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RISS 인기검색어
- 검색키워드
- 저자 : Peter J. Gruber (검색결과 2 건)
- 무료
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Role of Barium Swallow in Diagnosing Clinically Significant Anastomotic Leak following Esophagectomy
Simon Roh,Mark D. Iannettoni,John C. Keech,Mohammad Bashir,Peter J. Gruber,Kalpaj R. Parekh 대한흉부외과학회 2016 Journal of Chest Surgery (J Chest Surg) Vol.49 No.2
Background: Barium swallow is performed following esophagectomy to evaluate the anastomosis for detection of leaks and to assess the emptying of the gastric conduit. The aim of this study was to evaluate the reliability of the barium swallow study in diagnosing anastomotic leaks following esophagectomy. Methods: Patients who underwent esophagectomy from January 2000 to December 2013 at our institution were investigated. Barium swallow was routinely done between days 5–7 to detect a leak. These results were compared to clinically determined leaks (defined by neck wound infection requiring jejunal feeds and or parenteral nutrition) during the postoperative period. The sensitivity and specificity of barium swallow in diagnosing clinically significant anastomotic leaks was determined. Results: A total of 395 esophagectomies were performed (mean age, 62.2 years). The indications for the esophagectomy were as follows: malignancy (n=320), high-grade dysplasia (n=14), perforation (n=27), benign stricture (n=7), achalasia (n=16), and other (n=11). A variety of techniques were used including transhiatal (n=351), McKeown (n=35), and Ivor Lewis (n=9) esophagectomies. Operative mortality was 2.8% (n=11). Three hundred and sixty-eight patients (93%) underwent barium swallow study after esophagectomy. Clinically significant anastomotic leak was identified in 36 patients (9.8%). Barium swallow was able to detect only 13/36 clinically significant leaks. The sensitivity of the swallow in diagnosing a leak was 36% and specificity was 97%. The positive and negative predictive values of barium swallow study in detecting leaks were 59% and 93%, respectively. Conclusion: Barium swallow is an insensitive but specific test for detecting leaks at the cervical anastomotic site after esophagectomy.
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Single-Molecule AFM Studies of Substrate Transport by Using the Sodium-Glucose Cotransporter SGLT1
Theeraporn Puntheeranurak,Rolf K. H. Kinne,Hermann J. Gruber,Peter Hinterdorfer 한국물리학회 2008 THE JOURNAL OF THE KOREAN PHYSICAL SOCIETY Vol.52 No.5
In an apical membrane of epithelial cells from the small intestine and the kidney, the high-affinity Na+/D-glucose cotransporter type 1 (SGLT1) plays a crucial role in intestinal glucose absorp- tion and in renal glucose reabsorption. Here, the over-expression of rabbit SGLT1 in rbSGLT1- transfected Chinese hamster ovary (CHO) cells was first characterized using the immuno-staining method on non-permeabilized cells. The cells were then imaged with atomic force microscopy (AFM), revealing live and fixed cells strongly attached to the glass surfaces. A bioconjugate chem- istry approach was employed to functionalize the surfaces of the AFM tips with D-glucose molecules via three dierent heterobifunctional crosslinkers. The D-glucose binding site and the translocation pathway of SGLT1 were investigated by studying the interaction forces between tip-bound D-glucose and SGLT1 in live cells on the single-molecule level. Analysis of these forces suggested that a long crosslinker with a small end group might be suitable for probing the D-glucose transport pathway of SGLT1. We show that single-molecule AFM technology is a powerful method for investigating transmembrane proteins and transporter functions in live cells. In an apical membrane of epithelial cells from the small intestine and the kidney, the high-affinity Na+/D-glucose cotransporter type 1 (SGLT1) plays a crucial role in intestinal glucose absorp- tion and in renal glucose reabsorption. Here, the over-expression of rabbit SGLT1 in rbSGLT1- transfected Chinese hamster ovary (CHO) cells was first characterized using the immuno-staining method on non-permeabilized cells. The cells were then imaged with atomic force microscopy (AFM), revealing live and fixed cells strongly attached to the glass surfaces. A bioconjugate chem- istry approach was employed to functionalize the surfaces of the AFM tips with D-glucose molecules via three dierent heterobifunctional crosslinkers. The D-glucose binding site and the translocation pathway of SGLT1 were investigated by studying the interaction forces between tip-bound D-glucose and SGLT1 in live cells on the single-molecule level. Analysis of these forces suggested that a long crosslinker with a small end group might be suitable for probing the D-glucose transport pathway of SGLT1. We show that single-molecule AFM technology is a powerful method for investigating transmembrane proteins and transporter functions in live cells.
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