Patients with a poor initial response to c-RFA have a lower ultimate success rate for CR-neoplasia/CR-IM, require more treatment sessions, and a longer treatment period. A poor initial response to c-RFA occurs more frequently in patients who regenerate their endoscopic resection scar with Barrett's epithelium, and those with ongoing reflux esophagitis, neoplasia in Barrett's esophagus for a longer time, or a narrow esophagus.
The form and function of the sacrum are of great relevance to understand the evolution of locomotion in tetrapods because it is a key piece of the vertebrate skeleton. The sacrum connects the caudal and presacral regions of the vertebral column and the hindlimbs through the pelvis. Here, we investigate sacrum shape evolution in pinnipeds (Carnivora: Pinnipedia) in relation to terrestrial mammalian carnivorans (fissipeds), and we include crown and stem taxa to quantify the morphological changes they experience in relation to the aquatic environment they inhabit. We use 3D geometric morphometric methods to explore the morphological variability and disparity of the sacrum in a set of terrestrial and aquatic carnivoran species. Our results show that the morphology of the sacrum of each pinniped family is remarkably different and that these differences may be related to the aquatic mode of locomotion (pectoral or pelvic oscillation), the use of hindlimbs to support body weight on land (otariids in contrast with phocids), and the presence or absence of a functional tail. In addition, disparity-through-time analyses indicate that the sacrum of pinnipeds is less constrained than that of fissipeds, which suggests a gravitational origin of such constraints in fissipeds. In conclusion, our results give further support to the important role played by this skeletal structure in the locomotory adaptations of mammals.
Convergent evolution is a central concept in evolutionary theory but the underlying mechanism has been largely debated since On the Origin of Species . Previous hypotheses predict that developmental constraints make some morphologies more likely to arise than others and natural selection discards those of the lowest fitness. However, the quantification of the role and strength of natural selection and developmental constraint in shaping convergent phenotypes on macroevolutionary timescales is challenging because the information regarding performance and development is not directly available. Accordingly, current knowledge of how embryonic development and natural selection drive phenotypic evolution in vertebrates has been extended from studies performed at short temporal scales. We propose here the organization of the tetrapod body-axis as a model system to investigate the developmental origins of convergent evolution over hundreds of millions of years. The quantification of the primary developmental mechanisms driving body-axis organization (i.e. somitogenesis, homeotic effects and differential growth) can be inferred from vertebral counts, and recent techniques of three-dimensional computational biomechanics have the necessary potential to reveal organismal performance even in fossil forms. The combination of both approaches offers a novel and robust methodological framework to test competing hypotheses on the functional and developmental drivers of phenotypic evolution and evolutionary convergence.
The sacrum is a key piece of the vertebrate skeleton, since it connects the caudal region with the presacral region of the vertebral column and the hind limbs through the pelvis. Therefore, understanding its form and function is of great relevance in vertebrate ecomorphology. However, it is striking that morphometric studies that quantify its morphological evolution in relation to function are scarce. The main goal of this study is to investigate the morphological evolution of the sacrum in relation to its function in the mammalian order Carnivora, using three-dimensional (3D) geometric morphometrics. Principal component analysis under a phylogenetic background indicated that changes in sacrum morphology are mainly focused on the joint areas where it articulates with other parts of the skeleton allowing resistance to stress at these joints caused by increasing muscle loadings. In addition, we demonstrated that sacrum morphology is related to both the length of the tail relativised to the length of the body, and the length of the body relativised to body mass. We conclude that the sacrum in carnivores has evolved in response to the locomotor requirements of the species analysed, but in locomotion, each family has followed alternative morphological solutions to address the same functional demands.
data adds further evidence to the long term benefit of eradication of dysplastic BE in reducing invasive OAC. Achieving and maintaining CRD in dysplastic BE patients reduces OAC risk to a level similar to patients with nondysplastic BE.
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