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Biomedical subjects

R Bilski

Publications and source records attributed to R Bilski.

8 recordsLinked to original sources

[Changes in electrical potentials of gastric mucosa during various types of experimental hypoxia].

In experiments performed on anaesthetized male and female Wistar rats the effects of different types of hypoxia on the electrical potential difference (PD) between the inner and the outer sides of the gastric wall were examined. The PD was determined by mean of the Digital Multimeter VC-10T, Unitra, and the calomel electrodes connected with the KCl-agar bridges. There were four series of experiments carried out in which hypoxia was produced by: I--low atmospheric pressure (hypobaric hypoxia) corresponding with the altitudes of 2500, 5500, 8500 and 10,500 m above sea level, II--1 min. nitrogen breathing (anoxic anoxia), III--bleeding ca. 1% of the body weight (anemic hypoxia), IV--the gastric vessels ligation (ischemic hypoxia). There were also performed the adequate control experiments of each series. In all types of hypoxia (I--IV) a decrease in the PD was observed. The value and rate of this decrease were dependent on the type, grade, duration and rate of hypoxia. In the conditions of the hypobaric hypoxia simulated altitude 10,500 m only evoked the statistically significant PD drops, by 31%. The nitrogen breathing caused the PD decrease by 23% and the anemic hypoxia by 18%. In the ischemic hypoxia the total disappearance of the potential difference (PD = 0 mV) was observed. In the control experiments small non significant fluctuations, not exceeding 4%, occurred only. The decrease in the PD of the gastric wall observed during hypoxia could be explained by the changes in the membrane transport e.g. the back-diffusion of Na+, Cl-, and H+ ions.

Animals

The effect of L-amino acids given intravenously on gastric secretion stimulated by pentagastrin in dogs.

L-Amino acid solution given intravenously in Heidenhain pouch dogs resulted in marked changes of both basal and pentagastrin-stimulated gastric secretions. During a 1-hour amino acid infusion, a significant augmentation of pentagastrin-induced secretion was observed. A significant increase of secretion during amino acid infusion was also found in dogs not infused with pentagastrin. Absolute values of HCl output were much higher in dogs in which secretion was stimulated by a combination of pentagastrin and amino acids than by amino acids alone. This increase was followed by a fall of gastric secretion in response to pentagastrin.

Amino Acids

Sphincterotomy.

As a supplement to a theoretical study published in 1966, we now report the indications and results in nine cases, seen over a period of five years, in which papillotomy or a short sphincterotomy was performed for cholelithiasis. In six cases, the indication was based on the presence of low-seated calculi in the common bile duct or in the papilla, which calculi could not be removed via the supraduodenal choledochotomy; in two cases it was based on the presence of a stenosis of the papilla without choledocholithiasis. In seven patients the postoperative course was uneventful. One woman exhibited a complication not connected with the bile-duct operation, and one other patient showed leakage of the suture line in the duct, a complication that may also occur after simple choledochotomy and which accordingly is not attributable to the additional sphincterotomy. All the patients have remained symptom-free during the follow-up period. These results confirm the data in the international literature and prove that for the limited range of indications mentioned, sphincterotomy may be performed if it is considered necessary.

Adult

The effect of ethanol-caffeine interaction on the gastric mucosal barrier.

Potential difference across the stomach wall (PD) is determined by the gastric mucosa electrolyte barrier. The decrease in the PD caused by the "barrier breakers" e.g. aspirin, alcohol and cholic acids is a sensitive index of mucosal damage. We studied the effect of interaction between alcohol and caffeine on the PD in the anesthetized rats. The intragastric administration of 1 ml of 40 vol.% ethanol solution decreased the PD by 39%, of 10 mg of caffeine sodium benzoate by 22% and the simultaneous administration of alcohol and caffeine by 53%. These results indicate that caffeine may enhance the damaging effect of alcohol on the gastric mucosal barrier.

Animals