BACKGROUND Various animal models have been used to explore the pathogenesis of choledochal cysts(CCs),but with little convincing results.Current surgical techniques can achieve satisfactory outcomes for treatment of C...BACKGROUND Various animal models have been used to explore the pathogenesis of choledochal cysts(CCs),but with little convincing results.Current surgical techniques can achieve satisfactory outcomes for treatment of CCs.Consequently,recent studies have focused more on clinical issues rather than basic research.Therefore,we need appropriate animal models to further basic research.AIM To establish an appropriate animal model that may contribute to the investigation of the pathogenesis of CCs.METHODS Eighty-four specific pathogen-free female Sprague-Dawley rats were randomly allocated to a surgical group,sham surgical group,or control group.A rat model of CC was established by partial ligation of the bile duct.The reliability of the model was confirmed by measurements of serum biochemical indices,morpho-logy of common bile ducts of the rats as well as molecular biology experiments in rat and human tissues.RESULTS Dilation classified as mild(diameter,≥1 mm to<3 mm),moderate(≥3 mm to<10 mm),and severe(≥10 mm)was observed in 17,17,and 2 rats in the surgical group,respectively,while no dilation was observed in the control and sham surgical groups.Serum levels of alanine aminotransferase,aspartate aminotrans-ferase,total bilirubin,direct bilirubin,and total bile acids were significantly elevated in the surgical group as compared to the control group 7 d after surgery,while direct bilirubin,total bilirubin,and gamma-glutamyltransferase were further increased 14 d after surgery.Most of the biochemical indices gradually decreased to normal ranges 28 d after surgery.The protein expression trend of signal transducer and activator of transcription 3 in rat model was consistent with the human CC tissues.CONCLUSION The model of partial ligation of the bile duct of juvenile rats could morphologically simulate the cystic or fusiform CC,which may contribute to investigating the pathogenesis of CC.展开更多
Background:Hirschsprung's disease (HSCR) is a congenital gut motility disorder of infants,and if left untreated,it is fatal to the affected infants.This study aimed to identify key microRNAs (miRNAs),signaling pat...Background:Hirschsprung's disease (HSCR) is a congenital gut motility disorder of infants,and if left untreated,it is fatal to the affected infants.This study aimed to identify key microRNAs (miRNAs),signaling pathways and genes involved in the pathogenesis of HSCR.Methods:The miRNA microarray dataset GSE77296 was downloaded.Nine colon tissue samples were available:six from HSCR patients and three matched control samples.Differentially expressed miRNAs (DEMs) were identified after data preprocessing.Target genes of the selected upregulated and downregulated DEMs were predicted.In addition,functional enrichment analyses for the selected DEMs and target genes were conducted.Finally,interaction networks between the DEMs and target genes were constructed.Results:A total of 162 DEMs (73 upregulated and 89 downregulated) were obtained.A total of 2511 DEM-target gene pairs for the 40 selected DEMs were identified,including 1645 pairs for the upregulated DEMs and 866 pairs for the downregulated DEMs.The upregulated DEM miR-141-3p and down-regulated DEM miR-30a-3p were identified as key miRNAs by Kyoto Encyclopedia of Genes and Genomes (KEGG) pathway enrichment and network analyses.Besides,KEGG pathway enrichment analysis revealed that pathways in cancer and the mitogen-activated protein kinase (MAPK) signaling pathway were key pathways.The key genes frizzled class receptor 3 (FZD3) and docking protein 6 (DOK6) were obtained through the DEM-target gene interaction networks.Conclusion:Two key miRNAs (miR-141-3p and miR-30a-3p),the MAPK signaling pathway and two key genes (FZD3 and DOK6) were implicated in the pathogenesis of HSCR.展开更多
Background:Several clinical reports have been published on complications resulting from swallowing multiple magnetic foreign bodies.This study aimed to summarize the clinical experience of managing children who swallo...Background:Several clinical reports have been published on complications resulting from swallowing multiple magnetic foreign bodies.This study aimed to summarize the clinical experience of managing children who swallowed multiple magnetic foreign bodies.Methods:We reviewed the clinical records of five children who swallowed multiple magnetic foreign bodies and were admitted to our hospital during June 2012 to June 2014.Details of the patients' presentation,imaging studies,complications and treatment were recorded.Results:All five children suffered from gastrointestinal perforation and intestinal obstruction.The magnetic foreign bodies caused local bowel wall tissue ischemia necrosis and perforation as well as other complications associated with fistula formation.The magnets were finally removed by laparotomy surgery.Conclusion:If magnetic foreign bodies cannot be removed by endoscopy,an operation is suggested as soon as possible to avoid serious complications.展开更多
Foreign bodies(FBs)ingestion in children is one of the common presentations to the emergency department.The majority of FBs ingestion occurs in children younger than 3 years,with males showing a slight predominance[1]...Foreign bodies(FBs)ingestion in children is one of the common presentations to the emergency department.The majority of FBs ingestion occurs in children younger than 3 years,with males showing a slight predominance[1].Although most FBs pass through the gastrointestinal tract spontaneously,some FBs need urgent medical intervention and even surgical management owing to the complications of obstruction or perforation and a potential risk to children’s health[2].Therefore,timely diagnosis and rational treatment are crucial for reducing FBs complications.However,optimal indications and/or timing of surgery remain controversial.In this study,we discussed the characteristics of FBs ingestion in children and summarized our experience in its management.展开更多
基金the Key R&D Program of Zhejiang,No.2023C03029Health Science and Technology Plan of Zhejiang Province,No.2022RC201Zhejiang Provincial Natural Science Foundation Project,No.LY20H030007.
文摘BACKGROUND Various animal models have been used to explore the pathogenesis of choledochal cysts(CCs),but with little convincing results.Current surgical techniques can achieve satisfactory outcomes for treatment of CCs.Consequently,recent studies have focused more on clinical issues rather than basic research.Therefore,we need appropriate animal models to further basic research.AIM To establish an appropriate animal model that may contribute to the investigation of the pathogenesis of CCs.METHODS Eighty-four specific pathogen-free female Sprague-Dawley rats were randomly allocated to a surgical group,sham surgical group,or control group.A rat model of CC was established by partial ligation of the bile duct.The reliability of the model was confirmed by measurements of serum biochemical indices,morpho-logy of common bile ducts of the rats as well as molecular biology experiments in rat and human tissues.RESULTS Dilation classified as mild(diameter,≥1 mm to<3 mm),moderate(≥3 mm to<10 mm),and severe(≥10 mm)was observed in 17,17,and 2 rats in the surgical group,respectively,while no dilation was observed in the control and sham surgical groups.Serum levels of alanine aminotransferase,aspartate aminotrans-ferase,total bilirubin,direct bilirubin,and total bile acids were significantly elevated in the surgical group as compared to the control group 7 d after surgery,while direct bilirubin,total bilirubin,and gamma-glutamyltransferase were further increased 14 d after surgery.Most of the biochemical indices gradually decreased to normal ranges 28 d after surgery.The protein expression trend of signal transducer and activator of transcription 3 in rat model was consistent with the human CC tissues.CONCLUSION The model of partial ligation of the bile duct of juvenile rats could morphologically simulate the cystic or fusiform CC,which may contribute to investigating the pathogenesis of CC.
文摘Background:Hirschsprung's disease (HSCR) is a congenital gut motility disorder of infants,and if left untreated,it is fatal to the affected infants.This study aimed to identify key microRNAs (miRNAs),signaling pathways and genes involved in the pathogenesis of HSCR.Methods:The miRNA microarray dataset GSE77296 was downloaded.Nine colon tissue samples were available:six from HSCR patients and three matched control samples.Differentially expressed miRNAs (DEMs) were identified after data preprocessing.Target genes of the selected upregulated and downregulated DEMs were predicted.In addition,functional enrichment analyses for the selected DEMs and target genes were conducted.Finally,interaction networks between the DEMs and target genes were constructed.Results:A total of 162 DEMs (73 upregulated and 89 downregulated) were obtained.A total of 2511 DEM-target gene pairs for the 40 selected DEMs were identified,including 1645 pairs for the upregulated DEMs and 866 pairs for the downregulated DEMs.The upregulated DEM miR-141-3p and down-regulated DEM miR-30a-3p were identified as key miRNAs by Kyoto Encyclopedia of Genes and Genomes (KEGG) pathway enrichment and network analyses.Besides,KEGG pathway enrichment analysis revealed that pathways in cancer and the mitogen-activated protein kinase (MAPK) signaling pathway were key pathways.The key genes frizzled class receptor 3 (FZD3) and docking protein 6 (DOK6) were obtained through the DEM-target gene interaction networks.Conclusion:Two key miRNAs (miR-141-3p and miR-30a-3p),the MAPK signaling pathway and two key genes (FZD3 and DOK6) were implicated in the pathogenesis of HSCR.
文摘Background:Several clinical reports have been published on complications resulting from swallowing multiple magnetic foreign bodies.This study aimed to summarize the clinical experience of managing children who swallowed multiple magnetic foreign bodies.Methods:We reviewed the clinical records of five children who swallowed multiple magnetic foreign bodies and were admitted to our hospital during June 2012 to June 2014.Details of the patients' presentation,imaging studies,complications and treatment were recorded.Results:All five children suffered from gastrointestinal perforation and intestinal obstruction.The magnetic foreign bodies caused local bowel wall tissue ischemia necrosis and perforation as well as other complications associated with fistula formation.The magnets were finally removed by laparotomy surgery.Conclusion:If magnetic foreign bodies cannot be removed by endoscopy,an operation is suggested as soon as possible to avoid serious complications.
基金supported by grants from Natural Science Foundation of Zhejiang Province Programs(no.LY20H030007).
文摘Foreign bodies(FBs)ingestion in children is one of the common presentations to the emergency department.The majority of FBs ingestion occurs in children younger than 3 years,with males showing a slight predominance[1].Although most FBs pass through the gastrointestinal tract spontaneously,some FBs need urgent medical intervention and even surgical management owing to the complications of obstruction or perforation and a potential risk to children’s health[2].Therefore,timely diagnosis and rational treatment are crucial for reducing FBs complications.However,optimal indications and/or timing of surgery remain controversial.In this study,we discussed the characteristics of FBs ingestion in children and summarized our experience in its management.
