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Taguchi E, Horiuchi K, Senoo A, Susa M, Inoue M, Ishizaka T, Rikitake H, Matsuhashi Y, Chiba K. Eribulin induces tumor vascular remodeling through intussusceptive angiogenesis in a sarcoma xenograft model. Biochem Biophys Res Commun 2021; 570:89-95. [PMID: 34274851 DOI: 10.1016/j.bbrc.2021.07.033] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/02/2021] [Accepted: 07/08/2021] [Indexed: 10/20/2022]
Abstract
Eribulin is a novel microtubule inhibitor that, similar to other types of microtubule inhibitors, induces apoptosis by inhibiting the mitotic division of cells. Besides this direct effect on tumor cells, previous studies have shown that eribulin has the potential to induce tumor vascular remodeling in several different cancers; however, the mechanisms underlying this phenomenon remain unclear. In the present study, we aimed to elucidate whether eribulin is effective against synovial sarcoma, a relatively rare sarcoma that often affects adolescents and young adults, and to histologically investigate the microstructure of tumor vessels after the administration of eribulin. We found that eribulin exhibits potent antitumor activity against synovial sarcoma in a tumor xenograft model and that tumor vessels frequently have intervascular pillars, a hallmark of intussusceptive angiogenesis (IA), after the administration of eribulin. IA is a distinct form of angiogenesis that is involved in normal developmental processes as well as pathological conditions. Our data indicate that IA is potentially involved in eribulin-induced vascular remodeling and thereby suggest previously unacknowledged role of IA in regulating the tumor vasculature after eribulin administration.
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Affiliation(s)
- Eiko Taguchi
- Department of Orthopedic Surgery, National Defense Medical College, Namiki 3-2, Tokorozawa, Saitama, 359-8513, Japan
| | - Keisuke Horiuchi
- Department of Orthopedic Surgery, National Defense Medical College, Namiki 3-2, Tokorozawa, Saitama, 359-8513, Japan; Department of Orthopedic Surgery, Keio University School of Medicine, 35 Shinanomachi, Shinjuku, Tokyo, 160-8582, Japan.
| | - Akira Senoo
- Pathology and Cytology Laboratories, PCL Japan, Matoba 1361-1, Kawagoe, Saitama, 350-1101, Japan
| | - Michiro Susa
- Department of Orthopedic Surgery, National Defense Medical College, Namiki 3-2, Tokorozawa, Saitama, 359-8513, Japan
| | - Masahiro Inoue
- Department of Orthopedic Surgery, National Defense Medical College, Namiki 3-2, Tokorozawa, Saitama, 359-8513, Japan
| | - Takahiro Ishizaka
- Department of Orthopedic Surgery, National Defense Medical College, Namiki 3-2, Tokorozawa, Saitama, 359-8513, Japan
| | - Hajime Rikitake
- Department of Orthopedic Surgery, National Defense Medical College, Namiki 3-2, Tokorozawa, Saitama, 359-8513, Japan
| | - Yusuke Matsuhashi
- Department of Orthopedic Surgery, National Defense Medical College, Namiki 3-2, Tokorozawa, Saitama, 359-8513, Japan
| | - Kazuhiro Chiba
- Department of Orthopedic Surgery, National Defense Medical College, Namiki 3-2, Tokorozawa, Saitama, 359-8513, Japan
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Đokić M, Badovinac D, Petrič M, Trotovšek B. An unusual presentation of metastatic malignant melanoma causing jejuno-jejunal intussusception: a case report. J Med Case Rep 2018; 12:337. [PMID: 30419958 PMCID: PMC6233537 DOI: 10.1186/s13256-018-1887-5] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/05/2018] [Accepted: 10/22/2018] [Indexed: 01/31/2023] Open
Abstract
BACKGROUND Small bowel intussusception in adults is rarely encountered. In most cases small bowel intussusception is caused by benign neoplastic lesions, but metastasis of cutaneous malignant melanoma causing small bowel intussusception is rare. We present such a case of jejuno-jejunal intussusception with an intraluminal metastatic lesion acting as a lead point. CASE PRESENTATION We present a case of a 71-year-old Caucasian man who presented with small bowel obstruction. His medical history revealed that he had had a cutaneous malignant melanoma excised 7 years earlier and underwent total laryngectomy due to a metastasis 6 years later. The disease was classified as stage IV and he was receiving immunotherapy. An emergency abdominal computed tomography scan demonstrated small bowel obstruction, most probably caused by an intraluminal lesion. An emergency laparotomy revealed an intraluminal metastatic lesion causing jejuno-jejunal intussusception. Metastasectomy of the lesion was performed and 13 days later he was discharged. CONCLUSIONS Jejuno-jejunal intussusception with a malignant melanoma metastasis acting as a lead point is very rare. With the gastrointestinal tract being a common location of distal metastases, a medical history of malignant melanoma treatment in cases of small bowel obstruction should raise a suspicion of possible metastatic disease. A computed tomography scan is the diagnostic modality of choice and surgery still remains the standard of care.
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Affiliation(s)
- Mihajlo Đokić
- Department of Abdominal Surgery, University Medical Centre Ljubljana, Zaloška c. 7, 1000 Ljubljana, Slovenia
| | - David Badovinac
- Department of Abdominal Surgery, University Medical Centre Ljubljana, Zaloška c. 7, 1000 Ljubljana, Slovenia
| | - Miha Petrič
- Department of Abdominal Surgery, University Medical Centre Ljubljana, Zaloška c. 7, 1000 Ljubljana, Slovenia
| | - Blaž Trotovšek
- Department of Abdominal Surgery, University Medical Centre Ljubljana, Zaloška c. 7, 1000 Ljubljana, Slovenia
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Efrati Y, Klin B, Kozer E, Abu-Kishk I. The role of dexamethasone in decreasing early recurrence of acute intussusception in children: A retrospective study. J Pediatr Surg 2017; 52:1141-1143. [PMID: 28065716 DOI: 10.1016/j.jpedsurg.2016.12.020] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/18/2016] [Revised: 11/21/2016] [Accepted: 12/26/2016] [Indexed: 11/19/2022]
Abstract
BACKGROUND Early recurrent intussusception (RI) is a concern after a successful pneumatic reduction. Steroids have been suggested as a treatment that decreases early RI. The purpose of this study was to examine the role of dexamethasone in decreasing early RI. METHODS A retrospective review of 174 pediatric patients that underwent successful pneumatic reduction was conducted. Two groups were identified: group 1 that received intravenous dexamethasone (0.5mg/kg/dose) on diagnosis or immediately after the reduction maneuver, and group 2 that were not given dexamethasone. RESULTS There were 113 boys and 61 girls ranging in age from 2 to 36months. There were no statistical differences between the groups except for younger age in the dexamethasone group (P=0.03). There was no significant difference (p=0.08) in the rate of early RI between the non-steroid group (5.4%, 4/74) and the steroid group 14% (14/100). Mean admission length was 30h. The majority of RIs occurred in the first 8h of admission. CONCLUSIONS We found that premedication of children with idiopathic intussusception with dexamethasone did not decrease early RI. LEVEL OF EVIDENCE Level III retrospective comparative study.
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Affiliation(s)
- Yigal Efrati
- Pediatric Division, Assaf Harofeh Medical Centre, Zerifin 70300, Israel, affiliated to the Sackler Faculty of Medicine, Tel-Aviv University, Tel-Aviv, Israel.
| | - Baruch Klin
- Pediatric Division, Assaf Harofeh Medical Centre, Zerifin 70300, Israel, affiliated to the Sackler Faculty of Medicine, Tel-Aviv University, Tel-Aviv, Israel.
| | - Eran Kozer
- Pediatric Division, Assaf Harofeh Medical Centre, Zerifin 70300, Israel, affiliated to the Sackler Faculty of Medicine, Tel-Aviv University, Tel-Aviv, Israel.
| | - Ibrahim Abu-Kishk
- Pediatric Division, Assaf Harofeh Medical Centre, Zerifin 70300, Israel, affiliated to the Sackler Faculty of Medicine, Tel-Aviv University, Tel-Aviv, Israel.
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Zhang Y, Zou W, Zhang Y, Ye W, Chen X, Liu Q, Liu H, Si C, Jia H. Reducing Antibiotic Use for Young Children with Intussusception following Successful Air Enema Reduction. PLoS One 2015; 10:e0142999. [PMID: 26569111 PMCID: PMC4646485 DOI: 10.1371/journal.pone.0142999] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/20/2015] [Accepted: 10/29/2015] [Indexed: 01/31/2023] Open
Abstract
China introduced a new policy regarding the management of antibiotic use. We evaluated the reasonableness of antibiotic use among children suffering from intussusception before and after policy. A retrospective study was conducted involving 234 young children with intussusception who were treated between January 1, 2011 and December 30, 2013. Demographics and detailed antibiotics regimens were collected. χ2 test was used to evaluate differences between the phase I (preintervention, n = 68) and phase II (postintervention, n = 166). We determined that the overall antibiotic use rate following successful air enema reduction was 41% (97/234), which decreased from 99% (67/68) in phase I to 18% (30/166) in phase II. In phase I, prophylactic antibiotic usage reached up to 84% (56/67). The quantity of aztreonam for injection accounted for 63% (45/71), and cefamandole nafate for injection accounted for 25% (18/71). In phases II, prophylactic antibiotic usage were reduced to 13% (4/30). The quantity of aztreonam for injection was decreased to 12% (4/33) and cefamandole nafate for injection was 3% (1/33). Antibiotics' options were more diverse. In conclusion, policy intervention was effective in addressing some aspects of antibacterial drug usage among young children with intussusception. However, excessive drug use remains a public health problem. The guidelines for the antibiotic management of intussusception for children must be established in China.
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Affiliation(s)
- Yuan Zhang
- Center of Evidence-based Medicine, Second Hospital of Shandong University, Jinan, Shandong, China
| | - Wen Zou
- Department of Pharmacy, Second Hospital of Shandong University, Jinan, Shandong, China
| | - Yinghui Zhang
- Department of Medical Records, Second Hospital of Shandong University, Jinan, Shandong, China
| | - Weimin Ye
- Department of Medical Epidemiology and Biostatistics, Karolinska Institutet, Solna, Stockholm, Sweden
| | - Xingdong Chen
- Department of Medical Epidemiology and Biostatistics, Karolinska Institutet, Solna, Stockholm, Sweden
| | - Qian Liu
- Department of Pediatric Surgery, Second Hospital of Shandong University, Jinan, Shandong, China
| | - Huandi Liu
- Information Center, Second Hospital of Shandong University, Jinan, Shandong, China
| | - Chunfeng Si
- Information Center, Second Hospital of Shandong University, Jinan, Shandong, China
| | - Hongying Jia
- Center of Evidence-based Medicine, Second Hospital of Shandong University, Jinan, Shandong, China
- * E-mail:
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Galván-Montaño A, Suárez-Roa MDL, Estrada-Hernández MDR. [Jejunal intussusceptions as a lead point ectopic pancreatic tissue in a 1-year-old male. Case report]. CIR CIR 2012; 80:546-549. [PMID: 23336150] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/01/2023]
Abstract
BACKGROUND intussusception is the most common cause of acute bowel obstruction in infants and young children. Incidence has been reported as 1.5 to 4 cases per 1,000 live births. Most intussusceptions are ileocecocolic; jejunal intussusceptions in children is extremely rare. CLINICAL CASE a 1-year-old male was admitted to the emergency department with diarrheal evacuations, without mucus or blood, crying and irritable. Previously he had melaena in one occasion. The abdomen was found soft and depressible and low pain. He was treated with ceftriaxone, omeprazole and metoclopramide. Two days after admission he had melaena and rectal bleeding. Plain abdominal radiography showed air fluid levels. Abdominal surgery was performed finding jejunal intussusceptions which were reduced. Demonstrable lesion as a lead point was a small tumor that was removed. The pathologist's report showed pancreatic islets cells. CONCLUSIONS jejunal intussusceptions in children are extremely rare and occur at any age. Main symptoms are intermittent abdominal pain and vomiting. Ultrasonography is the study of choice. Often a lesion is demonstrable as a lead point for the intussusceptions and therefore requires open or laparoscopic surgery. In this case, it was unusual to have the presence of ectopic pancreatic tissue as a lead point.
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Affiliation(s)
- Alfonso Galván-Montaño
- División de Cirugía Pediátrica, Hospital General Dr. Manuel Gea González, Tlalpan, D.F. México, México.
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McGuire B, Brannigan AE, O'Connell PR. Hyaluronidase assisted reduction of intestinal intussusception; a novel application. Ir Med J 2005; 98:146-7. [PMID: 16010784] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 05/03/2023]
Abstract
Failed manual reduction of entero-enteric intussusception in adults leads to intestinal resection for benign disease. The case of a twenty-year old male with an eight inch jejuno-jejunal intussusception is presented. The authors resected a hamartomatous polyp from the apex of the intussusceptum and a subsequent attempt at manual reduction was unsuccessful. Hyaluronidase was injected into the neck of the intussusception and dissipation of tissue oedema facilitated reduction within two minutes. To our knowledge, this is the first reported case of this application of Hyaluronidase.
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Affiliation(s)
- B McGuire
- Department of Surgery, University College Dublin, Mater Misericordiae University Hospital, Dublin
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Abstract
Intestinal lymphoid hyperplasia (ILH) is an uncommon cause of recurrent intussusception in infants and young children. Surgical treatment has been suggested in the management of this disorder. We report 2 cases in which recurrent intussusception was associated with ILH. A short course of steroids resulted in resolution of both symptoms and hyperplasia. We conclude that when recurrent intussusception occurs in association with ILH, and no other lead point can be identified, it is important that treatment with steroids is considered before resorting to a more radical surgical approach.
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Affiliation(s)
- Eyal Shteyer
- Department of Pediatrics, Hadassah Medical Center and the Faculty of Medicine, The Hebrew University, Jerusalem, Israel
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Affiliation(s)
- C Mapagu
- University of Sydney, Children's Hospital at Westmead, New South Wales, Australia
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Archimandritis AJ, Hatzopoulos N, Hatzinikolaou P, Sougioultzis S, Kourtesas D, Papastratis G, Tzivras M. Jejunogastric intussusception presented with hematemesis: a case presentation and review of the literature. BMC Gastroenterol 2001; 1:1. [PMID: 11178112 PMCID: PMC29076 DOI: 10.1186/1471-230x-1-1] [Citation(s) in RCA: 33] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/05/2000] [Accepted: 01/04/2001] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND Jejunogastric intussusception (JGI) is a rare but potentially very serious complication of gastrectomy or gastrojejunostomy. To avoid mortality early diagnosis and prompt surgical intervention is mandatory. CASE PRESENTATION A young man presented with epigastric pain and bilous vomiting followed by hematemesis,10 years after vagotomy and gastrojejunostomy for a bleeding duodenal ulcer. Emergency endoscopy showed JGI and the CT scan of the abdomen was compatible with this diagnosis. At laparotomy a retrograde type II, JGI was confirmed and managed by reduction of JGI without intestinal resection. Postoperative recovery was uneventful. CONCLUSIONS JGI is a rare condition and less than 200 cases have been published since its first description in 1914. The clinical picture is almost diagnostic. Endoscopy performed by someone familiar with this rare entity is certainly diagnostic and CT-Scan of the abdomen could also help. There is no medical treatment for acute JGI and the correct treatment is surgical intervention as soon as possible.
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Affiliation(s)
- Athanasios J Archimandritis
- Department of Pathophysiology, Gastroenterology Section, and Department of Internal Medicine, University of Athens Medical School, "Liako" General Hospital, Athens, Greece
| | - Nikos Hatzopoulos
- Department of Pathophysiology, Gastroenterology Section, and Department of Internal Medicine, University of Athens Medical School, "Liako" General Hospital, Athens, Greece
| | - Petros Hatzinikolaou
- Department of Pathophysiology, Gastroenterology Section, and Department of Internal Medicine, University of Athens Medical School, "Liako" General Hospital, Athens, Greece
| | - Stavros Sougioultzis
- Department of Pathophysiology, Gastroenterology Section, and Department of Internal Medicine, University of Athens Medical School, "Liako" General Hospital, Athens, Greece
| | - Dimitris Kourtesas
- Department of Pathophysiology, Gastroenterology Section, and Department of Internal Medicine, University of Athens Medical School, "Liako" General Hospital, Athens, Greece
| | - George Papastratis
- Department of Propedeutic Surgery, University of Athens Medical School, "Laiko" General Hospital, Athens, Greece
| | - Michalis Tzivras
- Department of Pathophysiology, Gastroenterology Section, and Department of Internal Medicine, University of Athens Medical School, "Liako" General Hospital, Athens, Greece
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Abstract
Premedication with intramuscular dexamethasone may decrease the rate of early recurrent intussusception by amelioration of lymphoid hyperplasia.
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Hsiao JY, Kao HA, Shih SL. Intravenous glucagon in hydrostatic reduction of intussusception: a controlled study of 63 patients. Zhonghua Min Guo Xiao Er Ke Yi Xue Hui Za Zhi 1988; 29:242-7. [PMID: 3078479] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/04/2023]
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Abstract
A standard type of ileocolic intussusception was produced in 69 puppies and the effect of glucagon on the hydrostatic reduction of the intussusceptions evaluated in a prospective, double-blind study. The reductions were attempted at intervals varying from 18 to 60 hr following the production of the intussusceptions. The overall reduction rate was 70% and there was no statistical difference in this rate between the animals receiving glucagon and those receiving placebos. None of the gangrenous intussusceptions were reducible with the hydrostatic pressure technique, irrespective of whether glucagon was used or not. A further evaluation was made of those animals in whom successful reductions were accomplished by the hydrostatic pressure method. Glucagon did result in significantly easier reductions, and an earlier return of normal vascular supply as measured by color and by arterial pulsations as compared to the control group.
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Albrechtsen D, Brandtzaeg P. [Intussusception in children]. Tidsskr Nor Laegeforen 1976; 96:11-4. [PMID: 1257944] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/26/2022] Open
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Gross S, Bruk U, Dreznik Z, Katznelson D. [Diphenoxylate-atropine and meclizine in the treatment of intussusception]. Harefuah 1975; 89:221-2. [PMID: 1183879] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 12/26/2022]
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Abstract
Reducing intussusception by enema given under fluoroscopic control is being performed more often, in the U. S. A. as well as other countries. This report describes the technic, indications and contraindications in a busy British clinic.
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Hansen JB, Pedersen SA. Intussusception in infancy and childhood. An analysis of treatment and prognosis in 196 cases. Dan Med Bull 1968; 15:147-52. [PMID: 5690575] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/16/2023]
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Lowe JE. Intussusception of the ileum in a horse. A case report. Cornell Vet 1966; 56:51-3. [PMID: 4162468] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/09/2023]
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