Journal of laparoendoscopic & advanced surgical techniques. Part A · 2006
Adverse effects of increased intra-abdominal pressure on small bowel structure and bacterial translocation in the rat.
Сравнительное исследованиеСтатьяНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
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Ошибки и ограничения
История · было → стало
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Sukhotnik Igor, Bejar Jacob, Srugo Isaac, Krausz Michael M, Bernshteyn Aleksander, Hirsh Mark, Mogilner Jorge G
Аннотация
BACKGROUND: The purpose of this study was to evaluate the effects of elevated intra-abdominal pressure (IAP) on intestinal structures and bacterial translocation in the rat.
MATERIALS AND METHODS: Forty-two male Sprague-Dawley rats were randomly divided into three experimental groups of 14 rats each: the sham group underwent insertion of a balloon-tipped catheter; the IAP-15 group was subjected to a 15 mm Hg pneumoperitoneum for 60 minutes; and the IAP-25 group was subjected to a 25 mm Hg pneumoperitoneum for 60 minutes. Intestinal structural changes (bowel circumference, overall bowel and mucosal weight, mucosal DNA and protein, villus height, and crypt depth) and bacterial translocation to mesenteric lymph nodes, liver, spleen, portal blood, and peripheral blood were determined 24 hours following pneumoperitoneum.
RESULTS: IAP-15 and IAP-25 rats demonstrated a significant decrease in: bowel and mucosal weight in the duodenum, jejunum, and ileum; mucosal DNA and protein in the jejunum and ileum; villus height in the jejunum: and crypt depth in the jejunum and ileum compared to the sham rats. Bacterial translocation was demonstrated in 60% of IAP-15 rats and in 80% of IAP-25 rats.
CONCLUSION: Elevated IAP results in mucosal injury of the gut, causing mucosal hypoplasia, and increases bacterial translocation.
MATERIALS AND METHODS: Forty-two male Sprague-Dawley rats were randomly divided into three experimental groups of 14 rats each: the sham group underwent insertion of a balloon-tipped catheter; the IAP-15 group was subjected to a 15 mm Hg pneumoperitoneum for 60 minutes; and the IAP-25 group was subjected to a 25 mm Hg pneumoperitoneum for 60 minutes. Intestinal structural changes (bowel circumference, overall bowel and mucosal weight, mucosal DNA and protein, villus height, and crypt depth) and bacterial translocation to mesenteric lymph nodes, liver, spleen, portal blood, and peripheral blood were determined 24 hours following pneumoperitoneum.
RESULTS: IAP-15 and IAP-25 rats demonstrated a significant decrease in: bowel and mucosal weight in the duodenum, jejunum, and ileum; mucosal DNA and protein in the jejunum and ileum; villus height in the jejunum: and crypt depth in the jejunum and ileum compared to the sham rats. Bacterial translocation was demonstrated in 60% of IAP-15 rats and in 80% of IAP-25 rats.
CONCLUSION: Elevated IAP results in mucosal injury of the gut, causing mucosal hypoplasia, and increases bacterial translocation.
Предметные рубрики MeSH
Abbreviated Injury ScaleAir PressureAnimalsBacterial TranslocationDNADuodenumEnterococcus faecalisEscherichia coliIleumIntestinal MucosaIntestine, SmallJejunumKlebsiellaMaleModels, AnimalMorganella morganiiOrgan SizePlacebosPneumoperitoneum, ArtificialProteinsPseudomonasRandom AllocationRatsRats, Sprague-DawleyStaphylococcus aureus