Objetive: Self-expandable plastic stents (SEPS) are increasingly being used for treatment of postoperative esophageal leak. This complication occurs in 4-27% of patients after radical gastrectomy, and has a high mortality rate up to 60%. The aim of this study is to evaluate the efficacy of SEPS (Polyflex®) for treatment of post-operative eshopago-jejuno anastomosis leak after radical gastrectomy for gastric cancer. Material and methods: During one year period patients who underwent a radical gastrectomy in our hospital for gastric cancer and developed a postoperative anastomotic leak were prospectively included in the study after signing a consent form, and treated with SEPS placement under endoscopic and fluoroscopic control for leak occlusion. Results: Four patients were included (3 men/1 woman). The mean interval between operation and SEPS placement was 16 days (range: 4-34). SEPS deployment was easily performed in all patients with complete occlusion of esophageal lumen in three patients. In the fourth patient we needed to deploy a second coaxial stent to achieve a complete occlusion of the fistula. SEPS migration did not happen in our series. One patient had already developed a mediastinitis by the time we placed the SEPS and he died 3 days later. Extraction of the SEPS was easily performed 4-8 weeks after deployment. Conclusion: We achieved a complete healing of the anastomotic fistula after radical gastrectomy in 3 out of 4 patients, without major complications related to SEPS. Placement of SEPS is an appealing minimally invasive alternative to surgical repair for patients with postoperative anastomotic leak.

A possibilidade do clima de Belo Horizonte estar sendo afetado pelo comportamento do Oceano Pacífico tropical motivou a investigação que deu origem a este trabalho. Por este motivo, apresentamos análises estatísticas, não apenas do comportamento pontual médio mensal das variáveis atmosféricas em Belo Horizonte - MG (Brasil), como também da temperatura da superfície do mar nas regiões do Pacífico tropical, para um período de 30 anos. A análise de correspondência que usamos é uma técnica para a exibição de linhas e colunas de uma matriz de dados, como uma tabela de contingência, como pontos de um espaço vetorial dual com poucas dimensões. Procedemos a análise de dados temporais atmosféricos e oceânicos através de séries mensais de 30 anos (1960-1989), de variáveis mensuradas na cidade de Belo Horizonte - MG e no Pacífico tropical. A amostra foi submetida a tratamentos estatísticos visando a determinação de classes que poderiam nos auxiliar na extração de algumas informações embutidas nos dados brutos em estudo. Sem perda de generalidades, assegurou-se, neste procedimento, a não descaracterização das variáveis por meio do conhecimento dos fenômenos, tanto endógenos quanto exógenos, associados aos processos climatológicos envolvidos neste ensaio.

The possibility of the climate in Belo Horizonte to have been affected by the sea surface behavior over the tropical Pacific has initially motivated the investigation undergone in this paper. Therefore, it presents an statistical analysis of the average monthly behavior of both the atmospheric punctual variables in Belo Horizonte - MG (Brazil), and the sea surface temperature of the central and eastern tropical Pacific for a period of 30 years. We use the correspondence analysis that is a technique for exhibition columns (variables) and rows (observations) of a data matrix, like contingence table, as points in a dual vectorial space with a reduction of the dimension. The variables have been submitted to statistical treatments to seek for the determination of classes that could be helping us to extract some of the information inlaid in the coarse data under study. Without the loss of generalities, with this procedure, the analysis assures that they will not suffer non-characterization, when we take into account the cognizance of the phenomena, such as endogenous and exogenous properties, associated with the climatic process involved in this essay.

The objective of this study was to evaluate the effects of the thrombin-like fraction of Crotalus durissus terrificus venom, Reptilase<img SRC="http:/img/fbpe/jvat/v4n2/image119.gif"> , and bovine thrombin of fibrinogen pools on bovine, equine, ovine, bubaline and human cryoprecipitates. The authors also made a comparative study between animal and human cryoprecipitates to see if any there was any possibility of future use in medicine. Fibrinogen levels in cryoprecipitate were studied using 48 blood samples obtained as follows:12 samples from humans, 9 from bovine, 10 from equine, 10 from ovine and 7 from bubaline. The results obtained showed average levels of 375.50 mg % for humans, 218.33 mg % for bovine, 240.80 mg % for equine, 267.70 mg % for ovine and 664.00 mg % for bubaline. Upon the formation of pools of human and animal fibrinogens, the following results were obtained: 435 mg % for humans, 444 mg % for bovine, 337 mg % for equine, 390 mg % for ovine and 530 mg % for bubaline. Statistical analysis (using the analysis of variance for entirely randomized experiment for the calculation of F statistics) demonstrated that the bubaline fibrinogen level was higher than that of human, and both were higher than those of ovine, equine, and bovine. Clotting times were determined using different dilutions of bovine thrombin, thrombin-like fraction of Crotalus durissus terrificus venom, and Reptilase<img SRC="http:/img/fbpe/jvat/v4n2/image119.gif"> . Comparing these clotting times, results for human and bovine were found to be very similar, whereas using equine, ovine, and bubaline the results above a dilution of 1:3 were markedly different. The results obtained permitted the following conclusions to be drawn show that: 1) bovine thrombin presented better interactivity with fibrinogen extracted both from human and bovine cryoprecipitates; 2) there was similar behavior when bovine thrombin was substituted for Reptilase<img SRC="http:/img/fbpe/jvat/v4n2/image119.gif"> and for the thrombin-like fraction of Crotalus durissus terrificus venom; 3) cryoprecipitate from bovine can, in special circumstances, substitute human cryoprecipitate in medical practice; 4) human and bovine cryoprecipitates can be used with both Reptilase<img SRC="http:/img/fbpe/jvat/v4n2/image119.gif"> and Crotalus durissus terrificus fractions using a dilution up to 1:5; 5) the use of bovine cryoprecipitate can be recommended using either bovine thrombin, Reptilase<img SRC="http:/img/fbpe/jvat/v4n2/image119.gif"> , or thrombin-like fraction of Crotalus durissus terrificus venom.

Sequelae due to testicular biopsy such as hemorrhage, adhesion and fibrosis may be limiting factors to the use of this surgical procedure. Fibrin glue (FG) derived from snake venom was used to minimize these sequelae, as well as to evaluate its healing property in tunica vaginalis and scrotal skin of rams. Applicability of fibrin glue derived from snake venom was tested in different tissues of other animals such as in sciatic nerve and colon of rats and skin of rabbits. In the present study, 30 healthy adult rams were used. They were divided into 3 groups of 10 animals each as follows: G1: fibrin glue group (application of fibrin glue on puncture sites and skin incisions after bilateral testicular biopsy with a Tru-Cut needle); G2: swab/nylon group (hemostasis by compression with a swab on puncture sites and skin suturing with nylon after biopsy) and G3: control group (the animals were not subjected either to biopsy or to surgery). On the 20<IMG SRC="Image485.gif" WIDTH=10 HEIGHT=17> day after biopsy, the presence of adhesion strands between the sites of skin incision and testicle was evaluated by palpation. Adhesion strands were found in three testicles (15%) in G1 and in two testicles (10%) in G2. One hundred days after biopsy, orchiectomy was carried out and the material collected was assessed for subcutaneous (SC) and/or tunica vaginalis adhesions. G3 did not present any abnormality. Groups G1 and G2 presented four testicles each (20%) with adhesion between the tunics at biopsy site. On the other hand, subcutaneous adhesions were found once (5%) in G1 and three times (15%) in G2. Fibrin glue showed to be of easy application, required short postoperative monitoring, presented fast and good-quality healing property and tended to reduce formation of subcutaneous adhesion.