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Gurrado A, Giungato S, Catacchio I, Piscitelli D, Arborea G, Piccinni G, Testini M, Vacca A. Jejunal overexpression of peptide YY in celiac disease complicated with pneumatosis cystoides intestinalis. Clin Exp Med 2014; 15:527-32. [PMID: 25291987 DOI: 10.1007/s10238-014-0314-5] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/25/2014] [Accepted: 09/16/2014] [Indexed: 01/19/2023]
Abstract
A 61-year old man with coeliac disease and chronic lack of appetite, malabsorption and weight loss, despite the gluten-free diet, was operated because of a sub-diaphragmatic free air due to a small-bowel pneumatosis cystoides intestinalis (PCI). The jejunum showed granulomatous lesions with a honeycombed appearance of air cysts in the submucosa/subserosa. We found overexpression of peptide YY (PYY) into only the jejunum with PCI, while the expression was very weak or absent in the tissue without cysts. One year after surgery, he had no abdominal pain or PCI recurrence. The above chronic symptoms were plausibly attributable to the PYY.
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Affiliation(s)
- Angela Gurrado
- Unit of Endocrine, Digestive and Emergency Surgery, Department of Biomedical Sciences and Human Oncology, University of Bari Medical School, Policlinico, Piazza Giulio Cesare, 11, 70124, Bari, Italy
| | - Simone Giungato
- Unit of Endocrine, Digestive and Emergency Surgery, Department of Biomedical Sciences and Human Oncology, University of Bari Medical School, Policlinico, Piazza Giulio Cesare, 11, 70124, Bari, Italy
| | - Ivana Catacchio
- Internal Medicine Units, Department of Biomedical Sciences and Human Oncology, University of Bari Medical School, 70124, Bari, Italy
| | - Domenico Piscitelli
- Unit of Pathology, Department of Emergency Surgery and Organ Transplantation, University Medical School, 70124, Bari, Italy
| | - Graziana Arborea
- Unit of Pathology, Department of Emergency Surgery and Organ Transplantation, University Medical School, 70124, Bari, Italy
| | - Giuseppe Piccinni
- Unit of Endocrine, Digestive and Emergency Surgery, Department of Biomedical Sciences and Human Oncology, University of Bari Medical School, Policlinico, Piazza Giulio Cesare, 11, 70124, Bari, Italy
| | - Mario Testini
- Unit of Endocrine, Digestive and Emergency Surgery, Department of Biomedical Sciences and Human Oncology, University of Bari Medical School, Policlinico, Piazza Giulio Cesare, 11, 70124, Bari, Italy.
| | - Angelo Vacca
- Internal Medicine Units, Department of Biomedical Sciences and Human Oncology, University of Bari Medical School, 70124, Bari, Italy
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