Effects of Different Periods of Gastric Ischaemia in the Viability of the Tissue of Body, Fundus and Antrum Region of Rabbit Stomach

Magalhães, Maria Angélica Baron; Figueiredo, Juliano Alves; Alberti, Luiz Ronaldo; Petroianu, Andy

doi:10.1590/s0102-67202015nahead00001

Cited by 7 publications

(8 citation statements)

References 12 publications

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“…Polyps fundic gland, red streaks and normal mucosal appearance correlate with the negativity of HP infection as other studies 7 , 10 , 29 , but such associations could not be here demonstrated when analyzing the confidence interval obtained. With the selective collection of fragments for histological study in the supposedly positive cases 5 , 6 , 9 , 12 it avoids the routine submission for pathology in cases of morphological patterns not related to infection and with HP negative urease test.…”

Section: Discussionmentioning

confidence: 99%

Conventional Videoendoscopy Can Identify Helicobacter Pylori Gastritis?

Gomes

Skare

Prestes

et al. 2016

ABCD, arq. bras. cir. dig.

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Background: Studies with latest technologies such as endoscopy with magnification and chromoendoscopy showed that various endoscopic aspects are clearly related to infection by Helicobacter pylori (HP). The description of different patterns of erythema in gastric body under magnification of images revived interest in identifying these patterns by standard endoscopy. Aim:To validate the morphologic features of gastric mucosa related to H. pylori infection gastritis allowing predictability of their diagnosis as well as proper targeting biopsies. Methods: Prospective study of 339 consecutive patients with the standard videoendoscope image analysis were obtained, recorded and stored in a program database. These images were studied with respect to the presence or absence of H. pylori, diagnosed by rapid urease test and/or by histological analysis. Were studied: a) normal mucosa appearance; b) mucosal nodularity; c) diffuse nonspecific erythema or redness (with or without edema of folds and exudate) of antrum and body; d) mosaic pattern with focal area of hyperemia; e) erythema in streaks or bands (red streak); f) elevated (raised) erosion; g) flat erosions; h) fundic gland polyps. The main exclusion criteria were the use of drugs, HP pre-treatment and other entities that could affect results. Results: Applying the exclusion criteria, were included 170 of the 339 patients, of which 52 (30.58%) were positive for HP and 118 negative. On the positive findings, the most associated with infection were: nodularity in the antrum (26.92%); presence of raised erosion (15.38%) and mosaic mucosa in the body (21.15%). On the negative group the normal appearance of the mucosa was 66.94%; erythema in streaks or bands in 9.32%; flat erosions 11.86%; and fundic gland polyps 11.86%. Conclusion: Endoscopic findings are useful in the predictability of the result and in directing biopsies. The most representative form of HP related gastritis was the nodularity of the antral mucosa. The raised erosion and mucosa in mosaic in the body are suggestive but not specific to the infection. The other forms were not conclusive of the presence of HP.

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Section: Discussionmentioning

confidence: 99%

Conventional Videoendoscopy Can Identify Helicobacter Pylori Gastritis?

Gomes

Skare

Prestes

et al. 2016

ABCD, arq. bras. cir. dig.

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“…The effects of gastric devascularization on the vitality of the stomach have been evaluated in few experimental studies 3,4 . In humans, partial stomach devascularization is used in the treatment of hypertension of gastric varices, acute hemorrhagic lesions of the gastroduodenal mucosa and also can be observed in cases of venous thrombosis, phlebitis and coagulopathies are predisposing factors of ischemia 4 .…”

Section: ■ Discussionmentioning

confidence: 99%

“…The other is when the stomach is used in retrosternal position to preserve the digestive tube when an obstructed esophagus cannot be removed. In both instances, the vitality of the stomach is preserved only by right gastroepiploic vessels, the last branch and affluents of the gastroduodenal vessels [1][2][3][4] .…”

Section: ■ Introductionmentioning

confidence: 98%

“…In some occasions a delayed surgical treatment may lead to complete vascular obstruction due to their torsion with consequent gastric necrosis. Besides, gastric ischemia may be a consequence of the desvascularization of the organ in the treatment of portal hypertension, and also after splenectomy surgeries, venous thrombosis and phlebitis, coagulopathies, sepsis and shock [1][2][3][4] .…”

Section: ■ Introductionmentioning

confidence: 99%

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Effects of different periods of gastric ischemia on liver as a remote organ

et al. 2018

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To evaluate the hepatic changes associated with gastric ischemia. Methods: Thirty male rabbits were studied, distributed in 3 groups (n=10). Group 1: ligature and section of the gastric vasculature and removal of the liver after three hours; Group 2: ligature and section of the gastric vasculature and removal of the liver after 6 hours; Group 3: ligature and section of the gastric vasculature and removal of the liver after 12 hours. Blood samples were collected immediately before surgery and after the determined time of ischemia in each group to evaluate the hepatic function. After the death of the rabbits, the liver was removed for macro and microscopic study. Results: An increase in aminotransferases and bilirubin occurred in groups 2 and 3. Total protein and albumin diminished in all of the animals. All of the rabbits from groups 2 and 3 presented hepatocellular necrosis. Conclusion: The devascularization of the stomach for a period of above three hours is associated with hepatic morphological and functional disorders.

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“…During ischemia there is Na + /K + pump failure, Ca 2+ influx, acidic substances formation, promoting endothelial injury, increasing permeability of the microcirculation and tissue edema that activates inflammatory response 13 . However, tissue damage is not limited to ischemia.…”

Section: Introductionmentioning

confidence: 99%

Different Protocols of Postconditioning Does Not Attenuate Mesenteric Ischemia-Reperfusion Injury After Short-Term Reperfusion

Brito

Yasojima

Machado

et al. 2017

ABCD, arq. bras. cir. dig.

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Background:Mesenteric ischemia is a challenging diagnosis. Delay in diagnosis can lead to extent bowel necrosis and poor outcomes. Ischemia and reperfusion syndrome plays an important role in this scenario. Aim:To access effects of different post-conditioning cycles on mesenteric ischemia-reperfusion syndrome. Method:Twenty-five rats were assigned into five groups: Sham, used to establish normal parameters; control group, submitted to mesenteric ischemia for 30 min; in groups GP3, GP1 and GP30, ischemia was followed by post-conditioning protocol, which consisted of 1 cycle of 3 min (GP3), 3 cycles of 1 min (GP1) or 6 cycles of 30 s (GP30), respectively. Ileum samples were harvested after one hour of reperfusion. Intestinal mucosal injury was evaluated through histopathological analysis. Results:The average of mesenteric injury degree was 0 in the sham group, 3.6 in the control group, 3.4 in GP3, 3.2 in GP1, and 3.0 in GP30; villous length average was 161.59 in sham group, 136.27 in control group, 135.89 in GP3, 129.46 in GP1, and 135.18 in GP30. Was found significant difference between sham and other groups (p<0.05); however, there was no difference among post-conditioning groups. Conclusion:Post-conditioning adopted protocols were not able to protect intestinal mucosa integrity after mesenteric ischemia and short term reperfusion.

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Effects of Different Periods of Gastric Ischaemia in the Viability of the Tissue of Body, Fundus and Antrum Region of Rabbit Stomach

Cited by 7 publications

References 12 publications

Conventional Videoendoscopy Can Identify Helicobacter Pylori Gastritis?

Conventional Videoendoscopy Can Identify Helicobacter Pylori Gastritis?

Effects of different periods of gastric ischemia on liver as a remote organ

Different Protocols of Postconditioning Does Not Attenuate Mesenteric Ischemia-Reperfusion Injury After Short-Term Reperfusion

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