No abstract

Twenty-four beagles received intraoperative irradiation (IORT) with 6 meV electrons to the pancreas and the duodenum. Intraoperative irradiation doses of 17.5 to 40 Gy were given. Billroth I1 gastrojejunostomy was done to bypass the irradiated duodenum. Six control dogs received only the Billroth I1 surgery. Two weeks postoperatively, irradiated dogs were given 50 Gy of 6 MV X radiation (externalbeam radiation [EBRTJ) to the pancreas and duodenum in 2 Gy fractions over a 5-week period. Dogs were monitored clinically and exocrine pancreatic function was evaluated using an N-benzoyl-l-tyrosylpara-aminobenzoic acid (BT-PABA) test between 3 and 135 days postoperatively. Necropsies were performed on the dogs at 135 days postoperatively. The degree of gross pancreatic atrophy in the irradiated group was dose related. The mean percentage of normal acinar cells correlated with IORT doses and para-aminobenzoic acid (PABA) values (P < 0.1). Weight loss was significantly greater in the irradiated dogs compared to the control (P < 0.05) and the mean percentage of body weight loss correlated with the mean PABA values (P < 0.01). In this study, the use of the BT-PABA test to evaluate progressive exocrine pancreatic function following IORT and EBRT showed an expected trend. A progressive decrease in exocrine pancreatic function in the irradiated dogs as indicated by plasma PABA levels may have been partly due to late radiation damage to acinar cells, secondary to vascular and ductular damage. At 135 days postoperatively none of the dogs showed clinical signs of exocrine pancreatic insufficiency and the plasma PABA levels were within the normal presurgical range. The progressive decrease in plasma PABA levels indicated a potential for the late development of exocrine pancreatic insufficiency. The BT-PABA test could be useful for evaluating the progressive decrease in exocrine pancreatic function and residual radiation injury to the pancreas. Because the exocrine deficiency can be managed with replacement therapy, pancreatic injury may not be a serious complication after doses of less than 30 Gy IORT with 50 Gy EBRT. Data from this study are in agreement with previous clinical and experimental reports that the duodenum is dose-limiting for IORT. Doses of 20 Gy IORT or less plus 50 Gy EBRT for treatment of carcinoma of the pancreas may not result in serious long-term complications due to radiation injury of the duodenum.Cancer 62:1091-1095, 1988.NTRAOPERATIVE RADIOTHERAPY (IORT) for pancre-I atic adenocarcinoma is considered to be one of the most promising treatment modalities for this fatal disReports from several centers have indicated that the use of IORT for pancreatic adenocarcinoma increased the median survival time of patients as well as alleviated pain associated with this disease. The duodenum is considered to be dose-limiting in IORT for pancreatic adenocar~inoma.~ Intraoperative radiotherapy doses in excess of 20 Gy resulted in duodenal ~lceration.~ Duodenal fibroses and stenosis commonly occurred after IORT and for th...

Billroth II gastrojejunostomy was performed with surgical staplers in 6 dogs that were not irradiated and in 11 dogs that subsequently received radiation to the pancreas and proximal part of the duodenum. The dogs were monitored clinically for 135 days and then euthanatized and necropsied. Each gastrojejunostomy site was preserved in formalin and the stomal diameter was measured. No mechanical complications were encountered with the use of surgical staplers and no leakage was observed at the staple closure sites before abdominal closure. All dogs vomited approximately 100 ml of coagulated blood 4 to 8 hours after surgery, and 300 to 400 ml of brown fluid after approximately 24 hours. Vomiting was the most common clinical finding after the first 24 hours. Vomiting was subjectively graded from 1 to 3 with grade 1 representing the least severe problem and grade 3 the most severe. Grade 1 vomiting occurred in 12 of 16 dogs that survived 135 days; in the other four dogs, vomiting was classified as grade 2 or 3. All dogs with grade 1 vomiting had stomal diameters of 1.7 to 2.9 cm (mean, 2.2 +/- 0.4 cm standard deviation). Dogs with grade 2 or 3 vomiting had stomal diameters of 2.2 to 4.0 cm (mean, 3.2 +/- 0.8 cm standard deviation). The difference was statistically significant (p less than 0.005). The percentage of weight gained or lost was recorded for each dog. Two nonirradiated dogs gained body weight, whereas the other nonirradiated dogs and all irradiated dogs lost body weight.(ABSTRACT TRUNCATED AT 250 WORDS)

Eleven heifers were inoculated intravenously with a suspension of 1 x lo8 conidia of Aspergillus fumigatus at 169 or 170 days after artificial insemination. These principals were killed at 4, 7, or 14 days after inoculation or thereafter when abortion occurred. Four other heifers served as controls. Mycotic placentitis was not found at 4 days after inoculation. In principals killed at 7 and 14 days, 24% of placentomes had lesions of mycotic placentitis. Heifers that aborted had necrotizing lesions in approximately 90% of placentomes as well as extensive involvement of the interplacentomal area. A theory for the spread of the mycosis in the placenta is presented.

Monolateral ocular lesions in 2 cases of coccidioidomycosis in dogs were granulomatous uveitis, retinitis, keratitis, and occasional focal scleritis. These lesions were more extensive than those previously described for ocular coccidioidomycosis in the dog.