首页   按字顺浏览 期刊浏览 卷期浏览 Characterization of Intestinal Collateral Blood Flow in the Developing Piglet
Characterization of Intestinal Collateral Blood Flow in the Developing Piglet

 

作者: KAREN CRISSINGER,   D. GRANGER,  

 

期刊: Pediatric Research  (OVID Available online 1988)
卷期: Volume 24, issue 4  

页码: 473-476

 

ISSN:0031-3998

 

年代: 1988

 

出版商: OVID

 

数据来源: OVID

 

摘要:

Interest in the pathogenesis of neonatal necrotizing enterocolitis has prompted study of the intestinal circulation in developing animals. It is conceivable that poorly developed collateral channels may predispose the neonatal intestine to ischemic insults. We therefore characterized intestinal collateral blood flow in anesthetized and ventilated 1-day and 1-month-old piglets. Intestinal blood flow was measured with radioactive microspheres (15 μm diameter) before and after either1) total occlusion of the superior mesenteric artery (SMA) or2) occlusion of a distal (jejunoileal) branch of the SNIA. After total SMA occlusion in 1-day and 1-month-old piglets, perfusion of the intestine via collaterals from the celiac and inferior mesenteric arteries was not evident. Jejunal, ileal, and colonic (except rectal) blood flows fell to zero 30 min after ligation of the SMA. Ligation of a distal branch of the SMA in 1-month-old animals significantly reduced total wall (by 25%) and mucosal/submucosal (by 25%) blood flows in the occluded segment. Similar experiments in 1-day-old piglets produced significantly greater reduction in total (70%) and mucosa/subumeosa (70%) blood flows. Muscle/serosa blood flows in both groups were not significantly different from control values. In conclusion, collateral perfusion of the intestine via the celiac and inferior mesenteric arteries is insignificant during acute SMA occlusion in the developing piglet. Although there is significant collateral blood flow within the SMA vascular network, perfusion between adjacent gut segments is less effective in preventing intestinal ischemia after occlusion of a branch of the SMA in neonates than in 1-month-old piglets. (Pediatr Res24: 473–476, 1988)

 

点击下载:  PDF (371KB)



返 回