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PubMed1993

Lactose flux occurs by differing mechanisms in the colon and jejunum of newborn piglets.

The unidirectional flux of 10- and 40-mM lactose was studied in newborn porcine jejunum and colon mounted in Ussing chambers. Polyethylene glycol 400 was used to measure passive paracellular permeability. The mucosal-to-serosal flux and the tissue accumulation of labeled lactose from the colon was similar to that of lactose-derived glucose from the jejunum. However, only jejunum showed a lactose-stimulated increase in short-circuit current. In jejunum, glucose was the sole sugar identified in the serosal bath, whereas in colon, only intact lactose was identified. Despite colonic lactose flux, polyethylene glycol oligomers were not found in the serosal bath, suggesting that they do not share the same route of absorption. Colonic lactose transport was nonsaturable between 1 and 40 mM. Under nongradient conditions, no net colonic lactose transport was observed. Cumulatively, these data suggest that the colon, unlike the jejunum, does not contain a glucose-galactose sodium cotransporter. The colon of the newborn piglet transports intact lactose at a flux equal to that of lactose-derived glucose by the small intestine, but by a different mechanism that is as yet undefined.

Animals↗

PubMed2002

An in vitro examination of the impact of polyethylene glycol 400, Pluronic P85, and vitamin E d-alpha-tocopheryl polyethylene glycol 1000 succinate on P-glycoprotein efflux and enterocyte-based metabolism in excised rat intestine.

The potential inhibitory effects of 3 excipients (polyethylene glycol [PEG] 400, Pluronic P85, and vitamin E d-a-tocopheryl polyethylene glycol 1000 succinate [TPGS]) on the P-glycoprotein (P-gp) -mediated efflux of digoxin (DIG) and cytochrome P450 3A (CYP3A) -mediated metabolism of verapamil (VRP) have been examined in an in vitro permeability model. Experiments were conducted utilizing rat jejunal tissue mounted in diffusion chambers and included assessment of the serosal to mucosal (s to m) transport of DIG and the formation of norverapamil (NOR) during the mucosal to serosal transport of VRP, as measures of P-gp efflux and CYP3A metabolism, respectively. The presence of PEG at 1%, 5%, and 20% (wt/vol) reduced both the s to m flux of DIG (by 47%, 57%, and 64%, respectively, when compared to control) and the metabolism of VRP (by 54%, 78%, and 100%) in a concentration-dependent manner. P85 (0.1% wt/vol) significantly reduced s to m DIG flux by 47% and inhibited VRP metabolism by 42%. TPGS had insignificant effects on both metabolism and efflux at a concentration of 0.01% (wt/vol). The P-gp inhibitory effects of PEG and P85 were evident regardless of whether the excipient was added to the mucosal side, the serosal side, or both sides of the tissue. The current data suggest that inclusion of PEG and P85 as solubilizing agents during in vitro permeability assessment may have a significant impact on both drug metabolism and efflux processes. These compounds appear to exert their effects on P-gp primarily via direct transporter inhibition - or indirectly, through effects on buffer osmolarity, membrane fluidity, and/or mitochondrial toxicity and subsequent adenosine triphosphate (ATP) depletion.

ATP Binding Cassette Transporter, Subfamily B, Mem↗

PubMed1982

Vasopressin resistance induced by low sodium and high mannitol in toad bladder.

The natriferic and hydroosmotic responses to vasopressin (ADH) of the isolated toad bladder were studied as a function of the serosal bath NaCl concentration. Bladders were preincubated in Ringer's solution containing equiosmotic substitutions of mannitol, choline chloride, or choline sulfate for NaCl. Their hydroosmotic and natriferic responses to ADH were measured in NaCl Ringer's solution. Bladders previously bathed on their serosal surface with mannitol had a markedly diminished hydroosmotic response, whereas the natriferic response of these bladders was essentially normal. Similarly, preincubation with either choline chloride or sulfate also inhibited the hydroosmotic response, although the decline was substantially less than that with mannitol. Preincubation with mannitol also inhibited the hydroosmotic response to dibutyryl cAMP. Therefore, the isosmotic substitution of serosal bath NaCl with mannitol decreases primarily the hydroosmotic response to ADH at a post-AMP step. The natriferic effect of the hormone remains essentially intact under these conditions. Different compartments (or cell types) appear to regulate the action of ADH on sodium and on water transport in this tissue because of the selective effects of preincubation with low NaCl Ringer's solution on the hydroosmotic and natriferic responses to ADH.

Amiloride↗

PubMed2001

The impact of P-glycoprotein efflux on enterocyte residence time and enterocyte-based metabolism of verapamil.

P-glycoprotein (P-gp) can limit the intestinal permeability of a number of compounds and may therefore influence their exposure to metabolizing enzymes within the enterocyte (e.g. cytochrome P450 3A, CYP 3A). In this study, the intestinal metabolic profile of verapamil, the influence of P-gp anti-transport on the cellular residence time of verapamil, and the impact of this change in residence time on the extent of enterocyte-based metabolism have been investigated in-vitro, utilizing segments of rat jejunum and side-by-side diffusion chambers. Verapamil exhibited concentration-dependent P-gp efflux and CYP 3A metabolism. The P-gp efflux of verapamil (1 microM) increased the cellular residence time across the intestinal membrane (approximately 3-fold) in the mucosal to serosal (m to s) direction relative to serosal to mucosal (s to m), yielding significantly greater metabolism (approximately 2-fold), presumably as a result of the prolonged exposure to CYP 3A. Intestinal metabolism of verapamil generated not only norverapamil, but resulted also in the formation of an N-dealkylated product (D-617). Norverapamil and D-617 accumulated significantly in mucosal chambers, relative to serosal chambers, over the time course of the experiment. Based on these in-vitro data, it was apparent that P-gp efflux prolonged the cellular residence time of verapamil (m to s) and therefore increased the extent of intestinal metabolism, and also played a role in metabolite secretion from within the enterocyte.

ATP Binding Cassette Transporter, Subfamily B, Mem↗

PubMed2004

Transport of deslorelin, an LHRH agonist, is vectorial and exhibits regional variation in excised bovine nasal tissue.

The nasal route is a non-invasive alternative route for the delivery of a number of macromolecules, including peptides, proteins and vaccines. The purpose of this study was to determine the regional variation in excised bovine nasal tissue permeability to deslorelin, a nonapeptide luteinizing hormone releasing hormone (LHRH) agonist, and to further elucidate its mechanisms of transport. To this end, this study determined the permeability of deslorelin across different regions of freshly excised bovine nasal mucosa, including the medium turbinate anterior (MTA), medium turbinate posterior (MTP) and the inferior turbinate posterior (ITP) regions. At 37 degrees C, mucoal-to-serosal (m-s) transport of deslorelin across excised bovine nasal mucosa exhibited regional variation, with the % cumulative transport in 6 h being in the order: MTA (0.2 +/- 0.06%) < MTP (1.6 +/- 0.1%) < ITP (2.85 +/- 0.3%). In addition, at 37 degrees C, deslorelin transport across all these nasal regions was vectorial and the mucosal-to-serosal:serosal-to-mucosal (m-s:s-m) transport ratios across MTA, MTP and ITP regions were 1.5, 5.4 and 3.7, respectively. At low temperature (4 degrees C) and at 37 degrees C in the presence of 2,4-dinitrophenol, an energy depletor, the m-s deslorelin transport across the MTP region decreased to 0.32 +/- 0.12 and 0.13 +/- 0.05%, respectively, and the directionality was abolished. Sodium fluorescein transport also exhibited regional variation but no directionality. Histology and scanning electron microscopy studies indicated non-ciliated columnar epithelium in the MTA region and ciliated respiratory epithelium in the MTP and ITP regions. The thickness of the various regions, as visualized using histology, was in the order: MTA > MTP > ITP. Thus, deslorelin transport across excised bovine nasal mucosa is vectorial, temperature- and energy-dependent and exhibits regional variation. The regional differences in s-m transport are likely due to differences in the passive transport. Differences in m-s:s-m flux ratios may be due to differential expression of carriers.

Animals↗

PubMed1983

The transport of orthovanadate and similar oxyanions in relation to salt and water transport across the isolated intestine of the common eel, Anguilla anguilla.

An intestinal preparation from the common eel (Anguilla anguilla) was characterized for both mucosal to serosal and serosal to mucosal transport of water, alanine, sodium and chloride. The preparation showed a net outflux of water and a net influx of alanine, and no net fluxes of sodium or chloride. The influxes of all four substances and the outflux of water were inhibited by ouabain, while the outfluxes of alanine, sodium and chloride were increased by ouabain. Influxes and outfluxes of the oxyanions orthovanadate, phosphate, arsenate, sulphate, selenate and chromate were measured over a range of concentrations from 10(-8) M to 10(-4) M. The entry of each anion was dependent on the mucosal concentration, not saturable within the concentration range used or competitive with chloride. There were no net fluxes of these anions and pertechnecate from solutions containing equal mucosal and serosal concentrations of the anion.

Alanine↗

PubMed1994

EFFECTS OF BARIUM CHLORIDE ON ELECTROLYTE TRANSPORT ACROSS ISOLATED COLONS FROM NORMAL AND ALDOSTERONE-TREATED LIZARDS (GALLOTIA GALLOTI)

Addition of BaCl2 to the solution bathing colons of normal lizards did not alter the absorptive Na+ flux, but did reverse the net absorption of Cl- to become net secretion. Cl- secretion resulted from an increase in its serosal-to-mucosal movement and was positively correlated to an increase in short-circuit current. Ba2+-induced short-circuit current was dependent on the presence of both Na+ and Cl- in the serosal medium. Ba2+-induced Cl- secretion could be reversed by serosal amiloride (10(4) mmol l-1). Colons from acutely or chronically aldosterone-treated lizards exhibited a considerably higher short-circuit current, potential difference and net Na+ absorption than did untreated colons. Net Cl- transport was unaltered by acute treatment, but was totally abolished after chronic treatment. BaCl2 rapidly decreased the potential difference, short-circuit current and tissue conductance across colons from aldosterone-treated lizards. Net Na+ transport was markedly inhibited by Ba2+ in both acutely and chronically treated tissues, but barium did not change unidirectional or net Cl- fluxes in these. The present results support the following hypotheses: (1) that BaCl2 inhibits electrogenic Na+ absorption induced by acute or chronic aldosterone treatment and (2) that Ba2+ induces an electrogenic Cl- secretion by stimulating a basolateral Na+-dependent Cl- intake in normal but not in aldosterone-treated colons. This also suggests that aldosterone could exert an antisecretory influence in colonic epithelia.

Journal Article↗

PubMed2001

In vitro effects of wood creosote on enterotoxin-induced secretion measured electrophysiologically in the rat jejunum and colon.

Secretory diarrhea occurs when the balance between intestinal absorption and secretion is disturbed by excessive secretion caused by enterotoxins produced by the pathogen. Wood creosote has long been used as a traditional antidiarrheal remedy. The goal of our study was to extend our knowledge about the antisecretory action of wood creosote against Escherichia coli enterotoxin-induced secretion in the small intestine and colon. Experiments were performed in mucosal sheets of rat jejunum and colon which were stripped of the external muscle layers to eliminate interactions with smooth muscle activity and local blood flow. Mucosal sheets were placed in modified Ussing chambers and hypersecretory conditions were induced by heat-labile (LT) or heat-stable (STa) E. coli enterotoxins added cumulatively (0.01-10 microg/ml) to the mucosal bathing solution. Intestinal secretion was monitored electrophysiologically as transmucosal short circuit current (Isc). LT induced a concentration-dependent increase in Isc in the rat jejunum, with no effect in the colon. In contrast, STa induced a significant increase in colonic Isc, without causing any change in Isc across the jejunum. In separate experiments the effects of increasing concentrations of wood creosote (0.1-50 microg/ml), added to the mucosal or serosal bathing solution, were examined against the secretory responses induced by LT or STa. In the small intestine the antisecretory activity of wood creosote against LT-induced secretion was more potent following serosal application, whereas in the colon wood creosote inhibited STa-induced secretion with equal potency following either serosal or mucosal addition. In summary, our findings demonstrate that wood creosote possesses antidiarrheal activity suppressing E. coli enterotoxin-induced secretion in both the small intestine and colon.

Animals↗

PubMed1980

The effects of capsaicin on intestinal sodium and fluid transport.

Capsaicin, the pungent component of red pepper, was studied to determine its inhibitory effect on fluid and Na+ absorption using rat and hamster everted jejunal sacs. At a mucosal concentration of 140 mg% incubated for 60 min, capsaicin reduced the fluid transport into the serosal side by 14.8% in rat and 23.9% in hamster. Similarly, Na+ transport was also inhibited by 12.5% and 26.2% in rat and hamster, respectively. Such decrease in serosal sodium coincided with the increase in Na+ content of the gut wall and the intracellular Na+ concentration in the epithelial layer. It is, accordingly, concluded that capsaicin inhibits the Na+ exits through the serosal pole of the epithelium. These observations may also provide an explanation for the previously observed inhibition of glucose transport.

Animals↗

PubMed1984

Intestinal absorption mechanisms of thyrotropin-releasing hormone.

Intestinal absorption mechanisms of thyrotropin-releasing hormone (TRH) following the oral administration of TRH-tartrate (TRH-T) were studied in animals. When TRH-T was orally administered to rats or beagle-dogs, absorption of TRH showed apparent saturation and decreased with food ingestion. TRH is very stable against gastrointestinal digestive enzymes, homogenized intestine and epithelial cells. First pass effect in the liver was not observed in beagle-dogs. Absorption site specificity was found in rats, namely TRH can be absorbed from only the upper part of the small intestine. A saturation phenomenon was also observed in in situ and everted sac experiments. TRH absorption was inhibited by the existence of oligopeptides and some beta-lactam antibiotics that had been reported to be absorbed by active transport or carrier-mediated transport systems. The transfer of TRH from mucosal to serosal solutions was inhibited by the replacement of medium Na ions by K ions and by the existence of oligopeptides. The transfer rate from serosal side to mucosal side was much slower than that from mucosal side to serosal side. These results suggested that there should be a certain carrier-mediated transport system in the absorption process of TRH.

Animals↗

PubMed1985

Intestinal absorption of salicylamide and effect of atropine on it.

The effect of atropine (ATR), a parasynpatholytic agent, on the intestinal absorption of salicylamide (SAM) was studied using the absorption kinetic model proposed by Winne et al. The disappearance of SAM from perfusate and the appearance in intestinal blood were determined using perfused intestinal loop of the rat in vivo. The results showed that the absorption of SAM was simulated by the four compartment model consisting of luminal, interstitial, blood and serosal compartments. The model was assumed to have three rate determining factors, namely mucosal membrane permeability, clearance by blood flow and serosal membrane permeability. ATR decreased the absorption of SAM by decreasing the clearance factor relating to intestinal blood flow and increased the fraction of the transported amount of SAM from interstitial space to serosal compartment.

Animals↗

PubMed1979

Intestinal transport: studies with isolated epithelial cells.

Isolated intestinal epithelial cells have been extremely useful for characterizing the nature of intestinal absorption processes and for providing insight into the energetics of Na(+)-dependent transport systems. This report describes a number of experimental approaches which have been used for investigating the specific epithelial transport systems involved in sugar absorption, but provides information which ultimately should prove useful for characterizing a number of different intestinal transport events. Similar experiments should also prove useful for exploring the effect of environmental agents on the function of intestinal tissue. In the case of sugars, net absorption is accomplished via a mucosal, Na(+)-dependent concentrative transport system acting in sequence with a passive serosal system which does not require Na(+). The serosal system limits the full gradient-forming capability of the muscosal system. Agents such as phloretin or cytochalasin B which inhibit serosal transport allow the cells to establish sugar gradients as high as 70 fold in contrast to 10-15 fold gradients observed for control cells. Seventy-fold sugar gradients cannot be explained in terms of the energy available in the electrochemical potential for Na(+) if the Na(+):sugar coupling stoichiometry is 1:1 as commonly assumed. New information indicates that the true Na(+):sugar stoichiometry is in fact 2:1. Flow of two Na(+) ions per sugar molecule down the transmembrane electrochemical potential for Na(+) provides more than sufficient energy to account for observed 70 fold sugar gradients. If flow of sugar by other routes could be completely inhibited, theoretical sugar gradients as high as 400 could be achieved assuming that the cells maintain a membrane potential of -36 mV as measured for intact tissue.

Animals↗

PubMed2004

Anandamide-evoked activation of vanilloid receptor 1 contributes to the development of bladder hyperreflexia and nociceptive transmission to spinal dorsal horn neurons in cystitis.

The role of anandamide in the development of inflammatory hyperalgesia and visceral hyperreflexia was studied in the rat urinary bladder. Animals were given intraperitoneal cyclophosphamide injection, which evokes painful hemorrhagic cystitis accompanied by increased bladder reflex activity. The vanilloid receptor 1 [transient receptor potential vanilloid 1 (TRPV1)] antagonist capsazepine, applied onto the serosal surface of bladders, significantly reduced the hyperreflexia. Mass spectrometric analysis revealed that cyclophosphamide injection significantly and persistently increased the anandamide content of bladder tissues. The increase in the anandamide content paralleled the development of reflex hyperactivity. Anandamide (1-100 microm), applied onto the serosal surface of naive bladders, increased the reflex activity in a concentration-dependent manner. Repeated anandamide applications did not produce desensitization of the response. The anandamide-evoked effect was blocked by capsazepine or by instillation of resiniferatoxin, the ultrapotent TRPV1 agonist, into the bladders 24 hr before the anandamide challenge. The cannabinoid 1 receptor antagonist SR141716A [N-piperidino-5-(4-chlorophenyl)-1-(2,4-dichlorophenyl)-4-methylpyrazole-3-carboxamide] significantly increased the potency of anandamide in enhancing bladder reflex activity in naive but not in cyclophosphamide-injected animals. Application of the fatty acid amide hydrolyze inhibitor palmitoylisopropylamine onto the serosal surface of bladders also increased the reflex activity both in naive and cyclophosphamide-injected rats. This latter effect in naive animals was blocked by capsazepine and by resiniferatoxin pretreatment. Finally, intravesical instillation of anandamide (50 microm) increased c-fos expression in the spinal cord, which was reduced by capsazepine or by resiniferatoxin pretreatment. These results suggest that anandamide, through activating TRPV1, contributes to the development of hyperreflexia and hyperalgesia during cystitis.

Acrolein↗

PubMed1984

Rheogenic property of Na+/acidic amino acid co-transport by guinea pig intestine.

The influx of L-glutamate or L-aspartate across the intestinal brush border membrane was absolutely dependent on the presence of Na+ in the mucosal solution and saturable. The addition of these amino acids into the mucosal solution induced a sudden and sustained increase in the transepithelial potential difference (PDt), which was found to be absolutely dependent on the presence of Na+ in the mucosal solution. The increases in PDt induced by L-glutamate or L-aspartate conformed to Michaelis-Menten kinetics against the concentration of each organic substrate. On the other hand, the relationship between the change in short-circuit current induced by acidic amino acid and Na+ concentration did not conform to Michaelis-Menten kinetics but was sigmoid. A kinetic study indicated that 2 Na+ were translocated per molecule of the acidic amino acid. The PDt was not altered by the total replacement of K+ by Na+ in the mucosal solution and showed the optimum pH at around 7. The transfer of L-glutamate from mucosal to serosal solution was examined with everted sac of ileum. A significant increase in serosal appearance was observed for L-glutamate and L-alanine after the incubation with L-glutamate. The serosal appearance of L-glutamate was unaffected by the presence or absence of HCO3-.

Amino Acids↗

PubMed1987

Potassium secretion in the guinea pig distal colon.

Active K+ secretion in guinea pig distal colon was studied in vitro in Ussing chambers. Changes in short-circuit current (Isc), transepithelial conductance (Gt), and the unidirectional flux of 42K from serosa to mucosa (JKsm) were determined under a variety of physiological and pharmacological conditions. Mucosal tetraethylammonium (TEA) (10 or 30 mM) increased Isc, while it decreased Gt and JKsm. Seroal bumetanide (10(-4) M) also caused an increase in Isc and decreases in Gt and JKsm. The effects produced by TEA were abolished in the presence of bumetanide. The increase in Isc caused by bumetanide was greatly reduced by mucosal high-K+ conditions. Isoproterenol (10(-6) M), a beta-adrenergic agonist, elicited a decrease in Isc and an increase in Gt. Responses to isoproterenol (10(-6) M) were reduced or abolished by mucosal TEA, serosal bumetanide, serosal ouabain (10(-4) M), and serosal Na+- or Cl(-)-free conditions. Mucosal high K+ also reduced the isoproterenol-induced decrease in Isc. These results suggest that K+ secretion is electrogenic and dependent on the bumetanide-sensitive cotransport in the basolateral membrane. K+ exit across the apical membrane might be conductive and sensitive to TEA. In addition, beta-adrenergic agonists might stimulate K+ secretion.

Animals↗

PubMed1997

MR imaging of the gastrointestinal tract with i.v., gadolinium and diluted barium oral contrast media compared with unenhanced MR imaging and CT.

OBJECTIVE: To determine an optimal MR imaging technique and pulse sequence for evaluating mural and serosal disease of the gastrointestinal tract, we administered 2% oral barium sulfate and obtained fat-suppressed gadolinium-enhanced breath-hold fast multiplanar spoiled gradient-recalled (FMPSPGR) MR images. We then compared these images with spin-echo T1-weighted and T2-weighted fast spin-echo MR images and with CT images. SUBJECTS AND METHODS: Thirty-one patients with suspected diseases of the gastrointestinal tract were imaged with spin-echo T1-weighted, fast spin-echo T2-weighted, and fat-saturated gadolinium-enhanced FMPSPGR MR imaging. Before undergoing MR imaging, all patients received 1350 ml of 2% barium sulfate oral contrast media. For CT scans, patients received 120 ml of iodinated i.v. contrast material and 2% barium sulfate oral contrast material. CT and MR images were retrospectively and independently reviewed by two radiologists for ability to see normal bowel wall, for the presence of abnormal gastrointestinal tract mural thickening or enhancement, and for overall gastrointestinal tract visualization. Findings were correlated with surgical findings, endoscopy, and barium studies. RESULTS: Ten patients had benign disease, 16 had malignant gastrointestinal tract disease, and five had no gastrointestinal tract abnormalities. In 94% of patients, the gadolinium- and barium-enhanced FMPSPGR MR images were superior to CT and spin-echo MR sequences for depicting the wall of the normal bowel (p < .001). For the two observers, the FMPSPGR MR images with i.v. and oral contrast material were seen as revealing 94% and 95% of bowel segments with malignant or inflammatory mural thickening or serosal tumor. In comparison, CT revealed 64% and 72% (p < .01 and p < .0001, respectively), fast spin-echo T2-weighted MR images revealed 21% and 28% (p < .0001), and T1-weighted MR images revealed 17% and 18% (p < .0001). The gadolinium- and barium-enhanced MR images were preferred for overall gastrointestinal tract visualization in 65% of patients compared with 1% for CT scans (p < .001). In 32% of patients, the enhanced MR images were equivalent to CT images. CONCLUSION: MR evaluation of the gastrointestinal tract requires bowel distention with oral contrast material as well as motion reduction techniques, including glucagon and rapid gradient-echo pulses that allow breath-hold imaging. Fat-suppressed gadolinium-enhanced FMPSPGR MR imaging with diluted barium oral contrast media is effective for imaging benign and malignant mural and serosal abnormalities of the gastrointestinal tract.

Administration, Oral↗

PubMed2004

Effect of carboxymethylcellulose and hyaluronate solutions on jejunal healing in horses.

OBJECTIVE: To compare a double-layer inverting anastomosis with a single-layer appositional anastomosis, coated with either 1% sodium carboxymethylcellulose (SCMC) or 0.4% sodium hyaluronate (HA) solutions, in the small intestine of horses with respect to anastomotic healing and adhesion formation. ANIMALS: 18 adult horses. PROCEDURE: Midline celiotomy and end-to-end jejunal anastomoses were performed. In control group horses (n = 6), a double-layer inverting anastomosis coated with sterile lactated Ringer's solution was performed. In treatment group horses, a single-layer appositional anastomosis was performed that was coated with 1% carboxymethylcellulose solution (SAA + SCMC group horses, 6) or 0.4% hyaluronate solution (SAA + HA group horses, 6). An additional 500 mL of the respective treatment solution was applied to the jejunal serosal surface, and 2 jejunal serosal abrasion sites were created. Horses were euthanatized 10 days after surgery. Anastomoses and abdominal adhesions were evaluated grossly. Anastomotic healing was evaluated on the basis of bursting wall tension. RESULTS: Bursting wall tension was significantly greater in SAA + SCMC group horses, compared with control group horses. All intestinal segments failed at a point distant to the anastomosis. Significantly fewer adhesions were found at the abrasion sites of SAA + HA group horses, compared with control group horses. No differences were found in adhesion formation at the anastomotic sites among groups. CONCLUSIONS AND CLINICAL RELEVANCE: Coating a single-layer appositional jejunal anastomosis with SCMC or HA solutions does not adversely affect anastomotic healing. Application of 0.4% HA solution to the serosal surface of the jejunum significantly decreases the incidence of experimentally induced intra-abdominal adhesion formation in horses.

Analysis of Variance↗

PubMed1980

New water absorption and mucosal morphometry of ileal reservoirs and of ileal segments transposed to the colon in the cat.

New water absorption and changes in villous height were studied in ileal reservoirs and in ileal segments transposed to the colon in the cat. A continuous perfusion technique was used to estimate net water absorption. The villous height was reduced both in ileal reservoirs and in the transposed segments compared with normal ileum. The serosal area of the reservoir was significantly increased compared with the initial segment used in construction of the reservoir. The reservoir showed a reduced net water absorption rate per unit serosal area compared with a control segment, but when the absorption of the whole reservoir was compared with that of a control segment of the same initial length, there was no significant change. In the transposed segments no significant change in net water absorption could be revealed. Data from both series of experiments showed a positive correlation between net water absorption per unit serosal area and villous height. Blood flow registration in ileal segments transposed to the colon showed a blood flow of the same magnitude in the transposed segment as in the control segment.

Acid-Base Equilibrium↗