[Ultrastructural changes in the intestinal mucosa of children with chronic diarrhea]. 1991

T A Jiang

Observations were made on biopsied small bowel mucosa by scanning and transmission electron microscopy in 21 infants and children, with chronic diarrhea, their age ranging from 3 months to 24 months, 85.7% of the patients showed various degrees of malnutrition. Ultrastructural changes in the small intestinal mucosa occurred in all of the cases analyzed. The major findings were: (1) villous atrophy; (2) damage to enterocytes, presenting increased extrusion of cytoplasm and enterocytes, with damage of the microvillar surface and degenerative changes of cytoplasm; (3) presence of microorganisms on the mucosal surface; and (4) excessive mucus on the mucosal surface. These results suggest that prolonged mucosal injury, extensive colonization of the mucosal surface by microorganisms, and malnutrition, may be the main causes of chronic diarrhea in children.

UI MeSH Term Description Entries
D007223 Infant A child between 1 and 23 months of age. Infants
D007413 Intestinal Mucosa Lining of the INTESTINES, consisting of an inner EPITHELIUM, a middle LAMINA PROPRIA, and an outer MUSCULARIS MUCOSAE. In the SMALL INTESTINE, the mucosa is characterized by a series of folds and abundance of absorptive cells (ENTEROCYTES) with MICROVILLI. Intestinal Epithelium,Intestinal Glands,Epithelium, Intestinal,Gland, Intestinal,Glands, Intestinal,Intestinal Gland,Mucosa, Intestinal
D008297 Male Males
D008854 Microscopy, Electron Microscopy using an electron beam, instead of light, to visualize the sample, thereby allowing much greater magnification. The interactions of ELECTRONS with specimens are used to provide information about the fine structure of that specimen. In TRANSMISSION ELECTRON MICROSCOPY the reactions of the electrons that are transmitted through the specimen are imaged. In SCANNING ELECTRON MICROSCOPY an electron beam falls at a non-normal angle on the specimen and the image is derived from the reactions occurring above the plane of the specimen. Electron Microscopy
D008855 Microscopy, Electron, Scanning Microscopy in which the object is examined directly by an electron beam scanning the specimen point-by-point. The image is constructed by detecting the products of specimen interactions that are projected above the plane of the sample, such as backscattered electrons. Although SCANNING TRANSMISSION ELECTRON MICROSCOPY also scans the specimen point by point with the electron beam, the image is constructed by detecting the electrons, or their interaction products that are transmitted through the sample plane, so that is a form of TRANSMISSION ELECTRON MICROSCOPY. Scanning Electron Microscopy,Electron Scanning Microscopy,Electron Microscopies, Scanning,Electron Microscopy, Scanning,Electron Scanning Microscopies,Microscopies, Electron Scanning,Microscopies, Scanning Electron,Microscopy, Electron Scanning,Microscopy, Scanning Electron,Scanning Electron Microscopies,Scanning Microscopies, Electron,Scanning Microscopy, Electron
D002675 Child, Preschool A child between the ages of 2 and 5. Children, Preschool,Preschool Child,Preschool Children
D002908 Chronic Disease Diseases which have one or more of the following characteristics: they are permanent, leave residual disability, are caused by nonreversible pathological alteration, require special training of the patient for rehabilitation, or may be expected to require a long period of supervision, observation, or care (Dictionary of Health Services Management, 2d ed). For epidemiological studies chronic disease often includes HEART DISEASES; STROKE; CANCER; and diabetes (DIABETES MELLITUS, TYPE 2). Chronic Condition,Chronic Illness,Chronically Ill,Chronic Conditions,Chronic Diseases,Chronic Illnesses,Condition, Chronic,Disease, Chronic,Illness, Chronic
D003967 Diarrhea An increased liquidity or decreased consistency of FECES, such as running stool. Fecal consistency is related to the ratio of water-holding capacity of insoluble solids to total water, rather than the amount of water present. Diarrhea is not hyperdefecation or increased fecal weight. Diarrheas
D003968 Diarrhea, Infantile DIARRHEA occurring in infants from newborn to 24-months old. Infantile Diarrhea,Diarrheas, Infantile,Infantile Diarrheas
D005260 Female Females

Related Publications

T A Jiang
January 1992, Pediatrie (Bucharest, Romania),
T A Jiang
September 1983, The Journal of allergy and clinical immunology,
T A Jiang
October 2009, Bulletin of experimental biology and medicine,
T A Jiang
September 1984, Journal of pediatric gastroenterology and nutrition,
T A Jiang
October 1993, Journal of pediatric gastroenterology and nutrition,
T A Jiang
February 1993, The Indian journal of medical research,
Copied contents to your clipboard!