Total gastrectomy with substitution of stomach by jejunal pouch with and without duodenal passage. Study in rats
A comparison was done between the F. Paulino jejunal pouch (FP) and a jejunal pouch (JP) as esophagusduodenum interpositional graft, for replacing the stomach after total gastrectomy. It was investigated the effect of the two procedures on esophagus histology, nutritional state and serum gastrin in...
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ri-1-63002021-11-30T20:10:57Z Total gastrectomy with substitution of stomach by jejunal pouch with and without duodenal passage. Study in rats Aires Neto, Tertuliano Cavalcante, Jeancarlo Fernandes Brandão Neto, José Araújo Filho, Irami Almeida, Maria das Graças Rezende, Adriana Augusto de Egito, Eryvaldo Sócrates Tabosa Azevedo, Ítalo Medeiros de Pinheiro, Laísa Araújo Mohana Medeiros, Vítor Brasil Medeiros, Aldo da Cunha Total gastrectomy Jejunal pouch Nutrition Gastrin Reflux A comparison was done between the F. Paulino jejunal pouch (FP) and a jejunal pouch (JP) as esophagusduodenum interpositional graft, for replacing the stomach after total gastrectomy. It was investigated the effect of the two procedures on esophagus histology, nutritional state and serum gastrin in rats. Methods: Male Wistar rats weighing 282±17g were randomly submitted to sham operation (S), FP and JP after total gastrectomy. After eight weeks the rats were killed with overdose of anesthetic and tissue was taken from the distal esophagus for histology. Serum levels of total proteins, albumin, iron, transferring, folate, cobalamine, calcium, as well as serum gastrin were determined. Survival was considered. Results: Fourty six rats were operated and thirty survived for eight weeks. Five (33.3%) died after FP and 11 (52.3%) after JP (p<0.05). Postoperative esophagitis occurred in 6 JP rats. At 8th week, no difference was observed on body weight when compared FP and JP rats (p>0.05). The JP rats had a significant decrease in serum albumin, glucose, transferrin, iron, folate and calcium, compared to sham (p<0.05). Serum gastrin, iron and calcium were significantly higher in JP rats than in FP rats (p<0.05). In FP rats, transferrin and cobalamine showed significant decrease comparing the preoperative with 8th week levels (p<0.05). Conclusion: F. Paulino pouch in rats had lower mortality than JP, and esophagitis was not detected in it. JP rats had serum gastrin, iron and calcium unaffected, possibly because of preservation of duodenal passage 2013-09-30T16:27:27Z 2013-09-30T16:27:27Z 2005 article AIRES NETO, Tertuliano ; CAVALCANTE, Jeancarlo Fernandes ; BRANDÃO NETO, José ; ARAÚJO FILHO, Irami ; ALMEIDA, Maria das Graças ; REZENDE, Adriana Augusto de ; EGITO, Eryvaldo Sócrates Tabosa; AZEVEDO, Ítalo Medeiros de ; PINHEIRO, Laísa Araújo Mohana ; MEDEIROS, Vítor Brasil ; MEDEIROS, Aldo da Cunha. Total gastrectomy with substitution of stomach by jejunal pouch with and without duodenal passage: study in rats. Acta Cirúrgica Brasileira , v. 20, n.1, p. 167-172, 2005. Disponível em: <http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0102-86502005000700019&lng=pt&nrm=iso&tlng=en>Acesso em: 24-09-2013 as 11:45 1678-2674 https://repositorio.ufrn.br/jspui/handle/1/6300 eng Acesso Aberto application/pdf |
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Total gastrectomy Jejunal pouch Nutrition Gastrin Reflux |
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Total gastrectomy Jejunal pouch Nutrition Gastrin Reflux Aires Neto, Tertuliano Cavalcante, Jeancarlo Fernandes Brandão Neto, José Araújo Filho, Irami Almeida, Maria das Graças Rezende, Adriana Augusto de Egito, Eryvaldo Sócrates Tabosa Azevedo, Ítalo Medeiros de Pinheiro, Laísa Araújo Mohana Medeiros, Vítor Brasil Medeiros, Aldo da Cunha Total gastrectomy with substitution of stomach by jejunal pouch with and without duodenal passage. Study in rats |
description |
A comparison was done between the F. Paulino jejunal pouch (FP) and a jejunal pouch (JP) as esophagusduodenum interpositional graft, for replacing the stomach after total gastrectomy. It was investigated the effect of the two procedures
on esophagus histology, nutritional state and serum gastrin in rats. Methods: Male Wistar rats weighing 282±17g were randomly submitted to sham operation (S), FP and JP after total gastrectomy. After eight weeks the rats were killed with overdose of anesthetic and tissue was taken from the distal esophagus for histology. Serum levels of total proteins, albumin, iron, transferring, folate, cobalamine, calcium, as well as serum gastrin were determined. Survival was considered. Results: Fourty six rats were operated and
thirty survived for eight weeks. Five (33.3%) died after FP and 11 (52.3%) after JP (p<0.05). Postoperative esophagitis occurred in 6 JP rats. At 8th week, no difference was observed on body weight when compared FP and JP rats (p>0.05). The JP rats had a significant decrease in serum albumin, glucose, transferrin, iron, folate and calcium, compared to sham (p<0.05). Serum gastrin, iron and calcium were significantly higher in JP rats than in FP rats (p<0.05). In FP rats, transferrin and cobalamine showed significant decrease
comparing the preoperative with 8th week levels (p<0.05). Conclusion: F. Paulino pouch in rats had lower mortality than JP, and
esophagitis was not detected in it. JP rats had serum gastrin, iron and calcium unaffected, possibly because of preservation of duodenal passage |
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Aires Neto, Tertuliano Cavalcante, Jeancarlo Fernandes Brandão Neto, José Araújo Filho, Irami Almeida, Maria das Graças Rezende, Adriana Augusto de Egito, Eryvaldo Sócrates Tabosa Azevedo, Ítalo Medeiros de Pinheiro, Laísa Araújo Mohana Medeiros, Vítor Brasil Medeiros, Aldo da Cunha |
author_facet |
Aires Neto, Tertuliano Cavalcante, Jeancarlo Fernandes Brandão Neto, José Araújo Filho, Irami Almeida, Maria das Graças Rezende, Adriana Augusto de Egito, Eryvaldo Sócrates Tabosa Azevedo, Ítalo Medeiros de Pinheiro, Laísa Araújo Mohana Medeiros, Vítor Brasil Medeiros, Aldo da Cunha |
author_sort |
Aires Neto, Tertuliano |
title |
Total gastrectomy with substitution of stomach by jejunal pouch with and without duodenal passage. Study in rats |
title_short |
Total gastrectomy with substitution of stomach by jejunal pouch with and without duodenal passage. Study in rats |
title_full |
Total gastrectomy with substitution of stomach by jejunal pouch with and without duodenal passage. Study in rats |
title_fullStr |
Total gastrectomy with substitution of stomach by jejunal pouch with and without duodenal passage. Study in rats |
title_full_unstemmed |
Total gastrectomy with substitution of stomach by jejunal pouch with and without duodenal passage. Study in rats |
title_sort |
total gastrectomy with substitution of stomach by jejunal pouch with and without duodenal passage. study in rats |
publishDate |
2013 |
url |
https://repositorio.ufrn.br/jspui/handle/1/6300 |
work_keys_str_mv |
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