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Immunological mechanisms of fecal microbiota transplantation in recurrent Clostridioides difficile infection

World Journal of Gastroenterology 2022年第33期28卷 4762-4772页

作者： Lucas F Soveral Gabriela G Korczaguin Pedro S Schmidt Isabel S Nunes camilo fernandes Carlos R Zarate-Blades Laboratory of Immunoregulation Department of MicrobiologyImmunologyand ParasitologyCenter for Dysbiosis ControlFederal University of Santa CatarinaFlorianopolis 88037-000Brazil Division of Infectious Diseases Hospital Nereu RamosFlorianopolis 88025-301Brazil

Fecal microbiota transplantation(FMT)is a successful method for treating recurrent Clostridioides difficile(***)infection(rCDI)with around 90%*** to the relative simplicity of this approach,it is being widely used and currently,thousands of patients have been treated with FMT ***,the mechanisms underlying its effects are just beginning to be *** indicate that FMT effectiveness is due to a combination of microbiological direct mechanisms against ***,but also through indirect mechanisms including the production of microbiota-derived metabolites as secondary bile acids and short chain fatty ***,the modulation of the strong inflammatory response triggered by *** after FMT seems to rely on a pivotal role of regulatory T cells,which would be responsible for the reduction of several cells and soluble inflammatory mediators,ensuing normalization of the intestinal mucosal immune *** this minireview,we analyze recent advances in these immunological aspects associated with the efficacy of FMT.

关键词： Fecal microbiota transplantation Immunity Mechanism Dysbiosis Pseudomembranous colitis Clostridioides difficile

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Review on renal recovery after anatrophic nephrolithotomy:Are we really healing our patients?

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World Journal of Nephrology 2015年第1期4卷 105-110页

作者： Leonardo de Albuquerque dos Santos Abreu Douglas Gregório camilo-Silva Gustavo Fiedler Gustavo Barboza Corguinha Matheus Miranda Paiva Jo?o Antonio Pereira-Correia Valter José fernandes Muller Department of Urology Servidores do Estado Federal HospitalRio de JaneiroRJ 20221-903Brazil

The main goals for urinary stone treatment are to preserve renal function, reduce or avoid complications related to calculi, and to render the patient free of calculi as soon as possible. Anatrophic nephrolithotomy(ANL) is a valid and useful alternative for conventional staghorn calculi excision. Although excellent stone free rates can be achieved with ANL there are some drawbacks that may be of concern. Morbidity related to intraoperative and postoperative complications isone of them. Another, great concern is the possibility of reduction on renal function related to the procedure itself. This may be related to nephron injury during nephrotomy and parenchymal closure or to ischemic injury. In this review we assess functional results after anatrophic nephrolithotomy.

关键词： Anatrophic nephrolithotomy Kidney lithiasis Kidney stone disease Percutaneous nephrolithotripsy Staghorn calculus

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