Esophageal ligation: effects on the development of fetal organic systems. 1996

I Karnak, and F C Tanyel, and S Müftüoğlu, and I Unsal, and N Cakar, and N Büyükpamukçu, and A Hiçsönmez
Department of Pediatric Surgery, Hacettepe University, Faculty of Medicine, Ankara, Turkey.

The role of amniotic fluid ingestion on the development of various fetal organic systems was evaluated in the rabbit model. The fetuses from 24 New Zealand white rabbits were studied on the 23rd day of gestation. Right ovarian-end fetuses underwent esophageal ligation (EL) or sham (SH) operations. Rabbits were submitted to hysterectomy on gestational day 30, and various organic systems of live fetuses were examined by weight and histological evaluations. Additionally, small intestinal enzymes were determined. Three fetal deaths, one in EL and two in SH groups, occurred with a total survival rate of 85%. EL resulted in increased amniotic fluid volume. Although fetal body weights (BW), lung, heart, liver and renal weights and liver weight/BW, lung weight/BW ratios did not differ, gastric, small intestinal and total gastrointestinal tract weights significantly decreased in EL group (p < 0.05). Additionally, gastric weight/BW, small intestinal weight/BW, total gastrointestinal tract weight/BW and renal weight/BW ratios were also significantly decreased (p < 0.01). Sucrase and maltase activities were not detectable in either group. Lactase activity in proximal small intestinal tissue was significantly decreased in EL group (p < 0.05). Mid and distal small intestinal tissue lactase activities did not reveal any significant difference among groups. Histologically, alveolar enlargement and alveolar thickening in fetal lungs, decreased glomerular count and tubular degeneration in fetal kidneys, and slight changes in fetal livers such as cellular vacuolization and reduction in central vein count were observed in the fetuses with esophageal ligation. While small intestinal tissues showed no marked changes, fetal stomach tissues in EL group revealed marked histological alterations consistent with erosive gastritis. This study suggests that amniotic fluid ingestion has no important effects on fetal somatic growth but effects the development of various fetal organic systems. Since the nutritional role of amniotic fluid is obscure, changes in amniotic fluid dynamics, and/or impairment of release of some possible fetal organotrophic factors, and/or unused states of the organs may be responsible for the morphologic changes secondary to esophageal ligation.

UI MeSH Term Description Entries
D008297 Male Males
D009929 Organ Size The measurement of an organ in volume, mass, or heaviness. Organ Volume,Organ Weight,Size, Organ,Weight, Organ
D011247 Pregnancy The status during which female mammals carry their developing young (EMBRYOS or FETUSES) in utero before birth, beginning from FERTILIZATION to BIRTH. Gestation,Pregnancies
D011817 Rabbits A burrowing plant-eating mammal with hind limbs that are longer than its fore limbs. It belongs to the family Leporidae of the order Lagomorpha, and in contrast to hares, possesses 22 instead of 24 pairs of chromosomes. Belgian Hare,New Zealand Rabbit,New Zealand Rabbits,New Zealand White Rabbit,Rabbit,Rabbit, Domestic,Chinchilla Rabbits,NZW Rabbits,New Zealand White Rabbits,Oryctolagus cuniculus,Chinchilla Rabbit,Domestic Rabbit,Domestic Rabbits,Hare, Belgian,NZW Rabbit,Rabbit, Chinchilla,Rabbit, NZW,Rabbit, New Zealand,Rabbits, Chinchilla,Rabbits, Domestic,Rabbits, NZW,Rabbits, New Zealand,Zealand Rabbit, New,Zealand Rabbits, New,cuniculus, Oryctolagus
D004064 Digestive System A group of organs stretching from the MOUTH to the ANUS, serving to breakdown foods, assimilate nutrients, and eliminate waste. In humans, the digestive system includes the GASTROINTESTINAL TRACT and the accessory glands (LIVER; BILIARY TRACT; PANCREAS). Ailmentary System,Alimentary System
D004947 Esophagus The muscular membranous segment between the PHARYNX and the STOMACH in the UPPER GASTROINTESTINAL TRACT.
D005260 Female Females
D005314 Embryonic and Fetal Development Morphological and physiological development of EMBRYOS or FETUSES. Embryo and Fetal Development,Prenatal Programming,Programming, Prenatal
D005325 Fetal Organ Maturity Functional competence of specific organs or body systems of the FETUS in utero. Fetal Maturity, Functional,Functional Fetal Maturity,Maturity, Fetal Organ,Maturity, Functional Fetal,Organ Maturity, Fetal
D005865 Gestational Age The age of the conceptus, beginning from the time of FERTILIZATION. In clinical obstetrics, the gestational age is often estimated from the onset of the last MENSTRUATION which is about 2 weeks before OVULATION and fertilization. It is also estimated to begin from fertilization, estrus, coitus, or artificial insemination. Embryologic Age,Fetal Maturity, Chronologic,Chronologic Fetal Maturity,Fetal Age,Maturity, Chronologic Fetal,Age, Embryologic,Age, Fetal,Age, Gestational,Ages, Embryologic,Ages, Fetal,Ages, Gestational,Embryologic Ages,Fetal Ages,Gestational Ages

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