Studies on small intestinal obstruction. 1975

U Ohman

The results of the present study can be summarised by the following answers to the framed questions: (I) Simple small-bowel obstruction in the cat entails predominantly a distension of the intestine, whereas the sustained intraluminal pressure is rather modest, between 5 and 10 mmHg. Spontaneous bowel activity is still present after 72 hours and responds to pharmacologic stimulation (II) Haemodynamic and microcirculatory evaluation in vitro shortly after release of an in vivo obstruction reveals no difference between obstructed and non-obstructed intestine; after decompression, thus any impairment of bowel "viability" caused by obstruction is rapidly ameliorated. (III) A moderate distension of short duration increases regional vascular resistance in non-obstructed intestine but compromises neither capillary filtration rate nor oxygen consumption. Upon a further and considerable distension, both haemodynamic and microcirculatory variables deteriorate in parallel; at an intraluminal pressure of 100mmHg, 30% of the blood flow and probably less than 15% of the perfused capillary surface area are preserved. Thus, the intestinal microcirculation is not interrupted until an 'unphysiologic' distention is applied. (IV) After release of an in vivo obstruction, a considerable distension produces the same circulatory responses as those recorded in non-obstructed intestine, whereas a moderate distension compromises the capillary function in obstructed but not in non-obstructed intestine; it is suggested that this is mainly the result of enhanced bowel-wall distensibility in obstruction. (V) A moderate and sustained distension occasions a 50-60% resistance augmentation in non-obstructed bowel and a 45-50% reduction of the perfused capillary surface area but does not compromise the oxygen uptake; thus, moderate distension involves no threat to bowel microcirculation or 'viability'. The experimental procedure per se entails some degree of resistance augmentation and CFC reduction during a 3-hour perfusion; however, no changes appear during the initial stage, i.e., corresponding to the period of artificial distension...

UI MeSH Term Description Entries
D007421 Intestine, Small The portion of the GASTROINTESTINAL TRACT between the PYLORUS of the STOMACH and the ILEOCECAL VALVE of the LARGE INTESTINE. It is divisible into three portions: the DUODENUM, the JEJUNUM, and the ILEUM. Small Intestine,Intestines, Small,Small Intestines
D008833 Microcirculation The circulation of the BLOOD through the MICROVASCULAR NETWORK. Microvascular Blood Flow,Microvascular Circulation,Blood Flow, Microvascular,Circulation, Microvascular,Flow, Microvascular Blood,Microvascular Blood Flows,Microvascular Circulations
D010101 Oxygen Consumption The rate at which oxygen is used by a tissue; microliters of oxygen STPD used per milligram of tissue per hour; the rate at which oxygen enters the blood from alveolar gas, equal in the steady state to the consumption of oxygen by tissue metabolism throughout the body. (Stedman, 25th ed, p346) Consumption, Oxygen,Consumptions, Oxygen,Oxygen Consumptions
D012039 Regional Blood Flow The flow of BLOOD through or around an organ or region of the body. Blood Flow, Regional,Blood Flows, Regional,Flow, Regional Blood,Flows, Regional Blood,Regional Blood Flows
D002199 Capillary Permeability The property of blood capillary ENDOTHELIUM that allows for the selective exchange of substances between the blood and surrounding tissues and through membranous barriers such as the BLOOD-AIR BARRIER; BLOOD-AQUEOUS BARRIER; BLOOD-BRAIN BARRIER; BLOOD-NERVE BARRIER; BLOOD-RETINAL BARRIER; and BLOOD-TESTIS BARRIER. Small lipid-soluble molecules such as carbon dioxide and oxygen move freely by diffusion. Water and water-soluble molecules cannot pass through the endothelial walls and are dependent on microscopic pores. These pores show narrow areas (TIGHT JUNCTIONS) which may limit large molecule movement. Microvascular Permeability,Permeability, Capillary,Permeability, Microvascular,Vascular Permeability,Capillary Permeabilities,Microvascular Permeabilities,Permeabilities, Capillary,Permeabilities, Microvascular,Permeabilities, Vascular,Permeability, Vascular,Vascular Permeabilities
D002415 Cats The domestic cat, Felis catus, of the carnivore family FELIDAE, comprising over 30 different breeds. The domestic cat is descended primarily from the wild cat of Africa and extreme southwestern Asia. Though probably present in towns in Palestine as long ago as 7000 years, actual domestication occurred in Egypt about 4000 years ago. (From Walker's Mammals of the World, 6th ed, p801) Felis catus,Felis domesticus,Domestic Cats,Felis domestica,Felis sylvestris catus,Cat,Cat, Domestic,Cats, Domestic,Domestic Cat
D005769 Gastrointestinal Motility The motor activity of the GASTROINTESTINAL TRACT. Intestinal Motility,Gastrointestinal Motilities,Intestinal Motilities,Motilities, Gastrointestinal,Motilities, Intestinal,Motility, Gastrointestinal,Motility, Intestinal
D000818 Animals Unicellular or multicellular, heterotrophic organisms, that have sensation and the power of voluntary movement. Under the older five kingdom paradigm, Animalia was one of the kingdoms. Under the modern three domain model, Animalia represents one of the many groups in the domain EUKARYOTA. Animal,Metazoa,Animalia
D001285 Atropine An alkaloid, originally from Atropa belladonna, but found in other plants, mainly SOLANACEAE. Hyoscyamine is the 3(S)-endo isomer of atropine. AtroPen,Atropin Augenöl,Atropine Sulfate,Atropine Sulfate Anhydrous,Atropinol,Anhydrous, Atropine Sulfate,Augenöl, Atropin,Sulfate Anhydrous, Atropine,Sulfate, Atropine
D013997 Time Factors Elements of limited time intervals, contributing to particular results or situations. Time Series,Factor, Time,Time Factor

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