Histological examination of the small intestine in rats in experimental modeling of acute generalized peritonitis against the background of streptozotocin-induced diabetes mellitus

The topicality of acute generalized peritonitis (AGP) against the background of diabetes mellitus is due to the prevalence of endocrine disease and high mortality in the altered course of the inflammatory process of the peritoneum as a result of hyperglycemia. The severity of this combined pathology...

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Main Author: B.M. Verveha
Format: Article
Language:English
Published: I. Horbachevsky Ternopil National Medical University 2021-04-01
Series:Вісник медичних і біологічних досліджень
Subjects:
Online Access:https://bmbr.com.ua/en/journals/tom-8-2-2021/gistologichne-doslidzhennya-tonkoyi-kishki-u-shchuriv-pri-eksperimentalnomu-modelyuvanni-gostrogo-poshirenogo-peritonitu-na-foni-streptozototsinindukovanogo-tsukrovogo-diabetu
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author B.M. Verveha
author_facet B.M. Verveha
author_sort B.M. Verveha
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description The topicality of acute generalized peritonitis (AGP) against the background of diabetes mellitus is due to the prevalence of endocrine disease and high mortality in the altered course of the inflammatory process of the peritoneum as a result of hyperglycemia. The severity of this combined pathology caused to the progression of enteral insufficiency, which is accompanied by pronounced morphological changes in the wall of the small intestine, and is the gateway to bacterial contamination. The aim of the study – to research the morphological changes of the small intestine in the dynamics of experimental modeling of AGP against the background of streptozotocin (STZ)-induced diabetes. Materials and Methods. The experiment was performed on 48 white male rats. Diabetes mellitus in experimental animals was simulated by a single intraperitoneal injection of streptozotocin (Sigma) at the dose of 60 mg/kg, AGP was simulated by injecting of 0.5 ml of 10 % filtered fecal suspension into the abdominal cavity. The control group consisted of white rats (n=8), which were injected subcutaneously with saline 0.9 % NaCl (sodium chloride). A morphological study of the small intestine were performed on the first, third and seventh days of acute peritonitis on the background of concomitant diabetes mellitus. Results. The development of AGP on the background of hyperglycemia is characterized by the appearance of dystrophic changes in the cells of the small intestinal mucosa, the severity of which increases depending on the stage of development of peritonitis. It should be noted that on the 7th day of experimental modeling of this combined pathology revealed signs of vacuolar dystrophy of the myocytes, which indicates the development of a pathological process in all layers of intestine. The tendency to decrease the functional activity of the mucous membrane (decrease in the thickness and decrease in the height of the villi and the depth of the crypts) is observed during all stages of acute peritonitis. Dystrophic changes of the epithelium and muscular membrane, exudative inflammation and circulatory disorders create conditions for impaired peristalsis and translocation of intestinal microflora into the systemic circulation. Conclusions. The course of AGP on the background of STZ-induced diabetes is characterized by the appearance of dystrophic changes in the cells of the mucosa and muscular layer of the small intestine. Decreased functional activity of the mucous membrane of the small intestine and the progression of alterative and exudative changes in its wall lead to intestinal paresis and subsequent translocation of pathogenic microflora into the systemic circulation and abdominal cavity
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spelling doaj.art-08db6cdfbe1a4991b95b890c57e3916d2024-08-16T09:22:38ZengI. Horbachevsky Ternopil National Medical UniversityВісник медичних і біологічних досліджень2706-62822706-62902021-04-0132111510.11603/bmbr.2706-6290.2021.2.12163129Histological examination of the small intestine in rats in experimental modeling of acute generalized peritonitis against the background of streptozotocin-induced diabetes mellitusB.M. Verveha0Danylo Halytsky Lviv National Medical UniversityThe topicality of acute generalized peritonitis (AGP) against the background of diabetes mellitus is due to the prevalence of endocrine disease and high mortality in the altered course of the inflammatory process of the peritoneum as a result of hyperglycemia. The severity of this combined pathology caused to the progression of enteral insufficiency, which is accompanied by pronounced morphological changes in the wall of the small intestine, and is the gateway to bacterial contamination. The aim of the study – to research the morphological changes of the small intestine in the dynamics of experimental modeling of AGP against the background of streptozotocin (STZ)-induced diabetes. Materials and Methods. The experiment was performed on 48 white male rats. Diabetes mellitus in experimental animals was simulated by a single intraperitoneal injection of streptozotocin (Sigma) at the dose of 60 mg/kg, AGP was simulated by injecting of 0.5 ml of 10 % filtered fecal suspension into the abdominal cavity. The control group consisted of white rats (n=8), which were injected subcutaneously with saline 0.9 % NaCl (sodium chloride). A morphological study of the small intestine were performed on the first, third and seventh days of acute peritonitis on the background of concomitant diabetes mellitus. Results. The development of AGP on the background of hyperglycemia is characterized by the appearance of dystrophic changes in the cells of the small intestinal mucosa, the severity of which increases depending on the stage of development of peritonitis. It should be noted that on the 7th day of experimental modeling of this combined pathology revealed signs of vacuolar dystrophy of the myocytes, which indicates the development of a pathological process in all layers of intestine. The tendency to decrease the functional activity of the mucous membrane (decrease in the thickness and decrease in the height of the villi and the depth of the crypts) is observed during all stages of acute peritonitis. Dystrophic changes of the epithelium and muscular membrane, exudative inflammation and circulatory disorders create conditions for impaired peristalsis and translocation of intestinal microflora into the systemic circulation. Conclusions. The course of AGP on the background of STZ-induced diabetes is characterized by the appearance of dystrophic changes in the cells of the mucosa and muscular layer of the small intestine. Decreased functional activity of the mucous membrane of the small intestine and the progression of alterative and exudative changes in its wall lead to intestinal paresis and subsequent translocation of pathogenic microflora into the systemic circulation and abdominal cavityhttps://bmbr.com.ua/en/journals/tom-8-2-2021/gistologichne-doslidzhennya-tonkoyi-kishki-u-shchuriv-pri-eksperimentalnomu-modelyuvanni-gostrogo-poshirenogo-peritonitu-na-foni-streptozototsinindukovanogo-tsukrovogo-diabetuacute generalized peritonitisstreptozotocin-induced diabetes mellitusmorphological changes of the small intestine
spellingShingle B.M. Verveha
Histological examination of the small intestine in rats in experimental modeling of acute generalized peritonitis against the background of streptozotocin-induced diabetes mellitus
Вісник медичних і біологічних досліджень
acute generalized peritonitis
streptozotocin-induced diabetes mellitus
morphological changes of the small intestine
title Histological examination of the small intestine in rats in experimental modeling of acute generalized peritonitis against the background of streptozotocin-induced diabetes mellitus
title_full Histological examination of the small intestine in rats in experimental modeling of acute generalized peritonitis against the background of streptozotocin-induced diabetes mellitus
title_fullStr Histological examination of the small intestine in rats in experimental modeling of acute generalized peritonitis against the background of streptozotocin-induced diabetes mellitus
title_full_unstemmed Histological examination of the small intestine in rats in experimental modeling of acute generalized peritonitis against the background of streptozotocin-induced diabetes mellitus
title_short Histological examination of the small intestine in rats in experimental modeling of acute generalized peritonitis against the background of streptozotocin-induced diabetes mellitus
title_sort histological examination of the small intestine in rats in experimental modeling of acute generalized peritonitis against the background of streptozotocin induced diabetes mellitus
topic acute generalized peritonitis
streptozotocin-induced diabetes mellitus
morphological changes of the small intestine
url https://bmbr.com.ua/en/journals/tom-8-2-2021/gistologichne-doslidzhennya-tonkoyi-kishki-u-shchuriv-pri-eksperimentalnomu-modelyuvanni-gostrogo-poshirenogo-peritonitu-na-foni-streptozototsinindukovanogo-tsukrovogo-diabetu
work_keys_str_mv AT bmverveha histologicalexaminationofthesmallintestineinratsinexperimentalmodelingofacutegeneralizedperitonitisagainstthebackgroundofstreptozotocininduceddiabetesmellitus