Surgical treatment of giant mesenteric fibromatosis presenting as a gastrointestinal stromal tumor: a case report

<p>Abstract</p> <p>Introduction</p> <p>Intra-abdominal fibromatosis, usually located at the mesenteric level, is a locally invasive tumor of fibrous origin, with no ability to metastasize, but a tendency to recur. Certain non-typical cases of intra-abdominal fibromatosis with involvement of the bowel wall can be misdiagnosed because of their different biological behavior.</p> <p>Case presentation</p> <p>We describe the case of a 64-year-old Caucasian man presenting with mesenteric fibromatosis and involvement of the bowel wall, who was treated surgically. The macroscopic and microscopic appearance of the lesion mimicked a gastrointestinal stromal tumor, a tumor with potential malignant behavior.</p> <p>Conclusion</p> <p>It is essential to make an early and correct diagnosis in such equivocal cases, so that the appropriate treatment can be chosen and suitable patients admitted to clinical trials if appropriate. New and reliable criteria for discriminating between intra-abdominal fibromatosis and gastrointestinal stromal tumor should be proposed and established because novel sophisticated therapeutic strategies have been introduced in the international literature.</p

Transport of Particles in Intestinal Mucus under Simulated Infant and Adult Physiological Conditions: Impact of Mucus Structure and Extracellular DNA

The final boundary between digested food and the cells that take up nutrients in the small intestine is a protective layer of mucus. In this work, the microstructural organization and permeability of the intestinal mucus have been determined under conditions simulating those of infant and adult human small intestines. As a model, we used the mucus from the proximal (jejunal) small intestines of piglets and adult pigs. Confocal microscopy of both unfixed and fixed mucosal tissue showed mucus lining the entire jejunal epithelium. The mucus contained DNA from shed epithelial cells at different stages of degradation, with higher amounts of DNA found in the adult pig. The pig mucus comprised a coherent network of mucin and DNA with higher viscosity than the more heterogeneous piglet mucus, which resulted in increased permeability of the latter to 500-nm and 1-µm latex beads. Multiple-particle tracking experiments revealed that diffusion of the probe particles was considerably enhanced after treating mucus with DNase. The fraction of diffusive 500-nm probe particles increased in the pig mucus from 0.6% to 64% and in the piglet mucus from ca. 30% to 77% after the treatment. This suggests that extracellular DNA can significantly contribute to the microrheology and barrier properties of the intestinal mucus layer. To our knowledge, this is the first time that the structure and permeability of the small intestinal mucus have been compared between different age groups and the contribution of extracellular DNA highlighted. The results help to define rules governing colloidal transport in the developing small intestine. These are required for engineering orally administered pharmaceutical preparations with improved delivery, as well as for fabricating novel foods with enhanced nutritional quality or for controlled calorie uptake

Antifungal activity of citrus essential oil components in vitro and in vivo against penicillium digitatum pers. (sacc.)

Proceedings of the International Conference “Environmentally friendly and safe technologies for quality of fruit and vegetables”, held in Universidade do Algarve, Faro, Portugal, on January 14-16, 2009. This Conference was a join activity with COST Action 924.In vitro studies were conducted on 37 compounds present in citrus essential oil, to test their activity against Penicillium digitatum by three methods: agar diffusion, amended growth medium and vapor assay. The aliphatic alcohols 1-nonanol, 1-decanol and especially 1-octanol exhibited the highest activities, as assayed by all the methods used. The terpenoid compounds perillalcohol, perillaldehyde, citral, terpineol, carveol and citronellol, as well as the reference aromatic compound cinnamaldehyde also exhibited high activity against P. digitatum. Neither hydrocarbons nor esters inhibited this fungus. The mode of action of 1-octanol, perillaldehyde, citral, perillalcohol and terpineol against P. digitatum was fungicidal, whereas 1-decanol, 1-nonanol, carveol and citronellol were only fungistatic. Application of biocidal formulations comprising 1-octanol and citral either separately or together inhibited decay of P. digitatum-inoculated lemons for three weeks after inoculation

Effect of combined application of heat treatments and plastic packaging on keeping quality of 'Oroblanco' fruit (Citrus grandis L. x C. paradisi Macf.)

Combinations of various heat treatments with individual fruit sealing, packaging in polyethylene liners or waxing were tested as means to control pathological and physiological spoilage of 'Oroblanco' fruit (Citrus grandis L. x C. paradisi Macf.). The following heat treatments were used: curing at 36°C for 72 h, hot water dip at 52°C for 2 min or 'hot drench brushing' at 52, 56 or 60°C for 10 s. The standard packinghouse treatment included waxing with addition of thiabendazole (TBZ) and 2,4-D isopropyl ester. The fruit was stored for 2 weeks at 1°C (simulated low-temperature quarantine treatment), followed by 12-13 weeks at 11°C (simulated sea transportation to Japan) and 1 additional week at 20°C (simulated retail shelf-life period). The lowest weight loss and the highest firmness were observed with individually sealed fruit. Polyethylene liners were usually more efficient for weight loss control than waxing. However, the liner packaging enhanced the risk of postharvest disease development, if not accompanied by appropriate decay-controlling measures. Applying TBZ, hot water dip or curing controlled the development of postharvest pathogens, especially that of Penicillium molds. In another trial, both hot drench brushing at 56 or 60°C and hot water dip reduced decay incidence. Hot drench brushing at 60°C and hot water dip slowed fruit softening and reduced buttons abscission. In addition, the hot drench brushing at 60°C significantly delayed the loss of 'Oroblanco' green rind color, especially at the stylar and stem ends of the fruit. The hot dip at 52°C inhibited yellowing only when combined with individual seal-packaging. (C) 2000 Elsevier Science B.V.Contribution No 422/99 from the Agricultural Research Organization, The Volcani Center, Bet Dagan, Israel. This work was partially supported by the Citrus Marketing Board of Israel and by the scholarship of the Department of International Cooperation of the Ministry of Foreign Affairs of Israel given to Tayfun Agar. We are grateful to the authors of hot drench brushing technique (E. Fallik, O. Yekutieli, A. Wiseblum and R. Regev) for providing the opportunity to test the performance of this method with ‘Oroblanco’ fruit

Effect of combined application of heat treatments and plastic packaging on keeping quality of 'Oroblanco' fruit (Citrus grandis L. x C-paradisi Macf.)

WOS: 000165050700009Combinations of various heat treatments with individual fruit sealing, packaging in polyethylene liners or waxing were tested as means to control pathological and physiological spoilage of 'Oroblanco' fruit (Citrus grandis L, x C. paradisi Macf.). The following heat treatments were used: curing at 36 degreesC for 72 h, hot water dip at 52 degreesC for 2 min or 'hot drench brushing' at 52, 56 or 60 degreesC for 10 s, The standard packinghouse treatment included waxing with addition of thiabendazole (TBZ) and 2,4-D isopropyl ester. The fruit was stored for 2 weeks at 1 degreesC (simulated low-temperature quarantine treatment), followed by 12-13 weeks at 11 degreesC (simulated sea transportation to Japan) and 1 additional week at 20 degreesC (simulated retail shelf-life period). The lowest weight loss and the highest firmness were observed with individually sealed fruit. Polyethylene liners were usually more efficient for weight loss control than waxing. However, the liner packaging enhanced the risk of postharvest disease development, if not accompanied by appropriate decay-controlling measures. Applying TBZ, hot water dip or curing controlled the development of postharvest pathogens, especially that of Penicillium molds. In another trial, both hot drench brushing at 56 or 60 degreesC and hot water dip reduced decay incidence. Hot drench brushing at 60 degreesC and hot water dip slowed fruit softening and reduced buttons abscission. In addition, the hot drench brushing at 60 degreesC significantly delayed the loss of 'Oroblanco' green rind color, especially at the stylar and stem ends of the fruit. The hot dip at 52 degreesC inhibited yellowing only when combined with individual seal-packaging. (C) 2000 Elsevier Science B.V. All rights reserved