Small Intestinal Transit Does Not Adequately Represent Postoperative Paralytic Ileus in Rats

  • Lee, Hyun-Tai (Department of Pharmaceutics, College of Pharmacy, Seoul National University) ;
  • Chung, Suk-Jae (Department of Pharmaceutics, College of Pharmacy, Seoul National University) ;
  • Shim, Chang-Koo (Department of Pharmaceutics, College of Pharmacy, Seoul National University)
  • 발행 : 2002.12.01

초록

Small intestinal transit (SIT) has often been regarded as an index of pathophysiological state of postoperative ileus (PI) in rats. The reliability of SIT as an index of PI was examined in the present study. PI was induced via abdominal surgery (i.e., laparotomy with evisceration and manipulation) in rats. For one group of PI-induced rats, SIT of a charcoal test meal was measured. When necessary, the physical state (i.e., severity and site of distension) of the gastrointestinal (GI) tract in each rat was visually examined. For another group of PI-induced rats, abdominal X-ray radiographs were obtained after introducing the barium sulfate suspension. The abdomen was then opened and the physical state of the GI tract was visually examined. The SIT was decreased in most of the PI-induced rats, and the GI distension was observed, with substantial intersubject variations, in all of the PI-induced rats. However, no linear relationship was evident between the SIT and the severity of GI distension (e.g., at 20 h after PI induction). Instead, the severity and site of GI distension could be monitored by the X-ray radiology. Therefore, the use of SIT as an index of PI should be substantially limited.

키워드

참고문헌

  1. Barquist, E., Zinner, M., Rivier, J., and Tache, Y, Abdominal surgery-induced delayed gastric emptying in rats: role of CRI: and sensory neurons. Am. J. Physiol., 262, G616-G620 (1992)
  2. Benson, M. J., Roberts, J. P., Wingate, D. L., Rogers, J., Deeks, J. J , Castillo, F. D., and Williams, N. S., Small bowel motility following major intra-abdominal surgery: the effects of opiates and rectal cisapride. Gastroenterology, 106, 924-936 (1994) https://doi.org/10.1016/0016-5085(94)90751-X
  3. Bungard, T. J. and Kale-Pradhan, P. B., Prokinetic agents for the reatrnent of postoperative ileus in adults: a review of the literature. Pharmacotherapy, 19, 416-423 (1999) https://doi.org/10.1592/phco.19.6.416.31040
  4. De Winte, B. Y., Boeckxstaens, G. E., De Man, J. G., Moreels, T. G., Herman, A. G., and Pelckmans, P. A., Effect of adrenergic and nt rergic blockade on experimental ileus in rats. Br. J. Pharmscol., 120, 464-468 (1997) https://doi.org/10.1038/sj.bjp.0700913
  5. De Winte; B. Y., Boeckxstaens, G. E., De Man, J. G., Moreels, T. G., Schuurkes, J. A. J., Peeters, T. L., Herman, A. G., and Pelekmans, P. A., Effect of different prokinetic agents and a novel enterokinetic agent on postoperative ileus in rats. Gut, 45, 713-718 (1999) https://doi.org/10.1136/gut.45.5.713
  6. Holzer, F., Lippe, I. T., and Holzer-Petsche, U., Inhibition of gas :roiltestinal transit due to surgical trauma or peritoneal imitation is reduced in capsaicin-treated rats. Gastroenterology, 91, 360-363 (1986) https://doi.org/10.1016/0016-5085(86)90569-X
  7. Huge, A., Kreis, M. E., Jehle, E. C., Ehrlein, H. J., Starlinger, M., Beckel, H. D., and Zittel, T. T., A model to investigate post-perative ileus with strain gauge transducers in awake rats. J. Surg. Res., 74, 112-118 (1998) https://doi.org/10.1006/jsre.1997.5245
  8. Kalff, J. C., Schraut, W. H., Billiar, T. R., Simmons, R. L., and Batuer, A. J., Role of inducible nitric oxide synthase in posto-pertive intestinal smooth muscle dysfunction in rodents. Gastroenterology, 118, 316-327 (2000) https://doi.org/10.1016/S0016-5085(00)70214-9
  9. Livingston, E. H. and Passaro, E. P. Jr., Postoperative ileus. Dig. Dis. Sci., 35, 121-132 (1990) https://doi.org/10.1007/BF01537233
  10. Martinez, V., Rivier, J., and Tache, Y., Peripheral injection of a new corticotropin-releasing factor (CRF) antagonist, astressin, blocks peripheral CRF-and abdominal surgery-induced delayed gastric emptying in rats. J. Pharmacol. Exp. Ther., 290, 629-634 (1999)
  11. Pairet, M. and Ruckebusch, Y., On the relevance of non-steroidal anti-inflammatory drugs in the prevention of paralytic ileus in rodents. J. Pharm. Pharmacol., 41, 757-761 (1989) https://doi.org/10.1111/j.2042-7158.1989.tb06360.x
  12. Riviere, P. J. M., Pascaud, X., Chevalier, E., Le Gallou, B., and Junien, J. -L., Fedotozine reverses ileus induced by surgery or peritonitis: action at peripheral k-opioid receptors. Gastroenterology, 104, 724-731 (1993) https://doi.org/10.1016/0016-5085(93)91007-5
  13. Sagrada, A., Fargeas, M. J., and Bueno, L., Involvement of alpha-1 and alpha-2 adrenoceptors in the postlaparotomy intestinal motor disturbances in the rat. Gut, 28, 955-959 (1987) https://doi.org/10.1136/gut.28.8.955
  14. Zittel, T. T., Lloyd, K. C. K., Rothenh6fer, I., Wong, H., Walsh, J. H., and Raybould, H. E., Calcitonin gene-related peptide and spinal afferents partly mediate postoperative colonic ileus in the rat. Surgery, 123, 518-527 (1998) https://doi.org/10.1067/msy.1998.88090
  15. Zittel, T. T., Meile, T., Huge, A., Kreis, M. E., Becker, H. D., and Jehle, E. C., Preoperative intraluminal application of capsaicin increases postoperative gastric and colonic motility in rats. J. Gastrointest. Surg., 5, 503-513 (2001a) https://doi.org/10.1016/S1091-255X(01)80088-3
  16. Zittel, T. T., Meile, T., Jehle, E. C., and Becker, H. D., Intraperitoneal capsaicin treatment reduces postoperative gastric ileus in awake rats. Langenbecks Arch. Surg., 386, 204-211 (2001b) https://doi.org/10.1007/s004230100228