Bacterial translocation and mortality on rat model of intestinal ischemia and obstruction
Acta cir. bras; 32 (8), 2017
Publication year: 2017
Abstract Purpose:
To develop an experimental model of intestinal ischemia and obstruction followed by surgical resection of the damaged segment and reestablishment of intestinal transit, looking at bacterial translocation and survival.Methods:
After anesthesia, Wistar rats was subject to laparotomy, intestinal ischemia and obstruction through an ileal ligature 1.5cm of ileum cecal valve; and the mesenteric vessels that irrigate upstream of the obstruction site to approximately 7 to 10 cm were ligated. Abdominal wall was closed. Three, six or twenty-four hours after, rats were subject to enterectomy followed by an end to end anastomosis. After 24h, mesenteric lymph nodes, liver, spleen and lung tissues were surgically removed. It was studied survival rate and bacterial translocation. GraphPadPrism statistical program was used.Results:
Animals with intestinal ischemia and obstruction for 3 hours survived 24 hours after enterectomy; 6hx24h: survival was 70% at 24 hours; 24hx24h: survival was 70% and 40%, before and after enterectomy, respectively. Culture of tissues showed positivity on the 6hx24h and negativity on the 3hx24h.Conclusion:
The model that best approached the clinic was the one of 6x24h of ischemia and intestinal obstruction, in which it was observed bacterial translocation and low mortality rate.
Traslocación Bacteriana/fisiología, Modelos Animales de Enfermedad, Válvula Ileocecal/irrigación sanguínea, Válvula Ileocecal/microbiología, Obstrucción Intestinal/microbiología, Isquemia Mesentérica/microbiología, Recuento de Colonia Microbiana, Bacterias Anaerobias Gramnegativas/aislamiento & purificación, Bacterias Anaerobias Gramnegativas/fisiología, Válvula Ileocecal/cirugía, Obstrucción Intestinal/mortalidad, Obstrucción Intestinal/cirugía, Ligadura, Isquemia Mesentérica/mortalidad, Isquemia Mesentérica/cirugía, Ratas Wistar, Reproducibilidad de los Resultados, Tasa de Supervivencia, Factores de Tiempo