Changes in γδT Cells in Peripheral Blood of Patients with Ulcerative Colitis Exacerbations.

The role of γδT cells in ulcerative colitis (UC) is well confirmed in experimental animals and demonstrated in many clinical observations. Recent investigations have indicated that UC is associated with several forms of immune imbalance, such as an imbalance between effector T cells and regulatory T cells. However, little is known about the cellular aspect of clinical colitis exacerbations.

Pre-operative ultrasound diagnosis and successful surgery of a stomach incarcerated in epigastric hernia: a rare case report.

An incarcerated epigastric hernia (localized in linea alba) is a very rare observation. Here, we present a case of a 66-year-old white male who was admitted to the emergency department due to vomiting and epigastric pain. On physical examination, the only observed abnormality was a painless soft epigastric tumor located in the upper midline, measuring about 12 cm in diameter.

Post-operative complications in patients with a significant post-operative decrease in γδT cells.

Background: It has previously been shown that appropriate distribution of immune cells between different tissues and organs of the body is required for proper function of the immune system. Our previous work demonstrated that surgical trauma in mice induces γδT lymphocyte migration from peripheral blood to the peritoneal lymphoid organs. These described γδT cells have immunoregulatory activity as they suppress the cell-mediated immune response in vitro.

The Effect of Surgical Stress on Postoperative Tαβ and Tγδ Cell Distribution.

Background: It was previously shown that appropriate distribution of immune cells between different tissues and organs of the body is required for proper function of the immune system. Our previous experiments demonstrated that surgical trauma in mice induces Tγδ lymphocyte migration from peripheral blood to peritoneal lymphoid organs. Tγδ cells have regulatory activity as they suppress the cell-mediated immune response in vitro via TGF-β.

Sensitivity and Specificity of Fractal Analysis to Distinguish Between Healthy and Pathologic Rectal Mucosa Microvasculature Seen During Colonoscopy.

Purpose: Conventional endoscopy is limited by human capability to recognize and to differentiate pathology. Fractal analysis of blood vessels has been used in other organs, such as the retina, but never before to supplement colonoscopy. The aim of this study was to assess whether it is possible to differentiate between healthy and pathologic rectal mucosa using fractal analysis of the mucosal microvascular architecture seen during colonoscopic examination (Supplemental Digital Content 1, http://links.

Gastroscopy in patients with hiatal hernia with and without gastroesophageal mucosal prolapse.

Unlabelled: There are still many doubts in the literature regarding gastroesophageal mucosal prolapse (GEMP) and its clinical course. We still do not know what determines mucosal wedging in esophagogastric junction, and what is the role of the anatomy of that site. To investigate that problem we performed 120 upper digestive tract endoscopies in which a hiatal hernia was diagnosed.

Hiatal hernia with upside-down stomach. Management of acute incarceration: case presentation and review of literature.

Upside-down stomach (UDS) represents the rarest type of hiatal hernia (<5%) and is characterized by herniation of the entire stomach or most gastric portions into the posterior mediastinum. We present here a very rare complication of such a condition which is incarceration of upside-down stomach. A 54 year-old female was admitted to the emergency department presenting signs of acute epigastric pain radiating into thorax.

Unsolved questions regarding the role of esophageal hiatus anatomy in the development of esophageal hiatal hernias.

The association of esophageal hiatal hernias with gastro-esophageal reflux disease was recognized long ago, however its origins are still disputed. The anatomy of the diaphragm and esophagogastric junction appears to be crucial to hiatal hernia development. The aim of this paper was to perform a literature review to present the current state of knowledge regarding the anatomy and pathology of esophageal sliding hiatal hernias.

Nerve supply of pelvic viscera - anatomical notes, clinical implication on nerve stimulation.

Aim: The aim of this study was to present review on pelvic plexuses in males and females with some referrals to clinical practice, specially to the methods including nerve stimulation.

Conclusions: Anatomy of pelvic plexuses is still confusing. Much attention should be paid to further studies on the arrangement of pelvic plexuses specially because of nerve stimulation techniques.

[Sentinel lymph node biopsy as a new approach to colorectal cancer treatment].

Some concepts considering sentinel lymph node excision in colon and rectal carcinoma are presented in the paper. Arguments pro and contra were exposed and interpret separately. The problem is still open.

TCRalphabeta + CD8+ and TCRgammadelta+ lymphocytes inhibit the capability of peritoneal macrophages to induce contact hypersensitivity.

Macrophages (Mf) play an important role in induction and regulation of the immune response. It was shown previously that subcutaneous injection of hapten conjugated macrophages (TNP-Mf) induces the contact hypersensitivity (CHS) response, whereas intravenous (i.v.

Mesenteric lymph node Tgammadelta cells induced by gastrectomy in mice suppress cell-mediated immune response in vitro via released TGF-beta.

We have shown previously that gastrectomy, but not laparotomy alone, severely impairs contact sensitivity responses in vivo and selectively alters cell trafficking in gut associated lymphatic tissue. Here, we investigate the immunological role of different subpopulations of mesenteric lymph node cells (MLNCs) in the inhibition of contact sensitivity as well as their suppressive mechanisms. Suppressive cells were isolated from the mesenteric lymph nodes of gastrectomized mice and were added to cultures of lymphocytes from mice immunized with trinitrophenyl-chloride.

[Procedures in treatment of hemorrhoids].

Current conceptsof ethiopathogenesis and classification of hemorrhoids are presented based on the literature and own experience of the authors. Different surgical and non-surgical methods are discussed with additional description of postoperative treatment and complications.

[The influence of trauma on immunological response (the role of Tgammadelta+ lymphocytes)].

The influence of trauma, especially surgical operation on immunological response has not been clarified sufficiently. The authors discuss the influence of surgical trauma on humoral and cell mediated immune response and on phagocytosis as well. The role of Tgammadelta+ lymphocytes in immunological processes that occur after trauma have been also discussed.

[Immunological aspects of trauma].

Injury breaks anatomical barriers of the body and leads to cell and tissue destruction. In response to trauma, repair and defense mechanisms, involved in tissue repair, wound healing, and prevention of infection, are induced. The magnitude of the trauma-induced response depends on the patient's overall condition and the severity of the injury.

[Preliminary results of dynamic gracilloplasty in the treatment of fecal incontinence].

Unlabelled: Transposition of the gracilis muscle and its continuous electrical stimulation became a widely accepted method for treatment of patients with severe fecal incontinence. This method introduced to clinical practice by Baeten, Williams and Cavina has also been applied in total anorectal reconstruction following abdominoperineal rectum resection due to rectal cancer. This paper describes our (limited so far) experience with dynamic gracilloplasty procedure in the treatment of fecal incontinence in six patients with injury of anal sphincters.

Cross-reactivity of TNP immune effector T cells that mediate contact hypersensitivity and inflammatory bowel disease in the mouse.

Background: Experiments were aimed to test the cross-reactivity of immune Th1 cells that mediate contact hypersensitivity (CHS) or inflammatory bowel disease (IBD) to TNP in the mouse.

Methods: CBA/J mice were immunized either epicutaneously or intrarectally with TNP and after appropriate time intervals were challenged with antigen in a crossed manner. The CHS reaction was measured by the ear swelling test.

[Chronic inflammation of the colon: a diagnostic problem].

Chronic inflammation of the colon and rectum with associated diarrhea has become more difficult to diagnose recently. Many etiological factors and different therapeutic outlines need to be carefully discussed and summarized. Based on most recent literature, authors present current data on etiology and specific (case-depended) diagnostic procedures in colitis and proctocolitis.

Experimental inflammatory bowel disease--role of T cells.

Background: Our experiments were aimed to test: 1. which lymphocyte subpopulations participate in mouse colitis, produced by intrarectal (i.r.

[Defense mechanisms in the peritoneum].

There are many specialised defence mechanisms connected with immunity of peritoneal cavity. These are absorbtion of bacteria and their toxins from peritoneum, phagocytosis, opsonization, activation of the complement and separation of infection in the peritoneal cavity. A very important role in defence mechanisms of peritoneal cavity play GALT and PALT.

Different patterns of gamma delta and alpha beta T cell redistribution in the mouse after partial gastrectomy.

Background: Stress, including surgical trauma, results in different dysfunctions of the body. In our former experiments on posttraumatic modification of immune response of gastrectomized mice we observed a significant suppression of contact sensitivity. This could be transferred by lymph nodes and spleen T lymphocytes of mice which underwent surgery.

A topographic analysis of atrophic gastritis and stomach cancer risk. A clinicoepidemiological study in Poland.

The purpose of this cross-sectional study was to assess the relation between intestinal and diffuse stomach cancer at its various locations with topography of atrophic gastritis. The study population consisted of 3435 patients who reported over the period of 1991-1994 for the first time to gastroenterological outpatient clinics of 7 university medical centers in Poland. Among these subjects there were 131 histologically proved consecutive cases of gastric carcinoma.

A clinico-epidemiological study on gastritis in gastric carcinoma and in non-cancerous gastric pathology in Poland.

To investigate the risk of gastric cancer development in subjects with atrophic and nonatrophic gastritis, we studied 221 consecutive gastric cancer patients and 7647 non-cancer subjects for whom endoscopic biopsy of the gastric mucosa was available. In gastritis patients, the relative risk (RR) estimates of gastric cancer were as follows: corpus atrophic gastritis RR = 8.7 (95% CI = 5.

[Colitis in laboratory experimentation].

Immunological concept of pathogenesis of inflammatory bowel disease (ulcerative colitis and Crohn's disease) is presently most common but it's specific etiology is still unknown. Spontaneous manifestations of these disease in animal are very rare and ad adequate laboratory animal model is needed for research. In this review different animal models of colitis are present in chronological order, displaying the search for the highest similarity to the clinical colitis.