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The digestive system: linking theory and practice.

This article, the second in the nutrition series, presents an outline of food chemistry and the digestion of energy-producing foods. It is hoped that this will facilitate understanding of some of the principles of nutrition. A number of 'clinical points' are highlighted to emphasize the link between theory and practice. The processes by which the chemical building blocks (carbon, oxygen, hydrogen and nitrogen) are formed into more complex molecules such as proteins, carbohydrates and fats are explained. The gross anatomy of the digestive system is outlined and the sites where digestive enzymes are secreted are identified. Regulation of the digestive system by endocrine secretions and the nervous system is described and tabulated.

Carbohydrate Metabolism↗

[A comparative evaluation of the action of kvamatel and omez on the glutathione system in different sections of the digestive system in experimental duodenal ulcer].

Experiments on male albino rats demonstrated significant changes in the content of oxidized and reduced glutathione in the tissues of the liver, pancreas, stomach, duodenum, and small intestine in acetate ulcer of the duodenum. Experimental therapy with quamatel and particularly with omez led to activation of the glutathione system in the tissues under and in this way increased their resistance to the ulcerogenic effect.

Animals↗

[Analysis of mortality by population groups migrating within the country. Tumors of the digestive system].

This paper analyzes mortality of digestive system cancers in Italy during the years 1981-84 by groups of people migrated inside the country. Individuals born and died in the same region are defined as "stables". "Migrants" indicate individuals for which the region of birth differ from that of residence. Mortality for cancers of oral cavity and pharynx, and of the oesophagus, shows a negative effect of being born in the high risk regions of the north-east and a protective effect of being born in the low mortality regions of the south. Leaving high risk areas brings a positive effect, while to settle there makes mortality getting worse. For stomach cancer, the birth effect is very strong: in this first generation of migrants mortality rates are very similar to those of the stable in the birth areas. A strong migration effect is observed for colorectal cancer mortality: age specific mortality rates in migrants fit well those of host stable population. Liver cancer mortality of migrants from high risk areas approaches the one of the host population. Pancreatic cancer mortality shows a protective effect of being born in the south and a negative effect of residing in the northern high mortality areas.

Adolescent↗

Early transition of the digestive system to exogenous nutrition in domestic post-hatch birds.

The effect of early transition of the digestive system to exogenous nutrition was examined in three experiments with growing birds. A nutrient mixture (0.5 ml) of glucose, starch and oil (1:1:0.5, by vol) was orally administered immediately after hatch to turkey poults (Meleagris gallopavo) having immediate or delayed access to feed (Expt 1). Increasing amounts (0, 0.25 and 0.5 ml) of this mixture were administered immediately after hatch to turkey poults (Expt 2), or to broiler chicks (Gallus domesticus; Expt 3). The relative weights of the gastrointestinal tract (GIT) and its ingesta content, and the amylolytic capability of the pancreas were examined during the immediate post-hatch period (to 30 h). Oral administration of nutrients immediately after hatching only slightly influenced the growth of the pancreas and its amylolytic activity, but significantly increased GIT weight in both species, in a dose-dependent manner. It is suggested that early post-hatching exposure of the digestive system by the forced administration of nutrient mixture induces anatomical and metabolic changes in the digestive system slightly earlier than in birds with late access to feed. This increases GIT content and plasma glucose levels, resulting in enhanced feed consumption and growth promotion.

Animals↗

Determination and significance of a new carbohydrate antigen CA19-9 in digestive system cancers.

To assess the diagnostic significance of CA19-9, the serum levels in 225 healthy subjects, 201 patients with cancers, 423 patients with benign diseases and 21 pregnant women, were determined by RIA. The mean CA19-9 level of the healthy subjects was 11.2 +/- 0.4 U/ml (range, 6-100 U/ml). Only 3.1% of them were above 37 U/ml. The CA19-9 levels were elevated above 37 U/ml in 7.9% of 293 patients with non-carcinomatous diseases of the digestive system. Among digestive system cancers, elevated levels were found in 18.2% of 11 patients with esophageal cancer, 42.7% of 68 patients with gastric cancer, 39.1% of 23 patients with colorectal cancer, 27.8% of 18 patients with primary hepatic cancer, 71.4% of 35 patients with biliary cancer, and 75% of 20 patients with pancreatic cancer. Most of the patients with levels above 100 U/ml had carcinomatous diseases. The CA19-9 positive rates for patients with gastric cancer and colorectal cancer were extremely low at stages I, II and III, while in patients at stage IV and in patients with recurrent cancer, a tendency for rapid increase in the positive rates and concentrations of CA19-9 was noted. Based on combination assay of CA19-9, CEA and ferritin, in comparison with the positive rates for CA19-9 alone, it was found that the rates were raised to 42.7% in gastric cancer, to 39.1% in colorectal cancer, and to 71.4% in biliary cancer, suggesting the simultaneous determination with these tumor markers may serve to elevate their usefulness.

Adolescent↗

Formation of the digestive system in zebrafish. I. Liver morphogenesis.

Despite the essential functions of the digestive system, much remains to be learned about the cellular and molecular mechanisms responsible for digestive organ morphogenesis and patterning. We introduce a novel zebrafish transgenic line, the gutGFP line, that expresses GFP throughout the digestive system, and use this tool to analyze the development of the liver. Our studies reveal two phases of liver morphogenesis: budding and growth. The budding period, which can be further subdivided into three stages, starts when hepatocytes first aggregate, shortly after 24 h postfertilization (hpf), and ends with the formation of a hepatic duct at 50 hpf. The growth phase immediately follows and is responsible for a dramatic alteration of liver size and shape. We also analyze gene expression in the developing liver and find a correlation between the expression of certain transcription factor genes and the morphologically defined stages of liver budding. To further expand our understanding of budding morphogenesis, we use loss-of-function analyses to investigate factors potentially involved in this process. It had been reported that no tail mutant embryos appear to lack a liver primordium, as assessed by gata6 expression. However, analysis of gutGFP embryos lacking Ntl show that the liver is in fact present. We also find that, in these embryos, the direction of liver budding does not correlate with the direction of intestinal looping, indicating that the left/right behavior of these tissues can be uncoupled. In addition, we use the cloche mutation to analyze the role of endothelial cells in liver morphogenesis, and find that in zebrafish, unlike what has been reported in mouse, endothelial cells do not appear to be necessary for the budding of this organ.

Animals↗

Phenotypic expression of mast cell granule proteinases. Distribution of mast cell proteinases I and II in the rat digestive system.

The distribution of mast cell granule proteinases in the rat digestive system was determined immunohistochemically. The population of toluidine blue-staining mast cells was accounted for by cells containing either rat mast cell proteinase I (RMCPI) or rat mast cell proteinase II (RMCPII). Granules in greater than 90% of RMCPI-containing cells stained red after the Alcian blue/safranin sequence, whereas all RMCPII-containing mast cells stained blue. The red/RMCPI phenotype was typical of the connective tissue mast cells (CTMC) that populate the proximal, non-mucosal, regions of the digestive system, and was also abundant in the serosa and in rectal and gastric muscularis. The blue/RMCPII phenotype, absent from non-mucosal sites except for rare cells in intestinal submucosa and muscularis, predominated in all mucosal tissues and resembled mucosal mast cells (MMC). A third, minor population of cells containing RMCPI but staining blue in the Alcian blue/safranin sequence was detected in both non-mucosal and mucosal tissues. Blue/RMCPI mast cells were rare in the small intestine but more frequent in the mucosa of the stomach and large intestine and in the connective tissues. It is suggested that granule proteinase phenotyping may provide an alternative technique in the analysis of mast cell heterogeneity.

Animals↗

[Ontogenetic features of the accumulation and restoration of thiamine of the digestive system organs in white rats].

Accumulation and renewal of thiamine in tissues of the uneven-aged rats have been investigated. The activity of thiamine-metabolizing and thiamine-retaining systems is shown to decrease in tissues of the digestive system with aging; the same refers to the intensity of enterohepatic recirculation of that vitamin. These phenomena underlie the revealed retardation of the thiamine renewal in organs of the digestive system.

Aging↗

Digestive system manifestations in patients with severe acute respiratory syndrome.

OBJECTIVE: To explore digestive system manifestations in patients with severe acute respiratory syndrome (SARS). METHOD: The clinical data of 96 cases with SARS admitted into our hospital from February 6, 2003 to March 28, 2003 were retrospectively analyzed. RESULTS: Among the 96 cases, 26 cases (27%) had diarrhea, 17 (18%) had nausea, 6 (6%) had vomiting, 16 (17%) had bellyache, and 8 (8%) had ALT elevation. CONCLUSIONS: Patients with SARS may have digestive system manifestations; diarrhea is the most common symptom.

Adolescent↗

Demonstration of nutrient pathway from the digestive system to oocytes in the gonad intestinal loop of the scallop Pecten maximus L.

The mechanism of nutrient transfer from the digestive system to the gonad acini and developing oocytes was investigated in the gonad-intestinal loop system of the queen scallop Pecten maximus L. Ferritin was injected directly into the purged intestine of specimens from the wild. Subsequently, a histochemical reaction and transmission electron microscopy were used to localize ferritin in various cell types. Ferritin was rapidly absorbed by the intestinal epithelium, and then appeared in hemocytes in the surrounding connective tissue. In the hemocytes, ferritin was stored in variously sized inclusions, as well as in the general cytoplasm. In all sections examined for the 12 experimental individuals, hemocytes were always found in association with connective tissue fibers extending from the base of the intestinal epithelium to gonad acini. After 30-min incubation, ferritin appeared inside the acini of all individuals. Ferritin-bearing cells were rarely found in association with male acini or gametes, nor with mature female gametes, but often with developing female gametes. Not all individuals showed the same temporal dynamics of ferritin transport, suggesting that nutrient transfer to oocytes is either not a continuous process, or that among individuals, transfer is not synchronized on short time scales. This is the first demonstration of a pathway of nutrient transfer from the intestine, and more generally the digestive system, to developing oocytes in the Bivalvia.

Animals↗

Comparative study of the digestive system of three species of tinamou. I. Crypturellus tataupa, Nothoprocta cinerascens, and Nothura maculosa (Aves: tinamidae).

The morphology and histology, as well as the cytochemistry of complex carbohydrates, of the digestive system of Crypturellus tataupa (tataupa tinamou), Nothoprocta cinerascens (brushland tinamou), and Nothura maculosa (spotted tinamou) are described. The general morphology of the digestive system of these birds follows the basic model of the avian alimentary canal, although statistical analysis shows that the lengths of the organs are significantly different among the species. From cephalic to caudal regions the alimentary tract consists of esophagus, ingluvies or crop, proventriculus or glandular stomach, ventriculus or muscular stomach, small intestine, well-developed ceca, and rectum. Histologically, each section of the tract consists of four primary tissue layers: mucosa, submucosa, muscularis, and adventitia. Variations are found in the thickness of the esophageal epithelium, which shows the highest value in C. tataupa. In the proventriculus, the depth of the compound glands is greatest in N. cinerascens. The villi of the epithelial cells in the small intestine are most extensively developed in C. tataupa. Heterogeneity of mucins is detected not only in the surface coat of the alimentary tract but in the cellular content of the glands as well. Comparisons with the morphology of the digestive system of closely related and more advanced birds are made, and the possible relationship between morphological and cytochemical variation and the diet is discussed.

Animal Nutritional Physiological Phenomena↗

[116 multiple primary cancers in the digestive system].

OBJECTIVE: To study the clinical characteristics, diagnosis, strategy of treatment and prognosis of multiple primary cancers in the digestive system. METHODS: All malignant lesions in the digestive system encountered in the past 10 years were analysed by a computer software. RESULTS: 116 cases of multiple cancers were observed with an incidence of 1.74%. Male to female ratio was 2.7:1. There were 62 synchronous carcinomas and 54 metachronous ones. In decreasing sequence, they were: colon > stomach > rectum > liver. The 1-, 3-and 5-year survival rates of the synchronous ones were 42.3%, 23.1% and 11.5%. Those of metachronous ones were 95.2%, 85.7% and 76.2%. CONCLUSION: High frequency of multiple primary cancers is found in the colon, especially over the right side. Metachronous carcinomas usually give better prognosis than the synchronous ones. The longer the interval between the development of the two primary lesions, the better the prognosis. Multiple cancers of the colon have satisfactory prognosis. The key to improve the treatment is to be vigilant against lesions in the digestive tract so as to arrive at a timely diagnosis and treatment. The strategy of combining radical treatment with immuno-supportive therapy is advocated.

Colonic Neoplasms↗

[Food conversion in the digestive system of juvenile bulls. 2. Digestion of carbohydrates].

Each of ten rations containing 60% feed concentrate were tested on two bulls which were a fistulated at the duodenum. The carbohydrate contents varied considerably. Carbohydrate digestion in the forestomach was estimated by the detergent and Anthron methods and by quantitative gas chromatographic analysis for carbohydrate monomers. Apparent starch digestibility for starch-rich rations varied between 97.8 and 99%. Between 60 and 144 g of starch was found at the duodenum/animal.d in the case of the cereal-containing rations, the highest values being found for the one containing maize. The apparent digestibility of sugar was about 99%. The amount of sugar found at the duodenum varied between 16 and 67 g animal.d. Analysis by gas chromatography revealed that the feeds yielded less hemicelluloses than calculated from the difference NDF-ADF. The only other sugars found in appreciable amounts at the duodenum were arabinose and xylose.

Animal Feed↗