Document Detail


Ischemic postconditioning does not attenuate ischemia-reperfusion injury of rabbit small intestine.
MedLine Citation:
PMID:  20210969     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: To determine whether ischemic postconditioning can attenuate intestinal ischemia-reperfusion (I-R) injury and has a beneficial effect on tissue blood flow during reperfusion.
STUDY DESIGN: In vivo experimental study.
ANIMALS: New Zealand White rabbits (n=6).
METHODS: Rabbits were anesthetized with pentobarbital, to avoid the preconditioning effects of volatile anesthetics, and ventilated with room air. Rectal temperature, hemodynamics, and normocapnia were maintained. After celiotomy, 3 jejunal segments were isolated in each rabbit for the following groups: (1) control, (2) I-R, and (3) I-R with postconditioning. I-R was induced by a 45-minute occlusion of the segment jejunal artery followed by 2-hour reperfusion. The postconditioning segment had 4 cycles of 30-second reperfusion and 30-second reocclusion during the initial 4 minutes of reperfusion. Stable isotope-labeled microspheres were used to measure intestinal blood flow at baseline, end occlusion, and end reperfusion. At the end of reperfusion, intestine segments were harvested and the rabbits euthanatized. A semiquantitative histopathologic evaluation (0-5) was conducted by a single, blinded observer. Wet-to-dry weight ratios were calculated to assess intestinal edema.
RESULTS: There was no significant difference in grade of necrosis, tissue wet-to-dry weight ratios, or blood flow at any time point between ischemic and postconditioning groups.
CONCLUSIONS: Ischemic postconditioning was ineffective in this model of intestinal I-R.
CLINICAL RELEVANCE: Further experimental studies will need to be performed before clinical application of postconditioning for intestinal ischemia.
Authors:
Brian Bretz; Cheryl Blaze; Nicola Parry; Raymond K Kudej
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Veterinary surgery : VS     Volume:  39     ISSN:  1532-950X     ISO Abbreviation:  Vet Surg     Publication Date:  2010 Feb 
Date Detail:
Created Date:  2010-03-09     Completed Date:  2010-05-07     Revised Date:  2011-04-25    
Medline Journal Info:
Nlm Unique ID:  8113214     Medline TA:  Vet Surg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  216-23     Citation Subset:  IM    
Affiliation:
Department of Clinical Sciences, Cummings School of Veterinary Medicine at Tufts University, North Grafton, MA 01536, USA.
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MeSH Terms
Descriptor/Qualifier:
Animals
Hemodynamics
Intestine, Small* / blood supply,  pathology
Ischemic Preconditioning / veterinary*
Jejunal Diseases / pathology,  prevention & control,  veterinary
Rabbits
Regional Blood Flow
Reperfusion Injury / pathology,  prevention & control,  veterinary*

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


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