Document Detail


Morphological and functional evaluation of distal esophagus of rabbits submitted to esophageal infusion with caustic soda.
MedLine Citation:
PMID:  18278388     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The ingestion of caustic substances is an important emergency situation, because of its serious consequences. PURPOSE: To study morphological and functional alterations of the esophagus in rabbits submitted to esophageal infusion of caustic soda (NaOH). METHODS: The 88 rabbits studied were divided into 4 groups: G1 (n=22) were submitted to esophageal infusion with distilled water. G2, G3, and G4 were submitted to esophageal infusion of 2%, 4% and 6% NaOH respectively. Morphological alterations were studied in 12 animals from each group and manometric alterations in the remaining 10. An analysis was made of lower esophageal sphincter (LES) pressure, number and amplitude of contractions in the distal third of the esophagus. These studies were performed before (moment M1) and at 30 minutes, 6 hours, and 24 hours after (moments M2, M3, and M4, respectively) esophageal infusion. RESULTS: Morphological evaluation: G1 - no alterations; G2 - edema, hyperemia, and ecdysis; G3 - enlarged calibre of esophagus, ulcers, ecdysis of mucosa; G4 - lesions similar to G3, but more intense, areas of extensive hemorrhage at M3 and M4. Functional evaluation: LES was higher at M2; the number of distal third lower esophageal contractions in G3, and G4 was lower; and the contraction amplitude was lower in G4. CONCLUSIONS: 1) Esophageal infusion with caustic soda in rabbits is a good experimental model for studying caustic esophagites. 2) Esophageal infusion with NaOH caused lesions in the esophageal wall, with gravity proportional to solution concentration; 3) Infusion caused LES spasm at M2, and reduced both contraction number and amplitude in the distal third of the esophagus.
Authors:
Maria Aparecida Coelho de Arruda Henry; Carlos Eduardo Brossi Pelissari; Lídia Raquel Carvalho
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Acta cirúrgica brasileira / Sociedade Brasileira para Desenvolvimento Pesquisa em Cirurgia     Volume:  23     ISSN:  0102-8650     ISO Abbreviation:  Acta Cir Bras     Publication Date:    2008 Jan-Feb
Date Detail:
Created Date:  2008-02-18     Completed Date:  2009-02-12     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9103983     Medline TA:  Acta Cir Bras     Country:  Brazil    
Other Details:
Languages:  eng     Pagination:  16-21     Citation Subset:  IM    
Affiliation:
Department of Surgery and Orthopedy, School of Medicine, State University of São Paulo, Botucatu, São Paulo, Brazil. rhenry@ibb.unesp.br
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MeSH Terms
Descriptor/Qualifier:
Animals
Burns, Chemical* / pathology,  physiopathology
Disease Models, Animal
Esophagitis* / chemically induced,  pathology,  physiopathology
Esophagus / injuries*,  pathology,  physiopathology
Manometry
Rabbits
Sodium Hydroxide / toxicity*
Chemical
Reg. No./Substance:
1310-73-2/Sodium Hydroxide

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


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