1.Management of esophageal neoplasms by endoscopic submucosal dissection: experience over 100 consecutive procedures
Josué Aliaga RAMOS ; Yoshinori MORITA ; Takashi TOYONAGA ; Danilo CARVALHO ; Moises Salgado PEDROSA ; Vitor N. ARANTES
Clinical Endoscopy 2023;56(5):613-622
Background/Aims:
Endoscopic submucosal dissection (ESD) is currently considered the first-line treatment for the eradication of superficial neoplasms of the esophagus in Eastern countries. However, in the West, particularly in Latin America, the experience with esophageal ESD is still limited because of the high technical complexity required for its execution. This study aimed to present the results of the clinical application of ESD to manage superficial esophageal neoplasms in a Latin American center in over 100 consecutive cases.
Methods:
This retrospective study included consecutive patients who underwent endoscopic ESD for superficial esophageal neoplasms between 2009 and 2022. The following clinical outcomes were assessed: en bloc, complete, and curative resection rates, local recurrence, adverse events, and procedure-related mortality.
Results:
Esophageal ESD was performed mainly for squamous cell carcinoma (66.6%), high-grade intraepithelial neoplasia (17.1%), and adenocarcinoma (11.4%). En bloc and complete resection rates were 96.2% and 81.0%, respectively. The curative resection rate was 64.8%. Adverse events occurred in six cases (5.7%). Endoscopic follow-up was performed for an average period of 29.7 months.
Conclusions
ESD performed by trained operators is feasible, safe, and clinically effective for managing superficial neoplastic lesions of the esophagus in Latin America.
2.Ovary and vaginal epithelium dynamics during the estrous cycle in Dasyprocta prymnolopha Wagler, 1831: ultrasound and cytological examinations
Artur N CARREIRO ; João A R A DINIZ ; Joyce G SOUZA ; Débora V F ARAÚJO ; Rômulo F F DIAS ; Liliane M S AZERÊDO ; Ediane F ROCHA ; Ana Y F LA SALLES ; Carlos E PEÑA-ALFARO ; Maria A M CARVALHO ; Maria J ILLERA ; Danilo J A MENEZES
Journal of Veterinary Science 2018;19(3):446-451
The objective of the present study was to monitor and characterize morphological alterations in ovaries of agouti (Dasyprocta prymnolopha), reared in captivity, by using abdominal ultrasonography. All animals underwent daily vaginal cytological examination to identify the current cycle phase. For each phase of the estrous cycle, ultrasound examinations were carried out to identify and describe the morphology of both ovaries. Topographic parameters in an ultrasound window were established to locate the ovaries. The agouti estrous cycle lasted an average of 29.94 ± 6.77 days. During vaginal cytology examinations, all cell types were identified, and each phase of the estrous cycle was established by cell counts. No significant alterations were observed in the assessed ovarian morphometry measurements. In 75% of the animals examined, ovarian follicle presence was observed in the proestrus phase.
Animals
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Cell Count
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Dasyproctidae
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Epithelium
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Estrous Cycle
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Female
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Gonads
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Investigative Techniques
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Ovarian Follicle
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Ovary
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Proestrus
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Reproduction
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Ultrasonography