Delayed gastric emptying in a neonate, associated with a partial defect in the gastric smooth muscle

A girl born after 36 weeks' gestation had emesis 15 hours after birth. She required total parenteral nutrition (TPN) because of persistent gastric retention. When milk was given, the volume of gastric aspirate 3 hours after feeding often was greater than the volume given. Domperidon and erythromycin were ineffective. Upper gastrointestinal series showed slow gastric emptying but no abnormalities in the stomach. No stenosis or obstruction below pylorus was found. Endoscopy showed normal gastric mucosa. Manometry showed normal antroduodenal motility patterns. Transpyloric feeding, which started at age 73 days, was successful and enabled cessation of the TPN. Laparotomy at 119 days of age showed partial absence of the muscle and serosal layer in the anterior wall of the gastric body (1 x 4 cm). The mucosal layer was intact and partly adhered to the peritoneum and the left lobe of the liver. The defect was surgically corrected by plicating the place. The postoperative course was excellent, and oral feeding was fully established within 2 weeks. Although the cause of the partial muscle defect in the case is unclear, this case suggests that this rare condition can cause severe chronic gastric retention.     

Percutaneous renal cyst puncture with CO2 instillation therapy

Ultrasound-guided percutaneous puncture of renal cysts replaced by CO2 was performed on 9 renal cysts of 6 patients from May 1993 through September 1993. Puncture and aspiration of cysts was performed using a 5.5 Fr one-step fluid drain kit (pig tail stent) under ultrasonography inspection. Aspirated volume of cyst contents was 15-292ml (mean 115 ml), and the instilled CO2 volume was 15-150 ml (mean 73 ml). All patients were checked by CT scan. In one month, the reduction rate of cyst volume was 46-84% (mean 69%) and lumbago, their chief complaint, was improved in all patients. No complications were observed in patients treated by CO2 instillation. Although long-term followup is needed to draw a definite conclusion, this therapy may be useful for benign renal cystic lesions.     

Experimental study of the pathogenesis of acute acalculous cholecystitis: role of autonomic denervation

This study was undertaken to elucidate the role of autonomic denervation in the pathogenesis of acute acalculous cholecystitis. In Experiment I, the gallbladder was denervated by performing either celiac neurotomy (sympathetic denervation) or truncal vagotomy (parasympathetic denervation), or both, in dogs. In Experiment II, 45-min ischemia and 90-min reperfusion of the gallbladder with or without autonomic denervation were performed by simultaneously occluding the middle hepatic artery and superior mesenteric vein. Celiac neurotomy, and truncal vagotomy, or both, did not cause cholecystitis. Sympathetic denervation, however, decreased the amount of mucin in the gallbladder mucosa and parasympathetic denervation caused reduction of the tissue blood flow, as well as the accumulation of lipid peroxide and xanthine oxidase in the gallbladder mucosa. These changes were most remarkable 1-2 weeks after denervation and were alleviated 4 weeks after denervation. Ischemia-reperfusion 2 weeks after denervation caused more severe cholecystitis than ischemia-reperfusion alone. The most severe inflammation developed in animals that received both celiac neurotomy and truncal vagotomy. These results suggest that autonomic denervation alone does not induce acute cholecystitis, but that it plays an important role in the progression of the inflammatory process in ischemia-reperfusion injury.     

Sex Pheromone Components of the Pear Fruit Moth, <Emphasis Type="Italic">Acrobasis pyrivorella</Emphasis> (Matsumura)

We analyzed the sex pheromone of the pear fruit moth, Acrobasis pyrivorella, by means of gas chromatography–electroantennographic detection (GC-EAD) and GC–mass spectrometry. Two EAD-active compounds were detected in the pheromone gland extract of females. They were identified as (Z)-9-pentadecenyl acetate (Z9-15:OAc) and pentadecyl acetate (15:OAc). The amounts per female gland (mean ± standard error) of these compounds were 12.9 ± 2.8 and 0.8 ± 0.1 ng, respectively. Synthetic Z9-15:OAc (300 μg) attracted conspecific males in field trapping experiments. When 15:OAc (21 μg; 7% of Z9-15:OAc quantity) was added, the number of males trapped increased significantly. Catch in traps baited with the mixture of these compounds was greater than that in traps baited with 1–3-day-old virgin females. We, therefore, conclude that Z9-15:OAc and 15:OAc are sex pheromone components of this species.     

Compact Reforming Process Using High-Performance and Long-Lived CO Preferential Oxidation over an Activated Ru/Al2O3 Catalyst for PEFC

Compact natural gas reforming process using high-performance and long-lived CO preferential oxidation (PROX) over an activated Ru/Al₂O₃ catalyst has been developed for residential polymer electrolyte fuel cell (PEFC) systems. The long-term durability of the catalyst was demonstrated for more than 40,000 h. After 40,000 h operation, CO was removed from a reformed gas to below 1 ppm on the activated Ru/Al₂O₃ catalyst at [O₂]/[CO] = 1.5. The high activity and selectivity of the catalyst were maintained for more than 40,000 h. Moreover, the start–stop durability for more than 3,000 cycles of the activated Ru/Al₂O₃ catalyst was also demonstrated without N₂ purge.