Aim. To evaluate capsule endoscopy in terms of incomplete examinations and capsule retentions and to find risk factors for these events. Material and Methods. This retrospective and consecutive study includes data from 2300 capsule enteroscopy examinations, performed at four different hospitals in Stockholm, Sweden from 2003 to 2009. Results. The frequency of incomplete examinations was 20%. Older age, male gender, suspected, and known Crohn's disease were risk factors for an incomplete examination. The PillCam capsule had the highest rate of completed examinations. Capsule retention occurred in 1.3% (n = 31). Risk factors for capsule retention were known Crohn's disease and suspected tumor. Complications of capsule retention were acute obstructive symptoms in six patients and one death related to complications after acute surgical capsule retrieval. Conclusion: Capsule endoscopy is considered a safe procedure, although obstructive symptoms and serious complications due to capsule retention can be found in a large series of patients.
Inflammatory lesions in the small bowel diagnosed by CE in patients with suspected Crohn´s disease are correlated to fecal calprotectin and CRP, but not to symptoms.
The influence of genetic capacity for lean tissue (LT) growth on responses of pigs to ractopamine, in terms of rate and efficiency of body growth and the distribution and accretion rate of body tissues, was determined in this study. Two sources of pigs representing low and high LT genotypes were used. Within each source, two littermate barrows from each of eight litters were individually penned and given ad libitum access to a lysine-supplemented, corn-soybean meal diet (17.7% CP, 1.08% lysine) containing 0 or 20 ppm of ractopamine hydrochloride from 63 to 104 kg. Carcasses were physically dissected into muscle, fatty tissue, skin, and bone. Within each source, four additional pigs were killed for determination of initial body composition. Pigs of high LT genotype gained BW and muscle faster (P < .01), required less (P < .01) feed per unit of gain, and produced carcasses that contained more (P < .01) muscle and bone and less (P < .01) fatty tissue. Ractopamine increased (P < .01) weight gain and improved (P < .01) feed:gain ratio in both genotypes. Ractopamine enhanced the accretion rate and the amount of carcass muscle in both genotypes, but the degree of improvement was greater in pigs of the high than in those of the low LT genotype (genotype x ractopamine, P < .02). Ractopamine also reduced the accretion rate and amount of dissectible fat by a greater magnitude in the high LT genotype (genotype x ractopamine, P < .04). Based on these data, ractopamine increases muscle accretion to a greater degree in pigs with a high genetic capacity for LT growth than in those with a low capacity.
Feed intake was investigated in early weaned pigs housed in two environments. In the first experiment, pigs in an unfamiliar environment (removed from the sow and placed in nursery pens) were offered a dry diet either ad libitum or at different meal intervals (2, 4 and 6 h). Regardless of meal interval (ad libitum or hourly intervals), early weaned (21 d) pigs failed to consume sufficient feed for maintenance during the first 3 d postweaning. Pigs provided feed ad libitum consumed more (P less than .001) feed (142 vs 84 g/d) and gained more (P less than .05) weight (57 vs 3 g/d) than meal-fed pigs over the 7-d period. Pigs fed at 2-h intervals consumed more (P less than .001) feed than pigs fed at 4-h or 6-h intervals. Compared with preweaning levels (307 mu eq/liter), plasma free fatty acid (FFA) levels increased approximately fourfold by d 1 postweaning (1,372 mu eq/liter), then decreased through d 7 to levels below preweaning (142 mu eq/liter). The FFA levels were not affected (P greater than .1) by meal interval. In a second experiment, feed intake was investigated in weaned pigs that were allowed to consume food by a familiar method and in a familiar environment (suckling the sow). When allowed to nurse following a 24-h weaning period, weaned pigs consumed (24.3 +/- 2.8 g/suckling) the same amount (P greater than .1) as non-weaned littermates (28.7 +/- 1.8 g/suckling).(ABSTRACT TRUNCATED AT 250 WORDS)
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