AIM To evaluate the efficacy and safety of liquid nitrogen cryotherapy as a primary or rescue treatment for BE,with and without dysplasia,or intramucosal adenocarcinoma (IMC).METHODS This was a retrospective,single-ce...AIM To evaluate the efficacy and safety of liquid nitrogen cryotherapy as a primary or rescue treatment for BE,with and without dysplasia,or intramucosal adenocarcinoma (IMC).METHODS This was a retrospective,single-center study carried out in a tertiary care center including 45 patients with BE who was treatment-na?ve or who had persistent intestinal metaplasia(IM),dysplasia,or IMC despite prior therapy.Barrett's mucosa was resected via EMR when clinically appropriate,then patients underwent cryotherapy until eradication or until deemed to have failed treatment.Surveillance biopsies were taken at standard intervals.RESULTS From 2010 through 2014,33 patients were studied regarding the efficacy of cryotherapy.Overall,29 patients (88%) responded to cryotherapy,with 84% having complete regression of all dysplasia and cancer.Complete eradication of cancer and dysplasia was seen in 75% of subjects with IMC; the remaining two subjects did not respond to cryotherapy.Following cryotherapy,15 patients with high-grade dysplasia (HGD) had 30% complete regression,50% IM,and 7% low-grade dysplasia (LGD); one subject had persistent HGD.Complete eradication of dysplasia occurred in all 5 patients with LGD.In 5 patients with IM,complete regression occurred in 4,and IM persisted in one.In 136 cryotherapy sessions amongst 45 patients,adverse events included chest pain (1%),stricture (4%),and one gastrointestinal bleed in a patient on dual antiplatelet therapy who had previously undergone EMR.CONCLUSION Cryotherapy is an efficacious and safe treatment modality for Barrett's esophagus with and without dysplasia or intramucosal adenocarcinoma.展开更多
Byssochlamys fulva AM130,a novel strain of filamentous fungus,could produce ethanol from glucose,xylose,and alkali pretreated rice straw(PRS),while the efficiencies were very low with PRS.Ethanol production of 11.84 g...Byssochlamys fulva AM130,a novel strain of filamentous fungus,could produce ethanol from glucose,xylose,and alkali pretreated rice straw(PRS),while the efficiencies were very low with PRS.Ethanol production of 11.84 g/L was attained by the fungus when grown in glucose,indicating that the limitations while growing on PRS were related to low hydrolytic efficiency.Enzyme profiling of the fungus showed 365 IU/ml of beta-glucosidase and 89 IU/ml of xylanase activity,while endoglucanase and filter paper activity were negligible,which accounts for the low hydrolytic efficiency.The fungus could survive for extended periods under oxygen-limited conditions and produce ethanol.The fungal mycelia could also be used for repeated cycles of anaerobic fermentation,wherein the ethanol yield improved with each consecutive cycle.展开更多
文摘AIM To evaluate the efficacy and safety of liquid nitrogen cryotherapy as a primary or rescue treatment for BE,with and without dysplasia,or intramucosal adenocarcinoma (IMC).METHODS This was a retrospective,single-center study carried out in a tertiary care center including 45 patients with BE who was treatment-na?ve or who had persistent intestinal metaplasia(IM),dysplasia,or IMC despite prior therapy.Barrett's mucosa was resected via EMR when clinically appropriate,then patients underwent cryotherapy until eradication or until deemed to have failed treatment.Surveillance biopsies were taken at standard intervals.RESULTS From 2010 through 2014,33 patients were studied regarding the efficacy of cryotherapy.Overall,29 patients (88%) responded to cryotherapy,with 84% having complete regression of all dysplasia and cancer.Complete eradication of cancer and dysplasia was seen in 75% of subjects with IMC; the remaining two subjects did not respond to cryotherapy.Following cryotherapy,15 patients with high-grade dysplasia (HGD) had 30% complete regression,50% IM,and 7% low-grade dysplasia (LGD); one subject had persistent HGD.Complete eradication of dysplasia occurred in all 5 patients with LGD.In 5 patients with IM,complete regression occurred in 4,and IM persisted in one.In 136 cryotherapy sessions amongst 45 patients,adverse events included chest pain (1%),stricture (4%),and one gastrointestinal bleed in a patient on dual antiplatelet therapy who had previously undergone EMR.CONCLUSION Cryotherapy is an efficacious and safe treatment modality for Barrett's esophagus with and without dysplasia or intramucosal adenocarcinoma.
基金Research(CSIR)for the financial support for the project MLP 0035(33/2018/MD-FTT&FTC-ANB)of which this study forms a part of.
文摘Byssochlamys fulva AM130,a novel strain of filamentous fungus,could produce ethanol from glucose,xylose,and alkali pretreated rice straw(PRS),while the efficiencies were very low with PRS.Ethanol production of 11.84 g/L was attained by the fungus when grown in glucose,indicating that the limitations while growing on PRS were related to low hydrolytic efficiency.Enzyme profiling of the fungus showed 365 IU/ml of beta-glucosidase and 89 IU/ml of xylanase activity,while endoglucanase and filter paper activity were negligible,which accounts for the low hydrolytic efficiency.The fungus could survive for extended periods under oxygen-limited conditions and produce ethanol.The fungal mycelia could also be used for repeated cycles of anaerobic fermentation,wherein the ethanol yield improved with each consecutive cycle.
