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PubMed1994

[Restoration of continuity of the large intestine after large resections in children].

The continuity of the large intestine in wide resections in children aged from 7 months to 14 years was restored by rotation of the cecal cupula and ascending part through the lateral canal on a vascular pedicle. Experience in 20 operations and different variants of colorectal anastomosis is discussed. Three children had complications in the form of stenosis of the anastomosis and necrosis of the distal part of the transposed intestine as the result of disturbed circulation.

Adolescent↗
PubMed1987

Activity of fiber-degrading microorganisms in the pig large intestine.

The large intestine is comparable to the rumen fermentation in many aspects; however, it is understood less well. Fiber in the form of cellulose and hemicellulose is one of the major substrates fermented in the large intestine. Various studies suggest that the pig can utilize fiber for growth, and up to 30% of its maintenance energy may be derived from volatile fatty acids produced in the large intestine. The total number of microorganisms in the pig large intestine do not change when a high fiber diet such as 50 or 80% alfalfa meal is fed. However, the fiber-degrading organisms increase and obviously replace others. The increase in fibrolytic bacteria normally coincides with an increase in enzyme activity (cellulase and xylanase), indicating that diet can be used to enhance fibrolytic activity. This is true for growing pigs and adult animals. The cellulolytic organisms in the pig, Bacteroides succinogenes and Ruminococcus flavefaciens, are similar to those in the rumen and are present at comparable numbers. This partly explains why adult pigs can maintain themselves by merely grazing on forage in pastures. Assuming other conditions are met, there is a significant potential for fiber degradation in the pig large intestine. Whether various genotypes such as the genetically selected obese and lean pigs have different abilities to degrade fiber is unknown. More work is required to understand the interaction of the fibrolytic organisms with the other organisms present in the large intestine, similar to that which has been done in the rumen, as well as the microbe-host interaction.

Animals↗
PubMed1974

Inhibition of leucocyte migration in patients with large intestinal cancer by extracts prepared from large intestinal tumours and from normal colonic mucosa.

The degree of migration inhibition in response to tissue extracts has been examined in leucocyte preparations obtained from patients with large intestinal cancer and from age and sex matched control individuals. A greater degree of migration inhibition was observed in response to a colorectal tumour extract in cells obtained from the cancer patients. Inhibition also tended to be more marked in response to the tumour extract than in response to a normal colonic mucosal extract in these patients. These results suggest that altered cellular immune reactivity is demonstrable by this simple in vitro technique in patients with large intestinal cancer.

Aged↗
PubMed2005

Differential response to DNA damage may explain different cancer susceptibility between small and large intestine.

Although large intestine (LI) cancer is the second-leading cause of cancer-related deaths in the United States, small intestine (SI) cancer is relatively rare. Because oxidative DNA damage is one possible initiator of tumorigenesis, we investigated if the SI is protected against cancer because of a more appropriate response to oxidative DNA damage compared with the LI. Sixty rats were allocated to three treatment groups: 3% dextran sodium sulfate (DSS, a DNA-oxidizing agent) for 48 hrs, withdrawal (DSS for 48 hrs + DSS withdrawal for 48 hrs), or control (no DSS). The SI, compared with the LI, showed greater oxidative DNA damage (P < 0.001) as determined using a quantitative immunohistochemical analysis of 8-oxodeoxyguanosine (8-oxodG). The response to the DNA adducts in the SI was greater than in the LI. The increase of TdT-mediated dUTP-biotin nick end labeling (TUNEL)-positive apoptosis after DSS treatment was greater in the SI compared with the LI (P < 0.001), and there was a positive correlation (P = 0.031) between DNA damage and apoptosis in the SI. Morphologically, DSS caused an extensive loss of crypt structure shown in lower crypt height (P = 0.006) and the number of intact crypts (P = 0.0001) in the LI, but not in the SI. These data suggest that the SI may be more protected against cancer by having a more dynamic response to oxidative damage that maintains crypt morphology, whereas the response of the LI makes it more susceptible to loss of crypt architecture. These differential responses to oxidative DNA damage may contribute to the difference in cancer susceptibility between these two anatomic sites of the intestine.

8-Hydroxy-2'-Deoxyguanosine↗
PubMed1995

[MALT lymphoma of large intestine as multiple large polypoid lesions].

We report a case of mucosa associated lymphoid tissue (MALT) lymphoma in the large intestine in a 38-year-old Japanese female. She developed a dull pain in the right lower abdomen and was found to have ileocecal intussusception. The terminal ileum, cecum and ascending colon were resected. Macroscopically, multiple polypoid lesions were found. Although some authors reported that MALT lymphoma of the colon tend to be solitary, the present case showed seven lesions. Two of the polypoid lesions in the present case were marked large. No such large polypoid MALT lymphoma has been described to our knowledge. A histological and immunohistochemical study revealed those seven lesions to be low grade B cell lymphomas of MALT type.

Adult↗
PubMed1982

Studies of the large intestine of sheep. 1. Fermentation and absorption in sections of the large intestine.

1. Fermentation and absorption of constituents of digesta in segments of the large intestine of sheep given different diets were studied by analysis of gut contents obtained at slaughter after a period during which the sheep had been administered a non-absorbable gut marker. 2. In sheep given chopped, dried lucerne (Medicago sativa) there was net absorption of water throughout the large intestine with concomitant increases in the proportion of dry matter (DM) and organic matter (OM). There was net disappearance of 62 g OM, 1.66 g non-urea non-ammonia-nitrogen (NU-NAN) and 0.6 g (urea + NH3(-N in the caecum and proximal colon. There was no significant change in OM and NU-NAN flow through the remainder of the large intestine but there was a net disappearance of 0.3 g NH3-N. There was also net appearance of volatile fatty acids (VFA) in the caecum, most of which was apparently absorbed before the rectum. 3. Metabolism in the caecum was also studied in sheep grazing fresh pasture or consuming one of three sugar cane-bagasse-based diets, or barley pellets. In the lucerne- and pasture-fed sheep there was a net disappearance of approximately 0.5 g NH3-N/d from the caecum, while in sheep fed on bagasse plus urea, 1.4 g NH3-N/d was apparently absorbed from this region. The addition of fish meal to this latter diet resulted in apparent disappearance of 5.3 g NH3-N/d from the caecum and proximal colon. 4. There was apparent loss of NU-NAN from the caecum of sheep on all diets except the barley diet. With the latter diet there was a net gain of 1 g NU-NAN/d which was associated with relatively high VFA concentration and production; taken together these results indicate that microbial fermentation in the caecum was more extensive in the sheep fed on the barley diet than in those fed on the other diets. 5. The proportions of individual VFA in digesta from the rumen and caecum of lucerne-fed and pasture-fed sheep and in digesta from the caecum of sheep given the bagasse-based or barley diets are also reported and discussed. 6. In general the results indicate that the caecum and to a lesser extent the proximal colon were the major regions of fermentation and absorption of the components of the digesta in the large intestine.

Ammonia↗
PubMed1979

[Experimental studies of the changes in the wall of the large intestine and in the parenchymatous organs in stasis of the large intestine].

The authors carried out experimental studies on 23 dogs to examine changes, which occurred in the wall of the anastomosed ileum and the large intestine as well as in some organs after performing traversed anastomoses. The results were evaluated on the basis of clinico-experimental observations, on the changes in laboratory indices (complete blood picture, proteinogram, ionogram, blood urea and cholesterol), in microflora and in bioelectrical, activity. They examined ionic absorption in the large intestine excluded from the passage. An analysis was made on the pathologo-histological finding in the colon, anastomised ileum, liver and spleen, kidneys, heart, pancreas. The authors come to conclusions, useful to the physicians performing large intestine surgery.

Animals↗
PubMed2003

Stimulation of butyrate production in the large intestine of weaning piglets by dietary fructooligosaccharides and its influence on the histological variables of the large intestinal mucosa.

Fructooligosaccharides (FOS) reach the large intestine and are fermented into short-chain fatty acids (SCFA), lactate, and carbon dioxide. As the major energy source for the epithelial cells of the large intestine, n-butyrate stimulates the proliferation of cells as well as mineral and water absorption from the lumen. We examined the effect of dietary FOS supplementation on luminal SCFA production and its influence on the morphometrical variables of mucosa of the large intestine in commercially available pigs. Six weaning piglets were used. After 7 d of adaptation, three pigs were given a test diet containing FOS (10%) ad libitum for 10 d. The other three remained on the basal diet and were used as controls. At the end of the experiment, their large intestines were removed, and the cecum, gyri centripetales, gyri centrifugales, and rectum were separated. The contents of each portion were collected and measured for SCFA concentration, pH, and moisture. A micrometer was used to measure the crypt depth. The numbers of epithelial and mitotic cells in the crypt columns were also counted. The concentration of SCFA was significantly higher in piglets fed FOS than in the controls. The concentration of n-butyrate was markedly stimulated by FOS. The number of epithelial. mitotic, and mucin-containing cells was higher in piglets fed FOS than in the controls. Accordingly, the crypt depth was larger in the FOS-fed piglets. The luminal n-butyrate concentration showed a significantly positive correlation with the crypt depth and the number of epithelial, mitotic, and mucin-containing cells.

Animals↗
PubMed2002

[Initial empirical antimicrobial therapy with piperacillin/tazobactam in intra-abdominal infections due to perforation of the large intestine and rectum and in postoperative complications after resection of the large intestine and rectum].

One of the basic therapeutic procedures in surgical intraabdominal infections is early administration of antimicrobial drugs. The basic requirement for the selection of antimicrobial drugs is a broad-spectum bactericide action with low toxicity. Within the framework of a retrospective non-comparative investigation the action of the betalactam antibiotic piperacillin combined with the betalactamase inhibitor tazobactam was tested which was used in the initial empirical antimicrobial treatment of 33 patients with intraabdominal infectious complications caused by perforation of the large bowel or dehiscence of the anastomosis on the large intestine or rectum. Twenty-eight patients developed diffuse inflammation of the peritoneum (caused by perforation of a diverticulum in 17, by dehiscence of the anastomosis on the large intestine and rectum after resection on account of carcinoma in 7, by a penetrating injury of the large bowel and rectum in 3 and by postirradiation necrosis of the rectum in one female patient). Five patients developed an intraabdominal abscess as a complication of diverticulitis of the large intestine or as a postoperative infectious complication after resection of the large bowel and rectum. All patients were operated (resection of the large bowel according to Hartmann, or stoma above the site of injury or dehiscence of the intestinal anastomosis or drainage of the abscess). After surgery administration of piperacillin/tazobactam (4.5 g, subsequently after 8 hours). The period of administration was on average 8 days (5 to 11 days). After surgery the contents of the peritoneal cavity were collected for bacteriological examination incl. evaluation of the sensitivity of the isolated bacteria to piperacillin/tazebactam. From the isolated pathogens 58% were Gram-negative aerobic bacteria, in 24% anaerobic bacteria and in 18% enterococci. In 3 patients antimicrobial treatment was because of resistance of isolated bacteria to piperacillin/tazobactam (Klebsiella species, Pseudomonas aeruginosa) combined with aminoglycosides (amikacin, netilmicin). Postoperative complications developed in 9 patients (27%), incl. 3 who died (9%). In patients with intraabdominal infection caused by perforation of the large bowel and rectum or dehiscence of the anastomosis after resection of the large bowel and rectum piperacillin/tazobactam is the antibiotic of choice for the initial empirical antimicrobial treatment on account of its great efficacy against the majority of isolated bacteria, its safety and low toxicity.

Abdominal Abscess↗
PubMed2004

Changes of tissue endothelin-1 and nitric oxide synthase in a sheep model of large intestinal obstruction.

Large intestinal obstruction (LIO) in farm animals can cause a ischaemic necrosis of intestinal tissue, eventually leading to death. The roles of endothelin-1 (ET-1) and nitric oxide (NO) are not well understood in the process of LIO, but evidence suggests that endothelial-derived mediators may participate. In the present study, ET-1 concentration and total nitric oxide synthase (NOS) activity were measured in heart, liver, pancreas, lung and kidney in a model of LIO in sheep. Our data demonstrated that ET-1 concentration and NOS activity were altered, with significant increases of ET-1 in heart, lung and kidney and of NOS activity in pancreas and kidney, but a marked decline of NOS activity in liver (p < 0.05). It is postulated that these alterations in NOS activity and ET-1 concentration may contribute to the progressive loss of organ function, and finally lead to death in LIO in sheep.

Animals↗