Estudo morfológico do intestino de ratos após a criação cirúrgica de esfíncteres artificiais

BACKGROUND: To evaluate variations in weight and diameter of the bowel rats submitted to small bowel surgical sphincter construction comparing values before and after surgery and to study modifications in the mucosal villus. METHOD: Thirty Wistar rats were submitted to the study divided in three groups of ten. Group A (control) - a segment of small bowel of 20mm of extension was removed. Group B - two sphincters, one 100mm and another 150mm from the ileocecal junction were done. Group C - a sphincter from 100mm of the ileocecal junction was done. Bowel samples were collected and villosity studies were studied 10 to 14 days after first surgery. Measurements of bowel diameters and weights were compared before and after surgery modifications at the end of the study. Height villus measurements of the segments on pre and post-sphincters on both Groups B and C and between sphincters in Group B and also intestinal segment of the Group A were done. Data were submitted to statistics analysis using SPSS program. RESULT: Animals weight increased in both groups and in Group B the most. Also, intestine diameter increased and the average of the villus heights was larger. CONCLUSION: Making intestine sphincters results in alterations of the villus layer and increased bowel diameter, similarly to patients that were submitted to wide bowel resections and are adapted. The animals' weight gain can be understood as improvement of nutrients absorption.

[1]  A. Thomson,et al.  Intestinal mucosal adaptation. , 2006, World journal of gastroenterology.

[2]  A. Bianchi From the cradle to enteral autonomy: the role of autologous gastrointestinal reconstruction. , 2006, Gastroenterology.

[3]  T. Jaksic,et al.  Serial transverse enteroplasty is associated with successful short-term outcomes in infants with short bowel syndrome. , 2005, Journal of pediatric surgery.

[4]  M. C. H. D. Silva,et al.  Effects of the combined use of glutamine and growth hormone in the intestinal adaptation after massive resection of the small bowel in rats. , 2005, Acta cirurgica brasileira.

[5]  P. Wales Surgical therapy for short bowel syndrome , 2004, Pediatric Surgery International.

[6]  D. Fagundes,et al.  Modelo animal de doença: critérios de escolha e espécies de animais de uso corrente , 2004 .

[7]  T. Jaksic,et al.  Serial transverse enteroplasty (STEP): a novel bowel lengthening procedure. , 2003, Journal of pediatric surgery.

[8]  A. Silva,et al.  CONFECÇÃO DE PILOROS ARTIFICIAIS EM ÍLEO TERMINAL SEM SECÇÃO DE MUSCULATURA EM RATOS: ESTUDO ANÁTOMO-PATOLÓGICO ARTIFICIAL PYLORUS WITH NO MUSCULATURE SECTION IN TERMINAL BOWEL IN RATS: ANATOMO-PATHOLOGICAL STUDY , 2003 .

[9]  J. DeSesso,et al.  Anatomical and physiological parameters affecting gastrointestinal absorption in humans and rats. , 2001, Food and chemical toxicology : an international journal published for the British Industrial Biological Research Association.

[10]  D. Sant’ana,et al.  Densidade Dos Neurônios Mioentéricos Nadh-Diaforase Positivos Do Jejuno De Ratos (Rattus norvegicus) , 2001 .

[11]  D. Adriaensen,et al.  Outer submucous plexus: An intrinsic nerve network involved in both secretory and motility processes in the intestine of large mammals and humans , 2001, The Anatomical record.

[12]  D. Wilmore,et al.  Short bowel syndrome: new therapeutic approaches. , 1997, Current problems in surgery.

[13]  Jon S Thompson,et al.  Surgical aspects of the short-bowel syndrome☆ , 1995 .

[14]  R. Latifi,et al.  Management of the short-bowel syndrome. , 1991, The Surgical clinics of North America.

[15]  L. Didio,et al.  Intestinal transit time is delayed by artificial sphincters after massive enterectomy in dogs. , 1986, American journal of surgery.

[16]  L. Didio,et al.  Artificial sphincters as surgical treatment for experimental massive resection of small intestine. , 1982, American journal of surgery.

[17]  K. Nygaard,et al.  Small-bowel adaptation after colectomy in rats. , 1978, Scandinavian journal of gastroenterology.

[18]  L. Pénzes,et al.  Changes in the mucosal surface area of the small gut of rats of different ages. , 1977, Journal of anatomy.

[19]  J. W. Osborne,et al.  Compensation by the residual intestine after intestinal resection in the rat. I. Influence of amount of tissue removed. , 1977, Gastroenterology.

[20]  M. Gleeson,et al.  Intestinal structure and function after small bowel by-pass in the rat. , 1972, Clinical science.