Segments Of Gastrointestinal Tract Research Articles

Gastro-Intestinal Microbiota in Equines and Its Role in Health and Disease: The Black Box Opens.

Horses are large non-ruminant herbivores and rely on microbial fermentation for energy, with more than half of their maintenance energy requirement coming from microbial fermentation occurring in their enlarged caecum and colon. To achieve that, the gastro-intestinal tract (GIT) of horses harbors a broad range of various microorganisms, differing in each GIT segment, which are essential for efficient utilization of feed, especially to use nutrients that are not or little degraded by endogenous enzymes. In addition, like in other animal species, the GIT microbiota is in permanent interplay with the host's cells and is involved in a lot of functions among which inflammation, immune homeostasis, and energy metabolism. As for other animals and humans, the horse gut microbiome is sensitive to diet, especially consumption of starch, fiber, and fat. Age, breeds, stress during competitions, transportation, and exercise may also impact the microbiome. Because of its size and its complexity, the equine GIT microbiota is prone to perturbations caused by external or internal stressors that may result in digestive diseases like gastric ulcer, diarrhea, colic, or colitis, and that are thought to be linked with systemic diseases like laminitis, equine metabolic syndrome or obesity. Thus, in this review we aim at understanding the common core microbiome -in terms of structure and function- in each segment of the GIT, as well as identifying potential microbial biomarkers of health or disease which are crucial to anticipate putative perturbations, optimize global practices and develop adapted nutritional strategies and personalized nutrition.

Effect of dietary electrolyte balance on the interplay between water fluxes and digestive functioning along the gastrointestinal tract of freshwater rainbow trout (Oncorhynchus mykiss)

Aquaculture feed formulation is shifting from fish meal and fish oil toward other ingredients, such as plant-based ingredients, which lead to different levels and forms of minerals in diets. Dietary minerals are essential not only for growth, but also for acid-base balance and the homeostasis of fish body fluids. The gastrointestinal tract (GIT) is involved in the process of osmoregulation of salt and water during digestion, but this process can be hampered when the dietary electrolyte balance (dEB = Na - K + Cl, mEq/kg) is altered. To better understand the interaction between feeding and osmoregulation along the GIT, two diets with low (−100 mEq/kg) and high (+600 mEq/kg) dEB were designed. Freshwater rainbow trout (average initial weight, 306 g) were fed for 6 weeks. Faeces were collected during the last week for digestibility analyses. The final sampling took place over three days, with fish being sampled at 2 time points after feeding (3 and 7 h) and dissected to collect chyme from 4 GIT segments: stomach, proximal, middle and distal intestine. Chyme was analysed for dry matter, pH, osmolality, crude protein (CP) and mineral content. Yttrium oxide (Y2O3) was used as an inert marker to measure water fluxes, mineral fluxes, and nutrient digestibility from different gut segments. Both dEB and time after feeding altered (p < 0.05) chyme characteristics and water fluxes in the stomach and proximal intestine, but there was no interaction effect (p > 0.05). dEB also affected (p < 0.01) chyme pH and sodium (Na) fluxes in the stomach. Faecal digestibility of dry matter (DM) and CP was higher (p < 0.001) when fish were fed a high dEB diet compared to a low dEB diet. The opposite was observed for Ca availability, which was lower at the high dEB diet than at the low dEB diet (p < 0.001). In contrast to faecal digestibility, CP and mineral digestibility measured in the different gut segments were different predominantly in the middle and distal intestine. Our findings suggest that the GIT plays a role in regulating the alterations caused by the contrasting dEB, and that this regulation is stronger in the middle and distal intestine. Furthermore, this regulation affects nutrient and mineral digestibility in the middle and distal segments of the GIT.

Chemosensing of fat digestion by the expression pattern of GPR40, GPR120, CD36 and enteroendocrine profile in sheep

Gastrointestinal tract (GIT) epithelial cells detect nutrients in the lumen via G-protein coupled receptors (GPRs) located in the gut epithelial cells especially in enteroendocrine cells. Dietary free fatty acids (FFA) are the major energy source and also acts as signalling molecules for FFA receptors. Long chain fatty acids (LCFA) activate LCFA receptors, GPR40/FFAR1 and GPR120/FFAR4 which trigger intracellular signalling and release gut hormones or modifies gene expression that facilitate fat digestion and absorption. However, there is a paucity of information on chemosensing of nutrients and digestion in ruminants. Hence, present study was aimed to evaluate chemosensing of fat digestion and absorption by the expression pattern of GPR40, GPR120, chylomicron forming genes, fatty acid translocase (CD36/FAT), microsomal triglyceride transfer protein (MTTP) and apolipoprotein B (APOB) in the various segments of GIT in sheep supplemented with calcium salts of long chain fatty acids (CSLCFAs) along with the secretory patterns of gut peptides cholecystokinin (CCK) and peptide tyrosine tyrosine (PYY). The study was carried out for a period 60 days with eighteen adult ewes of 8–12 months of age and they were divided into three groups with six animals each as group-I, group-II and group-III. All the experimental animals were stall fed with a basal diet and maintained as per animal husbandry standards. Group-II and group-III were supplemented additionally with 3% and 5% CSLCFAs, respectively on dry matter intake. The results from the study indicated that the supplementation of CSLCFAs upregulated (P < 0.05) the relative mRNA expression of GPR40 and GPR120 in the various segments of GIT of sheep in correspondence to level of dietary fat. Abundance of mRNA expression of CD36, MTTP and APOB increased (P < 0.05) in the GIT of sheep in accordance to quantity of LCFAs in the diet where these genes facilitate fatty acid uptake. Feeding of CSLCFAs enhanced (P < 0.05) pre-feeding level of CCK from day 15 onwards, whereas, post-feeding CCK and PYY increased in all the experimental sheep. However, the increase was higher (P < 0.05) in sheep supplemented with CSLCFAs by 10.80 ± 1.45% and 14.25 ± 1.17%, respectively in comparison to group-I. The comprehensive results of the study concluded that feeding of additional CSLCFAs upregulated the expression of GPR40, GPR120, CD36, and chemosensing of LCFAs by these genes triggered the signalling transduction that enhanced CCK and PYY levels to facilitate fat digestion and absorption in accordance with quantity of dietary fat. This was further evident from the significant upregulation of MTTP and APOB in the various segments of GIT supported the high content of dietary fat at cellular fat metabolism in the gut that regulates the fatty acid uptake.

Cecal Microbial Hydrogen Cycling Potential Is Linked to Feed Efficiency Phenotypes in Chickens.

In chickens, early life exposure to environmental microbes has long-lasting impacts on gastrointestinal (GI) microbiome development and host health and growth, via mechanisms that remain uncharacterized. In this study, we demonstrated that administrating a fecal microbiome transplant (FMT) from adults to day-of-hatch chicks results in significantly higher body mass of birds and decreased residual feed intake (RFI), implying enhanced feed efficiency, at 6 weeks of age. To assess the potential mechanisms through which FMT affects adult bird phenotype, we combined 16 S rRNA gene amplification, metagenomic, and comparative genomic approaches to survey the composition and predicted activities of the resident microbiome of various GI tract segments. Early life FMT exposure had a long-lasting significant effect on the microbial community composition and function of the ceca but not on other GI segments. Within the ceca of 6-week-old FMT birds, hydrogenotrophic microbial lineages and genes were most differentially enriched. The results suggest that thermodynamic regulation in the cecum, in this case via hydrogenotrophic methanogenic and sulfur-cycling lineages, potentially serving as hydrogen sinks, may enhance fermentative efficiency and dietary energy harvest capacity. Our study provides a specific mechanism of action through which early-life microbiome transplants modulate market-relevant phenotypes in poultry and, thereby, may represent a significant advance toward microbiome-focused sustainable agriculture.

Evaluation of a tryptase depletion index for better pathologic identification of mast cell activation syndrome.

Laboratory evidence supporting diagnosis of the prevalent condition of mast cell activation syndrome (MCAS) currently includes elevated levels in blood or urine of mediators relatively specific to mast cells (MCs) and/or increased numbers of MCs in luminal gastrointestinal (GI) tract tissues. However, identification of elevated mediators is technically challenging and expensive, and controversy persists regarding the normal ranges of numbers/counts of MCs in various GI tract segments, let alone challenges in determining how many of the visualized MCs are activated. To aid diagnosis of MCAS, we developed a potential new approach for the pathologist to identify the extent of GI tract MC activation easily and inexpensively. Visualization of MCs in gastrointestinal biopsies from 251 patients vs. 95 controls using antibodies against CD117 and tryptase; MC counting per mm2; calculation of the difference between the CD117-positive MCs (identifying all MCs) vs. tryptase-positive MCs (identifying non-activated tryptase-containing MCs), which we define as the tryptase depletion index (TDI). Mean total MC counts did not differ significantly between patients and controls, but mean TDIs differed significantly. Non-overlapping confidence intervals at the 99.9% level identified cut-offs of TDIs between patients vs. controls of 26, 45 and 32 MCs/mm2 in gastric antrum, duodenum, and colon, respectively. The TDI may discriminate between MCAS patients vs. controls. If this preliminary work can be independently confirmed, the TDI may become a useful additional minor diagnostic criterion for MCAS.

The impact of dietary calcium content on phosphorus absorption and retention in growing pigs is enhanced by dietary microbial phytase supplementation.

Sixty growing male pigs were used to test the hypothesis that high dietary Ca content reduces P absorption to a greater extent in microbial phytase-supplemented diets via reducing inositol phosphate (IP) degradation and enhancing P precipitation. Pigs were equally allotted over diets with three Ca contents 2·0, 5·8 and 9·6 g/kg with or without microbial phytase (0 v. 500 FTU/kg) in a 2 × 3 factorial arrangement. Faeces and urine were collected at the end of the 21-d experimental period. Subsequently, pigs were euthanised and digesta quantitatively collected from different gastrointestinal tract (GIT) segments. Increasing dietary Ca content reduced apparent P digestibility in all GIT segments posterior to the stomach (P < 0·001), with greater effect in phytase-supplemented diets in the distal small intestine (Pinteraction = 0·007) and total tract (Pinteraction = 0·023). Nonetheless, increasing dietary Ca to 5·8 g/kg enhanced P retention, but only in phytase-supplemented diets. Ileal IP6 degradation increased with phytase (P < 0·001) but decreased with increasing dietary Ca content (P = 0·014). Proportion of IP esters in total IP (∑IP) indicated that IP6/∑IP was increased while IP4/∑IP and IP3/∑IP were reduced with increasing dietary Ca content and also with a greater impact in phytase-supplemented diets (Pinteraction = 0·025, 0·018 and 0·009, respectively). In all GIT segments, P solubility was increased with phytase (P < 0·001) and tended to be reduced with dietary Ca content (P < 0·096). Measurements in GIT segments showed that increasing dietary Ca content reduced apparent P digestibility via reducing IP degradation and enhancing P precipitation, with a greater impact in phytase-supplemented diets due to reduced IP degradation.

Hermetia illucens fat affects the gastrointestinal tract selected microbial populations, their activity, and the immune status of broiler chickens

Abstract The present study investigated the effect of Hermetia illucens larvae (BSFL) fat, derived using supercritical CO2 extraction and added to broiler chickens’ diets as a partial (50%) or total replacement for commonly used soybean oil, on the gastrointestinal tract (GIT) microbial population, its activity, and selected physiological and immune traits. A total of 576 one-day-old female Ross 308 chicks were randomly assigned to 3 dietary treatments with 16 replicates each. The following treatments were applied: SO – 100% soybean oil, BSFL50 – a mixture of BSFL and soybean oils in a 50:50 ratio, and BSFL100 – 100% BSFL fat. Digesta samples from the crop, jejunum and caeca were collected for further analyses, i.e., pH measurements, fluorescent in situ hybridization, and short-chain fatty acid (SCFA) concentrations. Additionally, the selected plasma biochemical parameters and immunological traits were assessed. In general, the implementation of BSFL fat in broilers’ diets resulted in increased proliferation of potentially pathogenic bacterial populations in the crop, such as Enterobacteriaceae, Bacteroides–Prevotella cluster, and Clostridium perfringens. Furthermore, BSFL100 enhanced microbial activity via total SCFA production and lowered the pH in this segment. However, no detrimental effects were observed in terms of other GIT segments, i.e., the jejunal and cecal microecosystems. The strongest impact on reduction of select components of the microbial population in the cecum was observed with the BSFL50 treatment for potentially pathogenic bacteria such as Enterobacteriaceae, Bacteroides–Prevotella cluster, while commensal populations were also limited, i.e., Bacillus spp., C. leptum subgroup, and C. coccoides–Eubacterium rectale cluster. Additionally, BSFL100 reduced the cholesterol concentration in the blood, while both experimental treatments decreased the ALT level. In conclusion, due to the insufficient release of lauric acid from the BSFL fat in the crop, an adverse shift in the microbiota can be noted. However, a positive suppressive effect on the select components of the cecal microbiota, as well as improvement of liver health suggests implying the BSFL fat in broiler nutrition.

Bacterial communities in the gastrointestinal tract segments of helminth-resistant and helminth-susceptible sheep

BackgroundHelminth parasitism is a world-wide problem in livestock industries, with major impacts on health, welfare and productivity. The role of the gut microbiota in host-helminth interactions in ruminants has been extensively examined and the present study added to this body of knowledge by assessing the effects of resistance and susceptibility to helminth infection in the gastro-intestinal tract (GIT). Australian Sheep Breeding Values (ASBVs) for faecal egg count (FEC) were used to select the 10 highly helminth-susceptible (High-FEC) and 10 highly helminth-resistant (Low-FEC) sheep. FEC status was confirmed during the experiment. Using samples from the faeces and the lumen of the rumen, abomasum, duodenum, jejunum, ileum, caecum, and colon, DNA was extracted and used for 16 rRNA gene amplicon sequencing.ResultsThe most frequent genera identified along the GIT were Eubacterium, Oscillibacter, and Ruminococcus. Intersectoral-specialization zones were identified along the GIT, with the duodenum displaying major differences between the High-FEC and Low-FEC animals in values for alpha and beta diversity. After taking all samples into account and adjusting for GIT segment, the High-FEC and Low-FEC sheep differed significantly for four genera Butyrivibrio, Mycoplasma, Lachnoclostridium and Succiniclasticum. In the duodenum, the abundances of Aminipila, Lachnoclostridium and Mogibacterium differed significantly between the High-FEC and Low-FEC sheep. In the ileum, on the other hand, the genus Mycoplasma was significantly depleted in the Low-FEC group.ConclusionsThe gastro-intestinal microbial profile varies widely between helminth-resistant and helminth-susceptible sheep. Each GIT section appears to support a particular bacterial composition leading to inter-sectoral differences among the various microbial communities. The microbial populations were most rich and diverse in the duodenum of helminth-resistant sheep, comprising bacterial genera that generally ferment carbohydrates. This observation suggests that helminth-resistant sheep can reorganize the duodenal microbiome taxa which may restrict the development of parasites.

Replacement of soybean oil with cold-extracted fat from Hermetia illucens in young turkey diets: Effects on performance, nutrient digestibility, selected organ measurements, meat and liver tissue traits, intestinal microbiota modulation, and physiological and immunological status

This study aimed to evaluate the partial or total replacement of soybean oil with cold-extracted Hermetia illucens larvae (BSFL) fat in young turkey diets on growth performance, coefficients of apparent ileal nutrient digestibility, pancreatic enzyme activities, selected gastrointestinal tract (GIT) segment measurements, microbial community modulation, selected biochemical blood indices, hormone concentrations, immune status traits, and muscle and liver tissue traits. A total of 216 7-day-old female turkeys (B.U.T. 6) were randomly allotted to 3 dietary treatments. Each group contained 6 replicate pens with 12 birds per pen. The birds were fed a soybean-maize basal diet enriched with 50 g/kg dietary fat, i.e., soybean oil (SO) in the control group, 50:50 SO and H. illucens larvae fat in the BSFL50 treatment group, and BSFL fat as the sole energy source in the BSFL100 group. The experiment lasted 28 days. The provided BSFL fat was characterized by high lauric and palmitic acid contents, as well as saturated fatty acids (SFAs), while concentrations of mono- and polyunsaturated fatty acids were higher in the SO group. The growth performance parameters were not affected (P > 0.05) by BSFL fat substitution. However, the apparent ileal digestibility of the ether extract was significantly increased (P < 0.001) after BSFL fat inclusion as the sole energy source with simultaneous enhancement (P < 0.001) of lipase activity. Partial or total replacement of SO with BSFL fat improved cecal microbiota communities by limiting (P < 0.001) Bacteroides-Prevotella cluster counts. Additionally, the beneficial effect of BSFL100 was observed in the case of a decreased (P = 0.004) IL-6 concentration. In conclusion, it is possible to partially or totally substitute SO in turkey diets with cold-extracted BSFL fat without any negative effect on growth performance, nutrient digestibility, physiological traits, or immunological status traits. Furthermore, the cold-pressing technique can be adopted and recommended to obtain BSFL fat as a dietary energy source in turkey nutrition.

International Consensus Recommendations for Eosinophilic Gastrointestinal Disease Nomenclature

Substantial heterogeneity in terminology used for eosinophilic gastrointestinal diseases (EGIDs), particularly the catchall term "eosinophilic gastroenteritis," limits clinical and research advances. We aimed to achieve an international consensus for standardized EGID nomenclature. This consensus process utilized Delphi methodology. An initial naming framework was proposed and refined in iterative fashion, then assessed in a first round of Delphi voting. Results were discussed in 2 consensus meetings, and the framework was updated and reassessed in a second Delphi vote, with a 70% threshold set for agreement. Of 91 experts participating, 85 (93%) completed the first and 82 (90%) completed the second Delphi surveys. Consensus was reached on all but 2 statements. "EGID" was the preferred umbrella term for disorders of gastrointestinal (GI) tract eosinophilic inflammation in the absence of secondary causes (100% agreement). Involved GI tract segments will be named specifically and use an "Eo" abbreviation convention: eosinophilic gastritis (now abbreviated EoG), eosinophilic enteritis (EoN), and eosinophilic colitis (EoC). The term "eosinophilic gastroenteritis" is no longer preferred as the overall name (96% agreement). When &gt;2 GI tract areas are involved, the name should reflect all of the involved areas. This international process resulted in consensus for updated EGID nomenclature for both clinical and research use. EGID will be the umbrella term, rather than "eosinophilic gastroenteritis," and specific naming conventions by location of GI tract involvement are recommended. As more data are developed, this framework can be updated to reflect best practices and the underlying science.

Bioaccessibility of Polycyclic Aromatic Hydrocarbons (PAHs) in Grilled Meat: The Effects of Meat Doneness and Fat Content.

Exposure to polycyclic aromatic hydrocarbons (PAHs) through diet is gaining concern due to the risk it poses to human health. This study evaluated the bioaccessibility of PAHs contained in charcoal-grilled beef and chicken in different segments of the gastrointestinal tract (GIT) with regard to the degree of doneness and fat content of the meats. The levels of 15 PAHs in the grilled meat samples and bioaccessible fractions were determined using high-performance liquid chromatography (HPLC) equipped with PAH column, and UV and fluorescence detectors. Total PAHs were found in beef (30.73 ng/g) and chicken (70.93 ng/g) before its digestion, and different PAHs’ bioaccessibility were observed in the different segments of GIT, with the highest in the stomach followed by the small intestine, despite the relatively higher bioaccessibility of individual PAHs in grilled beef as compared to those in grilled chicken. Additionally, the PAHs’ bioaccessibility increased with the increase in the degree of doneness. Positive linear correlation was observed for the PAHs’ bioaccessibility and the fat contents of grilled meat. Overall, this study highlights the influence of meat doneness (cooking time) and fat contents on the bioaccessibility and bioaccumulation of PAHs.

Survival of the nematophagous fungus Duddingtonia flagrans to in vitro segments of sheep gastrointestinal tract

The nematophagous fungus Duddingtonia flagrans is used in integrated management of gastrointestinal nematodes in ruminants. The chlamydospores of the fungus, orally administered, pass through the segments of the ruminant digestive tract and, in the feces, capture the nematodes preventing their migration to grasslands. The drastic conditions of the gastrointestinal segments can negatively affect the fungus' biocontrol activity. The aim of this study was to assess the effect of in vitro conditions of the sheep's main gastrointestinal segments on the concentration, viability and nematode predatory ability of D. flagrans chlamydospores. The segments evaluated separately in vitro were the oral cavity, rumen, abomasum, and small intestine. The results showed that chlamydospores concentration was not affected by exposure to the different segments. The viability of the chlamydospores after exposure to the oral cavity (2.53 × 106 CFU/mL) and small intestine (1.24 × 105 CFU/mL) was significantly lower than its control treatment, with values of 6.67 × 106 CFU/mL and 2.31 × 105 CFU/mL respectively. Nematode predatory ability after rumen exposure was reduced by 7% compared to the control treatment, by 25% after abomasum exposure and by 17% after small intestine. This study revealed the individual in vitro effect of each segment of ovine gastrointestinal tract on the integrity of this strain of the fungus D. flagrans affecting its viability and nematode predatory ability under the evaluated conditions. Delivery systems could be designed to protect chlamydospores considering the impact of each gastrointestinal segment.

Jejuno-Ileal tumors: a retrospective study

Background: Primary tumors of the jejunum and ileum are rare and this segment of gastrointestinal tract is relatively inaccessible to conventional endoscopy, leading to a delay in diagnosis. Due to its rarity, data of primary jejunoileal tumors is still scarce, especially in India where diagnostic modalities like capsule endoscopy is not widely available. Herein we aim to discuss the clinico-radiologic findings, pathology and surgical management of such tumors. Methods: Of the total 51 small bowel resections done in our institute during the period from year 2012 to 2015, 14 patients were identified who were diagnosed with jejunoileal benign/malignant jejunoileal tumors. Records were analysed with respect to patient demographic data, clinical features, radiologic findings, surgical management, histopathology and postoperative outcomes.Results: Jejunoileal tumors are more common in males (77%) and first presentation was intestinal obstruction (50%) in majority of patients. A definite preoperative diagnosis based on radiologic/endoscopic means was possible in six patients (46%). Patients were operated and laparoscopic group showed superior outcomes in terms of postoperative complications. Conclusions: Jejunoileal tumors are an infrequent finding in surgical practice. In our study malignant tumors were more common in proximal small bowel. Computed tomography (CT) enterography can detect small bowel lesions with low sensitivity but allows evaluation of lymphadenopathy/distant metastasis. Laparoscopic resection allows initial staging and has the advantage of early recovery, less wound infection rates and better cosmesis.

Disentangling digesta passage rate in the gastrointestinal tract of male and female growing goats fed varying feeding levels using multivariate and metanalytical approaches

Digesta passage rate (kp) in ruminants is a very dynamic and complex process and is related to digestion, methane emission, and microbial growth. The objectives of this study were to identify variables related to kp in gastrointestinal tract (GIT) segments by creating latent variables using multivariate factor analysis and access the important sources of variation (i.e., goats’ growth, sex, or feeding levels) of each created latent variables. Two data set were used from three studies with Saanen goats. Data set Growth was composed of individual records of castrated males (n = 36), females (n=34), and intact males (n=33) fed ad libitum and slaughtered at 15 (16.62 ± 0.96 kg body weight (BW)), 22 (23.09 ± 1.33 kg BW), 30 (30.67 ± 2.25 kg BW), 37 (38.02 ± 1.61 kg BW), or 45 (44.12 ± 1.95 kg BW) kg BW. Data set Feeding Level was composed of individual records of castrated males (n=38), females (n=33), and intact males (n=36) fed ad libitum (26.82 ± 2.54 g/kg BW), 75% (22.90 ± 1.99 g/kg BW) or 50% (20.44 ± 2.05 g/kg BW) of ad libitum, over 109 ± 10 days. Four orthogonal latent variables were extracted from each data set, and they explained around 61% of the original variability of each data set. Digesta passage rate had different responses whether evaluated in growing goats or goats fed varying feeding levels in the long term. Growing goats had kp of solutes in reticulorumen, omasum, and colon-rectum positively related to DM intake level and chews/kg DM intake and negatively related to GIT sections capacity and BW growth. Moreover, DM intake level, reticulorumen kp of particles, and large intestine kp of solutes and particles were all positively related in growing goats. Goats fed varying feeding levels had kp of solutes in all GIT segments positively related to feeding level and capacity of GIT segments and negatively related to chews/kg DM intake. Reticulorumen kp of particles was not associated with any of the selected factors of the data set Feeding Level. In conclusion, DM intake level is the driving force of GIT kp of solutes in growing goats and goats fed varying feeding levels in the long term. Also, the GIT kp of solutes is negatively affected by GIT capacity and positively affected by chews/kg DM intake only in growing goats. Moreover, kp of particles in reticulorumen and kp of particles and solutes in large intestine of growing goats are positively related among them and positively related to DM intake level. However, reticulorumen kp of particles is constant in goats fed varying feeding levels in the long term. Sex effect on GIT kp seemed to depend on chews/kg DM intake, however, further investigations are needed to fully understand sex effects on kp.

Feeding Protocol Modulates the Digestive Process in Senegalese Sole (Solea senegalensis) Juveniles

Understanding the daily digestive function could lead to more efficient feeding practices in the farmed fish species. In this work, the effect of several daily feeding protocols was assessed on the daily expression of the genes related to the circadian system (arntl1, clock, per1, and cry1), appetite (cck), nutrients hydrolysis (try1, ctrb1, pga, atp4a, cel, and amy2a), peptides transport (slc15a1), pH, and activity of key digestive (trypsin, chymotrypsin, amylase, 4C- and 7C-like lipases) and absorptive (alkaline phosphatase) enzymes in the gastrointestinal tract (GIT) of Senegalese sole (Solea senegalensis) juveniles. Some of the tested feeding protocols demonstrated a significant influence on the entrainment of the peripheral oscillator. The synchrony of slc15a1 and some digestive proenzymes with per1 in some of the experimental treatments could underline the role of clock genes in the regulation of these biological functions. Unlike gene expression of the digestive proenzymes wherein feeding protocol occasionally affected the temporal organization, the influence of this factor was determinant on the daily average production and/or circadian pattern of their activities. Daily pH was maintained at approximately neutral levels in all the GIT segments, and no pepsin activity was detected. Fish fed a single diurnal meal showed the lowest activity for all the studied enzymes, except for amylase, suggesting an insufficient utilization of the ingested nutrients. Higher amylase activity in this group, on the other hand, implies the possible activation of alternative compensatory metabolic pathways. Overall, our results pointed to the suitability of higher feeding frequencies, especially during dark hours, for the aquaculture production of this species.

Successful use of montelukast in eosinophilic gastroenteritis: a case report and a literature review

BackgroundEosinophilic gastrointestinal disorders, also known as eosinophilic gastroenteritis, are rare inflammatory conditions characterized by eosinophilic infiltration of different parts of the gastrointestinal tract, along with peripheral eosinophilia in most cases. Other known causes for gut eosinophilic infiltration must be excluded to confirm the diagnosis of eosinophilic gastroenteritis. Symptoms of the disorder depend on the affected gastrointestinal tract segment and depth of involvement. Treatment includes systemic glucocorticoids and/or dietary therapy with an empiric elimination diet. Second line therapies include the leukotriene receptor antagonist montelukast, and other anti-allergy drugs such as mast cell stabilizers (including cromolyn and the H1-antihistamine ketotifen), suplatast tosilate which is a selective Th-2 cytokines (IL-4 and IL-5) inhibitor, and the monoclonal anti-IgE antibody omalizumab. We report a case of eosinophilic gastroenteritis who was successfully treated and achieved remission with montelukast as an initial monotherapy. Upon extensive literature review, this represents the second reported adult case of eosinophilic gastroenteritis who responds to montelukast alone as a first line therapy.Case presentationA 49-year-old female presented with recurrent abdominal pain, vomiting, diarrhea and unexplained eosinophilia. She was diagnosed with eosinophilic gastroenteritis and was successfully treated with montelukast monotherapy. After 7 days of therapy, the patient responded well and had complete resolution of her gastrointestinal symptoms and peripheral eosinophilia. Patient remained in remission on follow-up after 12 months. We reviewed the literature for leukotriene antagonist use in the treatment of eosinophilic gastroenteritis and included the cases treated with the leukotriene antagonist montelukast as an initial therapy or as a second line therapy for refractory disease.ConclusionMontelukast may be an effective treatment for eosinophilic gastroenteritis, either alone or in combination with systemic steroids or ketotifen. Our patient is the second reported adult case of eosinophilic gastroenteritis who responded to montelukast alone as a first line therapy. Further studies and clinical trials are required to confirm efficacy compared to standard therapy.

Role of Preoperative Esophagogastroduodenoscopy (EGD) in Bariatric Treatment.

Background: The recommendations for routine preoperative esophagogastroduodenoscopy (EGD) in patients qualified for bariatric surgeries are still a matter of debate. The aim of this study was to analyze the pathologies on preoperative EGD in patients qualified for bariatric surgeries. Materials and Methods: This study included 222 patients, divided into two groups. The obesity group consisted of patients with obesity (BMI ≥ 40 kg/m2), for whom EGD was a routine part of the preparation for laparoscopic sleeve gastrectomy (LSG). The control group of patients with normal body weight (BMI) qualified for EGD because of gastrointestinal ailments. Results: Regarding preoperative EGD in patients qualified for bariatric surgeries, we analyzed the prevalence of endoscopic pathologies in various gastrointestinal tract segments. Patients with obesity were shown to present with esophageal pathologies significantly more often than persons in the control group (n = 23, 20.91% vs. n = 12, 10.91%, p = 0.042). The odds ratio of esophageal pathologies in patients with obesity versus the control group equaled 2.15 (95%CI: 1.01–4.59). In turn, the odds ratio of duodenal pathologies in patients from the control group was 3.31 (95%Cl: 1.16–9.47), which means that persons from this group were approximately three times more likely to be diagnosed with those pathologies compared to obese patients. Moreover, patient sex was a significant predictor of duodenal pathologies, with an odds ratio of 4.03 (95%CI: 1.53–10.61). Conclusions: Preoperative EGD can identify a broad spectrum of pathologies in obese patients, which suggests a routine examination before bariatric surgery.

A Preliminary Study of Chemically Preserved and High-Moisture Whole Maize (Zea mays L.) Usage in Pekin Duck Nutrition: Effect on Growth Performance and Selected Internal Organ Traits.

Simple SummaryHarvested maize grains characterized by high moisture require the use of additional preservation processes to secure against the microbiota. The most commonly used practice is heat-drying, which is energy- and cost-consuming, as well as environmentally unfriendly. Thus, there is a need to omit these harmful techniques and evaluate the usage of wet maize in animal nutrition. The present study aimed to investigate the effect of the chemically preserved, high-moisture whole maize grain addition in Pekin duck nutrition on their growth performance and selected internal organ and gastrointestinal tract measurements and digesta pH values. The results of the experiment clearly showed that there is a possibility to partially replace commonly used heat-dry maize with the preserved whole-grain form without an adverse effect on the birds’ performances and selected organ morphometrical parameters. However, due to surprising changes in the pH values in the gizzard and caeca, further investigations, including microbiota analyses, are recommended.This study aimed to investigate the effect of chemically preserved, high-moisture whole maize grain addition in Pekin duck diets on their growth performance and selected internal organ and gastrointestinal tract measurements and digesta pH values. A total of 300 29-d-old male Pekin ducks were randomly distributed into three dietary treatments using five replicate pens per group and 20 birds per pen. The following treatment groups were applied: CON—basal diet, 5HM—5% of high-moisture, chemically preserved whole maize (HM) inclusion, and 10HM—10% of HM addition. The experiment lasted 21 d. The implementation of 5HM or 10HM did not affect (p > 0.05) the growth performance parameters, selected internal organ weights, and the gastrointestinal tract segment weights and lengths. However, significant changes in terms of the gizzard (p = 0.005), ileum (p = 0.030), and caecal (p < 0.001) digesta pH were observed, especially in the case of the 10HM group, which exhibited the greatest increase in pH in the gizzard and caecal digesta and decrease in the ileal digesta pH. The implementation of whole wet maize may be used in waterfowl diets from 29 d of age. Additionally, chemical preservation can efficiently reduce the cost of maize preparation in duck nutrition.

Water temperature effects on growth performance, proximate body and tissue composition, morphometric characteristics and gastrointestinal evacuation processes of juvenile meagre, Argyrosomus regius (Asso 1801)

The effect of 4 temperature levels, 17, 20, 23 and 26 °C was investigated on growth performance, feed and nutrient utilization, body, fillet and liver composition and morphometric characteristics of meagre, of initial mean weight 36.46 g, after a 12-week trial, fed on a practical diet composed of 49% crude protein and 16% lipids (dry weight). Furthermore, the gastrointestinal evacuation processes of meagre were monitored by subjecting fish to 48-h fasting period, followed by force-feeding and collecting the stomach and intestinal contents at 1 h, 2 h, 4 h, 6 h, 8 h, 12 h and 24 h post-feeding. Meagre growth parameters significantly improved with the increase in temperature, resulting in double the thermal growth coefficient (TGC) at 23 and 26 °C compared to 17 °C. Maximum weight (122.5 g) was achieved at 26 °C. Daily feed intake (DFI) increased from 17 to 26 °C, whereas nutrient efficiency and utilization parameters were significantly lower only at 17 °C. A time effect was also evident on the growth-related parameters and feed conversion ratio (FCR), resulting in similar specific growth rate (SGR) and TGC values between 23 and 26 °C and lower FCR only in 17 °C by the 3rd month, despite the initial difference amongst the 4 treatments. Intestine length increased as fish grew bigger with temperature increase, but the relative intestine length to fish total length remained constant. No effect of temperature was found on condition index (CI), hepatosomatic index (HSI), body proximate composition, fillet lipids and liver glycogen content. Liver lipid content significantly increased from 17 °C to 26 °C. Temperature influenced gastric evacuation patterns, but not the digesta moisture in each gastrointestinal tract (GIT) segment. Hydration within the GIT was affected by temperature with lower content obtained at 17 °C. Stomach digesta moisture and hydration significantly elevated 4 h post-feeding in all treatments. Within the intestine, unlike in the stomach, digesta were mostly comprised of moisture. Gastric evacuation rate (GER) became faster with temperature increase. Meagre juveniles required 4.3–7.4 h to half-empty their stomachs depending on temperature and more than 24 h to completely evacuate their GIT. 23–27 °C was determined as the best water temperature range for growth of meagre of 36-123 g under the specific culture conditions. At 17 °C growth and feed efficiency were impaired, while gastric evacuation processes deviated from the rest.

Association between multitarget tyrosine kinase inhibitors and changes in CT appearance of submucosal fat in the gastrointestinal tract.

Submucosal fat deposition (SMF) in the gastrointestinal tract can be seen in patients treated with vascular endothelial growth factor receptor multitarget tyrosine kinase inhibitors (mtTKIs). We aimed to assess the association between mtTKIs treatment and appearance of SMF on computed tomography (CT). We performed retrospective evaluation of patients who started mtTKI treatment between 2016 and 2018, with a comparison patient cohort treated with single-target tyrosine kinase inhibitors (stTKIs). SMF amount for each gastrointestinal tract segment (stomach, duodenum, jejunum, ileum, terminal ileum, right colon, left colon) was scored as follows: 0 = none; 1 = low amount (<2 mm thick); 2 = high amount (>2 mm layer). For each CT, segment scores were aggregated to create an SMF index (SMFI). Maximal increase in SMFI between pretreatment and posttreatment CTs was documented. SMF ⩾3 was defined as positive. Forty patients treated with mtTKIs and 23 patients receiving stTKIs were included. Maximal increase in SMFI during treatment was 0-1 in 56/63 patients (89%) and 3-6 in 7/63 patients (11%). All patients with positive SMFI received mtTKIs compared to 0 patients treated with stTKIs (17.5% vs. 0%; p = 0.04). mtTKI treatment was associated with higher incidence of nausea/vomiting (4/7) and diarrhea (4/7) when positive SMF was noted, as compared to patients with negative SMF (6/33 patients each; p = 0.048). Gastrointestinal tract SMF deposition occurs in a considerable proportion of patients treated with mtTKIs with association to abdominal symptoms. This may be unique to mtTKIs and was not found in patients receiving stTKIs.