Changes in intestinal motility and in the myenteric plexus in a rat model of intestinal ischemia–reperfusion

• Published in: Journal of pediatric surgery Vol. 42; no. 6; pp. 1062 - 1065
• Main Authors: Silva, Marcia A.C.P, de Meirelles, Luciana R, Bustorff-Silva, Joaquim M
• Format: Journal Article
• Language: English
• Published: United States Elsevier Inc 01.06.2007
• Subjects: Animals; Constriction; Gastrointestinal Motility; Gastrointestinal Transit; Intestine, Small - blood supply; Intestine, Small - pathology; Male; Mesenteric Artery, Superior; Models, Animal; Myenteric Plexus - pathology; Myenteric Plexus - physiopathology; Neurons - pathology; Pediatrics; Rats; Rats, Wistar; Reperfusion Injury - pathology; Reperfusion Injury - physiopathology; Surgery; Weight Gain; Intestinal transit; Myenteric plexus; Intestinal ischemia
• ISSN: 0022-3468; 1531-5037
• DOI: 10.1016/j.jpedsurg.2005.07.009

Abstract Background/Purpose Early histologic changes induced by intestinal ischemia–reperfusion injury (IIRI) have been extensively studied using animal models. However, information regarding late effects on intestinal motility is lacking. The aim of this study was to investigate the late effects of IIRI on myenteric plexus histology and intestinal motility. Materials and Methods Thirty-two postweaning male mice weighing between 58 and 103 g were divided randomly into 4 groups: Control (unoperated), Sham (celiotomy), 30-minute ischemia (celiotomy and superior mesenteric artery ischemia for 30 minutes), and 45-minute ischemia (celiotomy and superior mesenteric artery ischemia for 45 minutes). Postoperative intestinal motility was assessed by weighing total fecal output for 24 hours on the 3rd, 7th, 14th, and 21st day after surgery. Segments of duodenum, jejunum, and ileum were examined at light microscopy for changes in the myenteric plexus. Results Three weeks after IIRI, the ganglion cells from the myenteric plexus appeared in light microscopy, spongy or foamy, containing many vacuoles in their cytoplasm. The neuronal nucleus became irregular, with degenerative signs. These alterations did not occur among animals from the control or sham groups. Although the animals of the 45-minute ischemia group showed a significant drop in fecal output in the 21st postoperative day, this appeared to have no effect on weight gain. Conclusions The results suggest that intestinal ischemia–reperfusion causes late neuronal damage. These changes resulted in alterations of intestinal motility, which, within the conditions of the present study, had no repercussion on general weight gain.