scholarly journals MORPHOLOGICAL CHANGES IN THE SMALL INTESTINE OF RATS WITH ACUTE GENERALIZED PERITONITIS

2019 ◽  
pp. 110-113
Author(s):  
I. Ya. Dzyubanovsky ◽  
B. M. Vervega ◽  
S. R. Pіdruchna ◽  
N. A. Melnyk
Keyword(s):  
Endothelial Cells ◽  
Small Intestine ◽  
Mucous Membrane ◽  
Morphological Changes ◽  
Histological Study ◽  
Abdominal Cavity ◽  
Inflammatory Infiltration ◽  
Generalized Peritonitis ◽  
White Rats ◽  
Fecal Suspension

The main cause of mortality in acute generalized peritonitis (AGP) is the development of multiple organ insufficiency. The intestine is the organ where the first changes develop in this pathology. The aim of the study – to research and evaluate the morphological changes in the small intestine wall of animals with experimental AGP. Materials and Methods. 32 white rats were used in this study. Acute peritonitis was modeled by introduction of 10 % fecal suspension in the dosage of 0.5 ml per 100 g of the animal's weight into the abdominal cavity of rats by puncture. The terms of observation: the 1st, 3rd and the 7th days from the beginning of the peritonitis modeling. For histological study the intestinal tissue was taken. The resulting pieces of the organ were fixed in a 10 % neutral formalin solution, which were then stained with hematoxylin and eosin. Results and Discussion. On the 3rd day of the experiment in animals with a modeled AGP, vascular changes were manifested first of all by the rounding (retraction) of endothelial cells or their desquamation and the appearance of defects, that allow plasma proteins and the formed elements of blood to leave circulation boundaries of the vascular bed. On the 7 th day in animals with a modeled AGP increased vascular permeability of the mucous membrane of the small intestine was accompanied by a significant edema of the stroma of the villi and by focal hemorrhages. Conclusion. Consequently, the distinct inflammatory changes in all terms of the injury were seen in the wall of the small intestine at the simulated AGP. The significant expansion of the capillaries and venules against the background of inflammatory infiltration in the stroma of the glandular component of the small intestine was noted on the 1st day from the beginning of the experiment. An increase in the height of intestinal villus and a crypt with retraction and desquamation of endothelial cells in the wall of vessels, which caused platelet adhesion in the areas of destruction was observed on the 3rd day. The areas of focal necrosis of the superficial epithelium, which were accompanied by multiple hemorrhages per diapedesis in the perivascular space of the mucous membrane, were seen in the wall of the small intestine of animals with a simulated AGP on the 7th day.

scholarly journals Intestine wall histostructure peculiarities with peritonitis and mechanical intestine obstruction (experimental study)

2020 ◽  
pp. 27-34
Author(s):  
Т. I. Tamm ◽  
V. V. Nepomnyaschy ◽  
O. А. Shakalova ◽  
А. Ya. Barduck
Keyword(s):  
Small Intestine ◽  
Mucous Membrane ◽  
Morphological Changes ◽  
Abdominal Cavity ◽  
Statistical Processing ◽  
Intestinal Wall ◽  
Control Group ◽  
Mechanical Ileus ◽  
Fecal Suspension ◽  
Dynamic Ileus

Today, the histological criteria for differential diagnosis of dynamic ileus due to peritonitis and mechanical obstruction of the intestine remain undeveloped. In this regard, the aim of the work was to establish the difference in morphological changes occurring in the intestinal wall during dynamic and mechanical ileus in the experiment. The experiment was conducted on 33 sexually mature Wistar rats. In 15 animals of the first group, mechanical ileus was modeled by ligation of the lumen of the small intestine at the middle of the distance between the duodenojejunal junction and the ileocecal angle. In 15 rats of the second group, a dynamic ileus model was formed in the form of peritonitis by introducing fecal suspension into the lumen of the abdominal cavity. The control group included 3 animals who underwent laparotomy without the formation of mechanical ileus and peritonitis. For histological examination, fragments of the intestinal wall were sampled 1 cm above the site of the obstruction with mechanical ileus and the portion of the small intestine with peritonitis. Statistical processing was performed in an Excel package using parametric statistics methods. It was stated that with mechanical ileus purulent inflammation develops in the intestine wall beginning from the mucous membrane spreading over wall thickness which can cause its destruction within 48 hours; with dynamical ileus purulent inflammation develops in the intestine wall, it captures particularly serous and muscle layers without causing violations of mucosa cover structure and without intestine wall destruction within 48 hours. Under experimental dynamic ileus, changes in the mucous membrane were reactive in nature and consisted of manifestations of compensatory-adaptive and regenerative processes in response to a violation of the trophism of various structures of the intestinal wall.

scholarly journals Status of cellular immunity in rats under conditions of acute widespread petitonitis in the setting of diabetes mellitus

2020 ◽  
Vol 10 (2) ◽  
pp. 5243-5246
Keyword(s):  
Diabetes Mellitus ◽  
Immune Response ◽  
Cellular Immunity ◽  
Abdominal Cavity ◽  
Main Group ◽  
Moderate Increase ◽  
Experimental Animals ◽  
Generalized Peritonitis ◽  
White Rats ◽  
Fecal Suspension

Acute generalized peritonitis (AGP) occurs in patients with concomitant pathology, in particular at diabetes mellitus. The severity of peritonitis depends on the adequacy of the immune response. Purpose of research was to study the features of cellular arm of immune response in the organism of experimental animals with simulated AGP in the setting of diabetes mellitus (DM). 56 white rats were used in the experiment, which was divided into three groups: main group – 24 animals with simulated AWP in the setting of DM; comparison group – 24 animals with simulated peritonitis. Animals of the main group AGP were modelled by injecting 10 % of filtered fecal suspension into the abdominal cavity of tested rats at a dose of 0,5 ml per 100 g of body weight. Removal of material for histological examination was performed on 1, 3 and 7 days. Cellular immunity was determined by a method based on the interaction of fluorescently labeed monoclonal antibodies with lymphocyte surface antigens. In both animals, all indicators of cellular immunity gradually decreased from day 1 to day 7 of the experiment, but these changes were more significant in animals with DM. With AGP, the cellular immune response imbalance is more significant in animals with DM than in animals with isolated AGP, which is characterized by a marked statistically significant decrease in the level of CD3+ cells, CD4+ cells, CD16+ cells, and a moderate increase in CD8+ cells. The imbalance of cellular immunity deepens depending on the duration of the lesion. The level of CD3+ cells at 1, 3, and 7 day in animals with AGP in the setting of DM was 53,77%, 60,48%, and 62,1 %, respectively, lower than the level in the group with animals with AGP. The prolonged imbalance of cellular immunity indices in experimental animals with simulated AGP in the setting of DM indicates not only the occurrence of secondary immunodeficiency, but also significant depletion of the body’s immune forces compared to animals with AGP.

scholarly journals Experimental Validation of the Use of Immobilized Form of Miramistin in the Treatment of Advanced Peritonitis

2021 ◽  
Vol 14 (1) ◽  
pp. 53-60
Author(s):  
Boris Semenovich Sukovatykh ◽  
Maria Alekseevna Zatolokina ◽  
Anastasiya Viktorovna Mosolova
Keyword(s):  
Aqueous Solution ◽  
Inflammatory Process ◽  
Comparison Group ◽  
Abdominal Cavity ◽  
Inflammatory Activity ◽  
Sodium Carboxymethylcellulose ◽  
Generalized Peritonitis ◽  
Fecal Suspension ◽  
Anti Inflammatory ◽  
Experimental Group

Introduction. Mortality in generalized peritonitis ranges from 16% to 30%.The aim of research was to experimentally study the effect of the immobilized form of 0.01% miramistin on the basis of sodium salt of carboxymethylcellulose on the course of the inflammatory process in generalized purulent peritonitis.Materials and methods. The experimental study included 288 male Wistar rats, divided into 3 groups, 96 animals each. Animals of the 1st group (control) were exposed to laparotomy and lavage of the abdominal cavity with saline under aseptic conditions 24 hours after the introduction of fecal suspension into the abdominal cavity. Simultaneously, animals of the 2nd group (comparison) underwent a thorough sanitation of the abdominal cavity with saline with removal of purulent effusion and fibrin films at the first stage, and at the second stage, they were injected 5 ml of an aqueous solution of 0.01% miramistin. In animals of the 3rd (experimental) group, 5 ml of 0.01% miramistin gel was evenly distributed over the entire surface of the peritoneum after laparotomy and sanitation of the abdominal cavity with saline solution. The anti-inflammatory activity of the dosage forms was assessed by the dynamics of leukocytosis and the leukocyte index of intoxication, and the anti-inflammatory activity was assessed by the dynamics of the number of microorganisms in the abdominal exudate. The lethality of animals in each group was estimated. The following areas were taken for histological examination: small and large intestine, parietal peritoneum, pancreas, liver.Results. The anti-inflammatory activity of the immobilized form of 0.01% miramistin on the basis of sodium carboxymethylcellulose was superior to the aqueous solution of miramistin 0.01% on the 1st day - 1.3 times, on the 3rd day - 1.6 times, on the 7th day - 1.5 times. Antimicrobial activity in animals of the experimental group was 1.3 times higher on the 1st day, 1.9 times higher on the 3rd day, and 1.7 times higher on the 7th day than in the comparison group. The mortality rate in animals of the experimental group was 1.5 times lower on the 1st day, and 1.4 times lower on the 3rd and 7th days than in animals of the comparison group. On the first day, the morphological picture of peritonitis in animals of the experimental and comparison groups had no significant differences. On the 3rd day in animals of the comparison group, the inflammatory process in the abdominal cavity was pronounced, and in the experimental group, the intensity of peritonitis began to decrease, and by the 7th day it was completely eliminated.Conclusion. The results of the study allow recommending the use of the immobilized form of 0.01% miramistin based on sodium carboxymethylcellulose in the treatment of generalized peritonitis.

scholarly journals Morphological features of the large intestine in experimental acute generalized peritonitis against the background of streptozotocin-induced diabetes

2021 ◽  
pp. 41-45
Author(s):  
B. M. Verveha
Keyword(s):  
Diabetes Mellitus ◽  
Mucous Membrane ◽  
Abdominal Cavity ◽  
Morphological Features ◽  
Male Rats ◽  
The Third ◽  
Acute Peritonitis ◽  
Perivascular Edema ◽  
Fecal Suspension ◽  
Streptozotocin Induced Diabetes

The work is a fragment of the research project “Pathogenetic features of the allergic and inflammatory processes course and their pharmacocorrection”, conducted by the Department of Pathological Physiology, Danylo Halytskyi Lviv National Medical University (state registration No. 0116U004503). The aim of the work: to study the morphological features of the colon in the dynamics of the development of experimental acute peritonitis on the background of streptozotocin-induced diabetes mellitus. Materials and Methods. The experiment used 48 white male rats. Diabetes mellitus in experimental animals was simulated by a single intraperitoneal injection of streptozotocin (Sigma) at a rate of 60 mg/kg, acute disseminated peritonitis – the introduction of 0.5 ml of 10 % filtered fecal suspension into the abdominal cavity. A morphological study of the colon in animals removed from the experiment on the first, third and seventh days of acute peritonitis on the background of concomitant diabetes mellitus was performed. Results and Discussion. Morphological examination of the colon of animals on the first day of experimental acute peritonitis in conditions of concomitant streptozotocin-induced diabetes mellitus revealed an increase in the size of the crypts due to stroma edema and lymphohistiocytic infiltration, slight perivascular edema in the subclavian edema. On the third day, thickening of the mucous membrane of the colon, a sharp increase in the depth of the crypts, uneven blood supply to the vessels in the submucosal layer with a predominance of perivascular edema were verified. On the seventh day, a decrease in the thickness of the mucous membrane due to the expansion of the crypts was visualized. Part of the epitheliocytes was in a phase of increased secretory activity, the other part was dystrophically altered, which stimulated increased lymphocytic and histiocytic infiltration. These changes were accompanied by activation of reactive processes and hyperplasia of lymphoid follicles on the first day of peritonitis on the background of streptozotocin-induced diabetes mellitus, and as the severity of purulent inflammation – hypoplasia of the lymphoid tissue and a decrease in local reactivity(the third and seventh days of the development of acute peritoneal burning in conditions of combined pathology).

scholarly journals The Role of Non-Invasive Markers of Enterocyte Damage and Increased Permeability in the Pathogenesis of Celiac Disease

2021 ◽  
Vol 17 (4) ◽  
pp. 68-75
Author(s):  
S.V. Bykova ◽  
◽  
E.A. Sabelnikova ◽  
A.A. Novikov ◽  
A.A. Babanova ◽  
...  
Keyword(s):  
Small Intestine ◽  
Celiac Disease ◽  
Disease Activity ◽  
Mucous Membrane ◽  
Barrier Function ◽  
Morphological Changes ◽  
Tissue Transglutaminase ◽  
Protein Loss ◽  
Non Invasive ◽  
Degree Of Damage

Celiac disease (CD) is an immune-mediated enteropathy characterized by atrophy/damage to the mucous membrane of the small intestine in genetically susceptible individuals in response to gluten administration. In CD morphology, atrophy is the result of increased enterocyte apoptosis due to autoimmune inflammation. Since the enterocyte is an anatomical and functional unit of the mucous membrane of the small intestine, responsible for the barrier function and for the absorption of nutrients, to understand the pathogenesis of CD, the study of the processes of restoration of the mucosa is of paramount importance. Antibodies to tissue transglutaminase, antibodies to deamidated gliadin peptides, antibodies to endomysium, which are used to monitor disease activity and represent the body's immune response, can only indirectly indicate the degree of damage/recovery of enterocytes. During histological examination it is not always possible to assess the degree of damage at the cellular level, taking into account the complexity of the interpretation of morphological changes and patchiness of mucosa damage. In recent years, researchers have paid much attention to new markers of mucosa permeability, which include: I-FABP − a marker reflecting damage to enterocytes, citrulline − a marker of the functional mass of enterocytes, zonulin − a marker of increased mucosa permeability and alpha-1-antitrypsin − a marker reflecting the failure of the barrier function of the small intestine and protein loss. Using of these markers will help optimize the algorithm for non-invasive diagnostics of CD, improve monitoring of disease activity, and will also usefull for understanding the processes of mucosa recovery.

scholarly journals THE MORPHOLOGICAL FEATURES OF THE LIVER WOUND SURFACE AFTER ITS CLOSURE WITH VARIOUS MATERIALS IN EXPERIMENT

2016 ◽  
pp. 67-73
Author(s):  
V. V. Kudlo ◽  
N. I. Prokopchyk ◽  
I. G. Zhuk
Keyword(s):  
Morphological Changes ◽  
Abdominal Cavity ◽  
Statistical Processing ◽  
Greater Omentum ◽  
Wound Surface ◽  
Connective Tissue Capsule ◽  
Multinucleated Cells ◽  
White Rats ◽  
Group A ◽  
Tissue Capsule

Objective: to study the morphological changes occurring after closure of the liver wound with omentum and fragment of the synthetic material fluoroplastis-4 in experiment. Material and methods. Modeling of the marginal resection of the liver was performed on white rats in experiment. Depending on the material used for the plastic closure of the wound surface, the experimental animals were divided into two groups (comparative and experimental): in the 1st group, a strand of omentum on the vascular pedicle was used, in the 2nd - a fragment of fluoroplastic-4. After the rats had been excluded from the experiment, the macroscopic changes in the abdominal cavity were evaluated and sampling from the surgery zone for the manufacture of histological preparations and study by means of light microscopy was done. Morphometric studies were carried out with the statistical processing of the received data. Results. Using greater omentum in late terms after the operation we detect adhesions within the area of the resection, presence of newly formed capsules of the liver under the omentum and no signs of inflammation. At the microscopic level, the key feature of the use of fluoroplastic-4 is the formation of a connective tissue capsule around the material. Another characteristic feature of its use is presence of giant multinucleated cells of foreign bodies on the boundary «polymer-liver». Conclusion. The experimental study demonstrates the viability and morphological substantiation of application of synthetic polymer fluoroplastic-4 as an alternative method of closure of the liver wound surface after resection.

scholarly journals THE CHARACTERISTIC OF ENERGY METABOLISM OF THE SMALL INTESTINE OF INTACT RATS

2015 ◽  
pp. 61-64
Author(s):  
N. S. Myshkavets ◽  
A. I. Gritsuk
Keyword(s):  
Small Intestine ◽  
Oxidative Phosphorylation ◽  
Mucous Membrane ◽  
Unsaturated Fatty Acids ◽  
White Male ◽  
Male Rats ◽  
Tissue Respiration ◽  
Metabolic Functions ◽  
White Rats ◽  
Energy Dependent

Objective: to study the indicators of tissue respiration and oxidative phosphorylation of the rings of the mucous membrane of the duodenum intact in white rats. Material and methods. We used white male rats with body mass of 180-230 g. The parameters of tissue respiration and oxidative phosphorylation were studied by the polarographic method on the device «Record 4». Results. The work gives the characteristic of the key parametres of tissue respiration and oxidative phosphorylation of the mucous membrane of the small intestine of intact white rats. It shows high respiratory activity both on endogenous, and exogenous substrates, which is caused by the fact that the small intestine perform a great number of energy-dependent metabolic functions. Conclusion. Saturated and unsaturated fatty acids make a great contribution to the energy properties of the small intestine. The intensity of tissue respiration and oxidative phosphorylation of the mucous membrane of the small intestine is consistent with other aerobic tissues.

scholarly journals STATUS OF THE HUMORAL LINK OF IMMUNITY AT EXPERIMENTAL PERITONITIS ON THE BACKGROUND OF DIABETES MELLITUS

2019 ◽  
pp. 43-48
Author(s):  
I. Ya. Dzyubanovsky ◽  
B. M. Vervega ◽  
S. R. Pidruchna ◽  
S. R. Melnyk ◽  
A. M. Prodan
Keyword(s):  
Diabetes Mellitus ◽  
Humoral Immunity ◽  
Abdominal Cavity ◽  
Intraperitoneal Administration ◽  
Observation Time ◽  
Secondary Immunodeficiency ◽  
Acute Peritonitis ◽  
White Rats ◽  
Fecal Suspension ◽  
Ig G

Introduction. The combined course of acute peritonitis and diabetes increasingly leads to the development of secondary immunodeficiencies, which contribute to an increase in the percentage of postoperative complications and fatalities, the emergence of complexity of treatment and diagnosis. The aim of the study – to learn the peculiarities of humoral link of the immune response in the organism of experimental animals during simulated acute common peritonitis on the background of diabetes mellitus compared with animals with experimental acute peritonitis alone. Reserch Methods. 56 white rats were used in this work. Diabetes mellitus was modeled by intraperitoneal administration of Srethosotocin from “Sigma” firm with the rate of 7 mg per 100 g of animal mass, acute peritonitis – insertion of 0.5 ml of 10 % of the captured fecal suspension into the abdominal cavity of the animals. The concentration of immunoglobulins in serum was determined. Observation time points: 1, 3, and 7 days from the beginning of the peritonitis modeling. Results and Discussion. Analyzing the results of studies, it can be stated that there were observed directed changes in the concentration of immunoglobulins in blood serum of rats of different groups. Thus, on the first day after simulating acute common peritonitis on the background of diabetes, the level of Ig G decreased by 1.5 times, Ig M – by 1.3 times and Ig A – by 1.4 times (p<0.05). On the seventh day of the experiment, levels of all classes of immunoglobulins were statistically significantly lower than those of the group with acute common peritonitis: Ig G level was lower by 21 %, Ig M and Ig A were lower by 17 % and 56 % respectively (p<0.05). The results of our studies indicate that the presence of diabetes in acute general peritonitis leads to a decrease in the resistance of the humoral level of the immune system with antigenic stimulation and secondary immunodeficiency states. Conclusion. In animals with acute peritonitis, protective mechanisms of the humoral immunity level are substantially reduced on the background of diabetes, which is confirmed by statistically significantly lower levels of immunoglobulins of classes A, M, G compared to a group of animals with a pattern of acute peritonitis. The revealed functional impairment of humoral immunity indicates an appreciable weakening of the organism's protection factors in acute peritonitis on the background of diabetes mellitus with the development of secondary immunodeficiency.

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