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| 1 | Acute antibody-mediated rejection after intestinal transplantation显示文摘AIM To investigate the incidence, risk factors and clinical outcomes of acute antibody-mediated rejection(ABMR) after intestinal transplantation(ITx).METHODS A retrospective single-center analysis was performed to identify cases of acute ABMR after ITx, based on the presence of donor-specific antibody(DSA), acute tissue damage, C4 d deposition, and allograft dysfunction.RESULTS Acute ABMR was identified in 18(10.3%) out of 175 intestinal allografts with an average occurrence of 10 d(range, 4-162) after ITx. All acute ABMR cases were presensitized to donor human leukocyte antigens class Ⅰand/or Ⅱ antigens with a detectable DSA. A positive cross-match was seen in 14(77.8%) cases and twelve of 18 patients(66.7%) produced newly-formed DSA following ITx. Histological characteristics of acute ABMR include endothelial C4 d deposits, interstitial hemorrhage, and severe congestion with focal fibrin thrombin in the lamina propria capillaries. Multivariate analysis identified a liver-free graft and high level of panel reactive antibodyas a significant independent risk factor. Despite initial improvement after therapy, eleven recipients(61.1%) lost transplant secondary to rejection. Of those, 9(50%) underwent graft removal and 4(22.2%) received second transplantation following acute ABMR. At an average follow-up of 32.3 mo(range, 13.3-76.4), 8(44.4%) recipients died.CONCLUSION Our results indicate that acute ABMR is an important cause of intestine graft dysfunction, particularly in a liver-exclusive graft and survivors are at an increased risk of developing refractory acute rejection and chronic rejection. More effective strategies to prevent and manage acute ABMR are needed to improve outcomes. | Guo-Sheng Wu Ruy J Cruz Jr Jun-Chao Cai | 2016 | World Journal of Transplantation2016，6，4： | 5 |
| 2 | Esophagogastric anastomosis with invagination into stomach:New technique to reduce fistula formation显示文摘AIM: To present a new technique of cervical esophagogastric anastomosis to reduce the frequency of fistula formation. METHODS: A group of 31 patients with thoracic and abdominal esophageal cancer underwent cervical esophagogastric anastomosis with invagination of the proximal esophageal stump into the stomach tube. In the region elected for anastomosis, a transverse myotomy of the esophagus was carried out around the entire circumference of the esophagus. Afterwards, a 4-cm long segment of esophagus was invaginated into the stomach and anastomosed to the anterior and the posterior walls. RESULTS: Postoperative minor complications occurred in 22 (70.9%) patients. Four (12.9%) patients had serious complications that led to death. The discharge of saliva was at a lower region, while attempting to leave the anastomosis site out of the alimentary transit. Three (9.7%) patients had fistula at the esophagogastric anastomosis, with minimal leakage of air or saliva and with mild clinical repercussions. No patients had esophago- gastric fistula with intense saliva leakage from either the cervical incision or the thoracic drain. Fibrotic stenosis of anastomoses occurred in seven (22.6%) patients. All these patients obtained relief from their dysphagia with endoscopic dilatation of the anastomosis.CONCLUSION: Cervical esophagogastric anastomosis with invagination of the proximal esophageal stump into the stomach tube presented a low rate of esophagogastric fistula with mild clinical repercussions. | Alexandre Cruz Henriques Carlos Alberto Godinho Roberto Saad Jr Daniel Reis Waisberg Aline Biral Zanon Manlio Basilio Speranzini Jaques Waisberg | 2010 | World Journal of Gastroenterology2010，16，45： | 2 |
| 3 | Cerebral abscesses: investigation using apparent diffusion coefficient maps显示文摘 | Guo AC Provenzale JM Cruz LC Jr | 2001 | Neuroradiology2001，43，5： | 1 |
| 4 | Popliteal artery entrapment syndrome in an elite rower: sonographie appearances 显示文摘 | Alvarez Rey I Alvarez Rey G Alvero Cruz JR | 2004 | J Ultrasound Med2004，23，12： | 1 |
| 5 | On the complex autonomic changes involved in the inhibition of gastrointestinal motility after spinal cord injury (SCI)显示文摘 | Gondim FA Lopes AC Jr Cruz PR | 2006 | Dig Dis Sci2006，51，6： | 1 |
| 6 | A study of sociocultural factors related to voluntary blood donation in the Americans显示文摘 | Gutierrez MG De Tejada ES Cruz JR | 2003 | Rev Panam Salud Publica2003，13，23： | 1 |
| 7 | MR imaging findings in Wernicke encephalopathy: nonalcoholics may be similar to alcoholics 显示文摘 | Hygino da Cruz LC Jr Domingues RC Vilanova I | 2010 | AJNR Am J Neuroradiol2010，31，6： | 1 |
| 8 | Fractures of the acetabulum in elderly patients : an update 显示文摘 | Guerado E Cano JR Cruz E | 2012 | Injury2012，43，2： | 1 |
| 9 | Moving Horizon Nash Strategies for a Military air Operation 显示文摘 | Cruz Jr J B Simaan M A | 2002 | IEEE Transactions on Aerospace and Electronic Systems2002，38，3： | 1 |
| 10 | Simultaneous ilioinguinal and Kocher-Langenberk approaches for the treatment of complex acetabular frac-tures显示文摘 | Guerado E Cano JR Cruz E | 2010 | Hip Int2010，20，7： | 1 |
| 11 | Evaluation of the stress distri- bution in CFR-PEEK dental implants by the three-dimensional fi- nite element method 显示文摘 | Sarot JR Contar CM Cruz AC | 2010 | J Mater Sci Mater Med2010，21，7： | 1 |
| 12 | Congenital atresia of the external auditory canal显示文摘 | De La Cruz A Linthicum FH Jr Luxford WM | 1985 | Laryngoscope1985，95，： | 1 |
| 13 | A study of social factors related to voluntary blood donation in the Americas显示文摘 | Gutierrez MG De Tejada ES Cruz JR | 2003 | Pev PanamSalud Publica2003，13，2： | 1 |
| 14 | Safety of the blood supply in Latin America 显示文摘 | Sehmunis GA Cruz JR | 2005 | Clin Microbiol Rev2005，18，1： | 1 |
| 15 | Spontaneous cholecystocutaneous fistula a rare complication of gallbladder disease显示文摘 | Cruz RJ Jr Nahas J de Figueiredo LF | 2006 | Sao Paulo Med J2006，124，： | 1 |
| 16 | Hepatosplanch- nicvasoregulation and oxygen consumption during selective aortic blood flow reduction and reperfusion 显示文摘 | Cruz RJ Jr Garrido AG de NataleCaly D | 2011 | J Surg Res2011，17，2： | 1 |
| 17 | Recognition of non- self-polysaccharides by C-type lectin receptors dectin-1 and dectin-2显示文摘 | Hollmig ST Ariizumi K Cruz PD Jr | 2009 | Glycobiology2009，19，6： | 1 |
| 18 | Blood loss after fluid resuscitation with isotonic or hypertonic saline for the initial treatment of uncontrolled hemorrhage induced by spleen rupture显示文摘 | Varicoda EY Poli de Figueiredo LF Cruz RJ Jr | | 0，，01： | 1 |
| 19 | Successful liver allograft inflow reconstruction with the right gastroepiploic vein显示文摘Portal vein thrombosis is a common complication in cirrhotic patients. When portal vein thrombectomy is not a suitable option, a large collateral vessel can be used for allograft venous inflow reconstruction. We describe an unusual case of successful portal revascularization using the right gastroepiploic vein. The patient underwent a cadaveric orthotopic liver transplantation with end-to-end anastomosis of the portal vein to the right gastroepiploic vein. Six months after liver transplantation the patient is well with good liver function. The use of the right gastroepiploic vein for allograft venous reconstruction is feasible and safe, with a great advantage of avoiding the need of venous jump graft. | Rafael S Pinheiro Ruy J Cruz Jr Lucas S Nacif Matheus F Vane Luiz AC D'Albuquerque | 2016 | Hepatobiliary & Pancreatic Diseases International2016，15，1： | 1 |
| 20 | Astrovirus - associated diar- rhea among Guatemalan ambulatory rural children 显示文摘 | Cruz JR Bartlett AV Herrmann JE | 1992 | J Clin Microbi- ol1992，30，： | 1 |
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