Acta Cirúrgica Brasileira (Nov 2018)

Effects of different periods of gastric ischemia on liver as a remote organ

  • Maria Angélica Baron Magalhães,
  • Andy Petroianu,
  • Alfredo José Afonso Barbosa,
  • Juliano Alves Figueiredo,
  • Luiz Ronaldo Alberti,
  • Jurandir Marcondes Ribas Filho

DOI
https://doi.org/10.1590/s0102-865020180110000003
Journal volume & issue
Vol. 33, no. 11
pp. 964 – 974

Abstract

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Abstract Purpose: To evaluate the hepatic changes associated with gastric ischemia. Methods: Thirty male rabbits were studied, distributed in 3 groups (n=10). Group 1: ligature and section of the gastric vasculature and removal of the liver after three hours; Group 2: ligature and section of the gastric vasculature and removal of the liver after 6 hours; Group 3: ligature and section of the gastric vasculature and removal of the liver after 12 hours. Blood samples were collected immediately before surgery and after the determined time of ischemia in each group to evaluate the hepatic function. After the death of the rabbits, the liver was removed for macro and microscopic study. Results: An increase in aminotransferases and bilirubin occurred in groups 2 and 3. Total protein and albumin diminished in all of the animals. All of the rabbits from groups 2 and 3 presented hepatocellular necrosis. Conclusion: The devascularization of the stomach for a period of above three hours is associated with hepatic morphological and functional disorders.

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