC along the intestine still existed. However, on the 30th postoperative day, in animals with jejunal resection only, there was an adaptive process: the duration of MMC in the remaining jejunum was significantly increased to the duration in the ileum. After the end of the postprandial inhibition of the appearance of the MMC, on the 10th postoperative day there was a significant decrease in the duration of MMC in the ileum in both types of resection, compared to the controls. However, on the 30th postoperative day, the duration of MMC returned to its control value. In conclusion, jejunal resection seems to induce more important adaptive processes in intestinal motility than does ileal resection. The different results are discussed.

Animals↗
PubMed1984

Relationship of electrical slow wave and spike bursts in the dog jejunum in vivo.

The temporal relationship between the slow wave and the spike bursts was studied in the fasted and the fed states in conscious dogs implanted with serosal electrodes on the jejunum. A fully automatic computerized method processed more than 225 h of recording. For each slow wave cycle that contained a spike burst, the program computed the cycle duration and the times elapsed from the beginning of the cycle to the onset and to the end of the burst. In the fasted state as well as after feeding, the spike bursts began and ended at any time within the segment of the slow wave cycle on which spike activity occurred. These results indicate that in vivo in the dog jejunum, the temporal relationship of the slow wave and spike bursts is not fixed. They suggest that the slow wave allows the spikes to occur during limited time intervals, but does not determine their precise location and duration within these intervals. Furthermore, differences existed in the patterns of the slow wave and in its relationship with spike activity (period, location, and duration of the segment on which the spike bursts occurred) between the various phases of the migrating myoelectric complex in the fasted state and the fed state.

Action Potentials↗
PubMed1984

Protein malnutrition after jejunoileal bypass in the rat. Possible contribution of the exocrine pancreas and the included intestine.

A 90% jejunoileal bypass induces in the rat a protein malnutrition state which is characterized (1) by the decreased level of plasma proteins and albumins and (2) by the reduced level of most essential and non-essential plasma amino acids. In the exocrine pancreas there was a decreased content of digestive enzymes, especially of amylase, while the secretion of enzymes studied in vitro was reduced. In the ileum left in one piece, the specific activities of maltase and sucrase increased significantly while aminopeptidase was unaffected. It is suggested that exocrine pancreatic insufficiency observed after small bowel bypass in the rat might contribute to protein malnutrition (1) by producing maldigestion and (2) by inducing an imbalance in intestinal enzymes favouring a preferential absorption of carbohydrates compared to proteins, thus emphasizing the protein malnutrition state.

Animals↗
PubMed1984

Pancreatic hyperplasia after small bowel resection in the rat: dissociation from endogenous gastrin levels.

Extensive small bowel resection produces pancreatic hyperplasia and increases plasma gastrin levels in the rat. Because gastrin is known as a trophic factor for the exocrine pancreas, we studied the effect of endogenous variations of gastrin induced by different gastric operations on the rat pancreas in both resected and transected animals. Vagotomy increased plasma gastrin level while antrectomy decreased it; pyloroplasty was without any effect. These gastric operations enhanced slightly but not significantly the pancreatic weight, its protein and DNA content. A 90% jejunoileal resection alone increased markedly these parameters while mitotic figures appeared in acinar cells. Pyloroplasty, vagotomy and antrectomy did not modify the changes induced by intestinal resection itself except the level of protein. These findings suggest that hypergastrinemia produced by intestinal resection is not responsible for pancreatic hyperplasia.

Animals↗
PubMed1984

[A rare complication of vaginal hysterectomy: vaginal evisceration. Apropos of a case of recurrent evisceration].

A patient developed repeated vaginal eviscerations after vaginal hysterectomy. This is a rare complication, only 21 cases having been reported in the literature. The present case was a 61 year old woman with post-vaginal hysterectomy eviscerations 8 and 21 months after the operation. Reduction of the herniated loop and suturing of the ununited vaginal stump is generally a simple procedure, but the perineal reconstruction necessary to prevent recurrence raises problems that are discussed in detail.

Abdomen↗
PubMed1984

[Gastrin is not implicated in intestinal adaptation after extensive resection of the small intestine in rats].

Because gastrin is thought to be a trophic agent for the digestive tract, we studied the effects of endogenous variations of plasma gastrin on the small intestinal mucosa after a 90 p. 100 jejunoileal resection in the rat. Hypogastrinemia was induced by antrectomy while hypergastrinemia resulted from vagotomy. Pyloroplasty had no effect on gastrinemia. Small bowel resection increased mucosal weight, DNA and protein content; these changes were more obvious in the jejunum and ileum than in the duodenum. Gastric operations performed before the resection did not significantly modify these parameters except for the level of protein. Our results indicate that endogenous gastrin plays no role in the adaptive growth response of the intestinal mucosa after extensive small bowel resection.

Adaptation, Physiological↗
PubMed1984

Organ culture of fetal rat intestine. Effects on brush border enzyme activities of the combined administration of dexamethasone and cycloheximide or actinomycin D.

Jejunum of 19-day fetal rats was explanted in organ culture for 48 h in the presence of dexamethasone (DX) and cycloheximide (CX) or actinomycin D (Act D). The concentrations of both inhibitors which provided maximal responses without any detrimental alteration of the tissue were determined. During the culture period, CX (0.5 microgram/ml) totally abolished the production of both DX-stimulated enzymes (sucrase, maltase, lactase) and DX-insensitive enzymes (aminopeptidase, alkaline phosphatase). On the contrary, Act D at 2 micrograms/ml exhibited differential levels of inhibition related to the enzyme considered: 100% for sucrase and aminopeptidase, 70% for maltase and 50% for lactase. By contrast, alkaline phosphatase was stimulated 100% by Act D. These data suggest that the mechanism by which DX induces sucrase and stimulates maltase activity takes place at the transcriptional level. They also indicate that the basic maturation of at least maltase and lactase activities depends upon the traduction of a preexisting pool of mRNAs. The superinduced alkaline phosphatase activity obtained with Act D supports the notion that an Act D-sensitive repressor may play a role in the maturation process of this enzyme.

Animals↗
PubMed1984

[Intestinal motility following jejunal resection: electromyography study in the rat].

The influences of massive resections on motility of the small intestine remain poorly known. The aim of our study was to determine the effects of jejunal resection on the pattern of occurrence of the migrating myoelectric complex and its postprandial inhibition. The experiments were performed over a period of 1 month after surgery. Transections were done on the jejunum or on the ileum in sham-operated animals. Ten days after resection, the motility of the anastomosed jejunal and ileal segments was dissociated. After one month, a functional continuity appeared through the anastomosis: the whole intestine worked synchronously at the same rhythm as the ileum. Food intake induced an increase in the frequency of the migrating myoelectric complexes measured 10 days after surgery. An adaptative phenomenon appeared after 30 days, the postprandial motor activity returning to its control level.

Animals↗
PubMed1983

[Cysts and pseudocysts of the adrenal gland. Apropos of 3 surgically-treated patients].

Three observations including one cyst and two pseudocysts of the adrenals are reported. Such lesions are uncommon and are only detected fortuitously or because of poorly specified pains. Diagnosis, formerly based upon intravenous urography and arteriography, has largely benefited from echotomography and computed tomography. Endothelial cysts and pseudocysts account for most of these lesions. The possibility of malignancies justifies the systematic surgical approach.

Adrenal Gland Diseases↗
PubMed1983

Effect of dietary fiber supplementation on the secretory function of the exocrine pancreas in the dog.

The effects on pancreatic secretion of a diet supplemented with wheat bran for one month were studied in five dogs provided with chronic pancreatic and gastric fistulae. Dogs were subjected before and after bran administration to a continuous intravenous infusion of secretin (GIH, 0.5 U/kg/h) alone and a combination of secretin with cerulein (25 or 100 ng/kg/h). Exocrine pancreatic secretions under basal conditions were collected during the intravenous infusions of normal saline. Wheat bran supplementation for 4 wk to the standard diet in dogs increased pancreatic juice flow rate along with bicarbonate and amylase output whether the secretion was unstimulated or stimulated with caerulein alone or combined with secretin. No significant changes in the concentration of pancreatic bicarbonate, amylase, chymotrypsin, and proteins were noted under stimulated conditions. Furthermore, lipase concentration and output were dramatically reduced. These data indicated that wheat bran supplemented to the standard diet in dogs affects the exocrine pancreatic secretion whether it was unstimulated or stimulated by secretin alone or combined with cerulein.

Animals↗
PubMed1983

Lactase activity is under hormonal control in the intestine of adult rat.

In the adult rat, starvation during 48 hours led to a three fold increase of lactase specific activity in the intestinal brush border membranes. Thyroxine injection during the three days before death (0.5 micrograms/g daily) inhibited the stimulation of lactase activity induced by starvation without modifying sucrase activity whereas hydrocortisone injections (25 micrograms/g daily) or thyroidectomy did not modify the stimulatory effect of starvation on lactase activity. These results suggests a specific hormonal control of intestinal lactase activity in the rat.

Animals↗