Document Detail


Anastomotic sealing by extracellular matrices (ECM) improves healing of colonic anastomoses in the critical early phase.
MedLine Citation:
PMID:  20354808     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: Extracellular matrices have proven potential for in vivo tissue regeneration at gastrointestinal luminal organs. In this study, small intestinal submucosa (SIS) was tested as a sealant for colonic anastomoses in a rodent model. METHODS: In the rodent model, standard colonic anastomoses in the control group (CG; n = 30) and anastomoses sealed by omentum (n = 30) were compared to SIS-sealed anastomoses in the study group (SG; n = 30). After 4-, 30-, and 90-day macroscopic and microscopic healing, bursting pressure and anastomotic stricture rate were evaluated. RESULTS: The rate of anastomotic dehiscence was 1/10 after 4 days and 0/10 after 30 and 90 days in all groups. In the SG, the bursting pressure was significantly increased after 4 days compared to CG (148 +/- 9 vs. 108 +/- 8 mmHg; p > 0.05). Histologically, after 4 days of neovascularization, fibroblast ingrowth and collagen deposition were significantly increased in SG compared to CG. After 30 days, nonsignificant differences were noted in all three parameters. Adhesion rate and anastomotic stricture rate were not significantly affected by SIS sealing after 4, 30, and 90 days. CONCLUSION: Especially in the critical phase of anastomotic healing up to day 4, anastomotic healing was improved by SIS sealing. SIS sealing did not cause long-term complications.
Authors:
Jens Hoeppner; Bettina Wassmuth; Goran Marjanovic; Sylvia Timme; Ulrich Theodor Hopt; Tobias Keck
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Publication Detail:
Type:  Journal Article     Date:  2010-03-31
Journal Detail:
Title:  Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract     Volume:  14     ISSN:  1873-4626     ISO Abbreviation:  J. Gastrointest. Surg.     Publication Date:  2010 Jun 
Date Detail:
Created Date:  2010-05-18     Completed Date:  2010-08-30     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9706084     Medline TA:  J Gastrointest Surg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  977-86     Citation Subset:  IM    
Affiliation:
Department for General and Visceral Surgery, University of Freiburg, Hugstettter Str 55, 79106 Freiburg, Germany. jens.hoeppner@uniklinik-freiburg.de
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MeSH Terms
Descriptor/Qualifier:
Anastomosis, Surgical
Animals
Biomechanics
Collagen / pharmacology*
Colon / pathology,  surgery*
Extracellular Matrix*
Intestine, Small
Male
Models, Animal
Omentum
Rats
Rats, Wistar
Time Factors
Tissue Adhesives / pharmacology*
Treatment Outcome
Wound Healing*
Chemical
Reg. No./Substance:
0/Tissue Adhesives; 9007-34-5/Collagen

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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