Acta Cirúrgica Brasileira (Feb 2014)

The ileum positively regulates hepatic regeneration in rats

  • Aldo Cunha Medeiros,
  • Ana Clara Batista Azevedo,
  • Jéssica Mayara de Figueiredo Oséas,
  • Mariana Davim Ferreira Gomes,
  • Fernanda Gurgel de Oliveira,
  • Keyla Borges Ferreira Rocha,
  • Ítalo Medeiros Azevedo,
  • Amália Cínthia Meneses Rêgo,
  • Marília Daniela Ferreira Carvalho

DOI
https://doi.org/10.1590/S0102-86502014000200004
Journal volume & issue
Vol. 29, no. 2
pp. 93 – 98

Abstract

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PURPOSE: To test the hypothesis that liver regeneration after partial hepatectomy can be influenced by the ileum.METHODS:Eighteen Wistar rats were distributed into groups of six animals: 1 - ileum resection+ hepatectomy 2/3; 2 - hepatectomy 2/3, and 3 - sham. Anesthesia with ketamine and xylazine i.p., aseptic technique, analgesia with meperidine (10mg/kg s.c.). On day 6, serum ALT, AST, alkaline phosphatase (AP) and albumin were measured. Liver regeneration and hepatocyte mitosis were quantified. Statistical analysis with ANOVA and Tukey tests, with significance p<0.05.RESULTS:In group hepatectomy+ileal resection, ALT, AST and AP were 180.6±24.9, 58.6±3.1 and 254.6±46.6 respectively. They were significantly higher than in the hepatectomy group, whose values were 126.0±16.5, 44.1±3.9 and 163.5±8.6, respectively (p<0.001). Albumin levels were not significantly different among groups. Liver regeneration in hepatectomy group (94.17%) was statistically higher (p<0.001) than in ileal resection+hepatectomy group (55.96%). In the latter group the mitosis of hepatocytes were significantly less frequent than in the hepatectomy group.CONCLUSION: The data confirm that the ileum positively influence on liver regeneration in rats undergoing hepatectomy.

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