Evaluation of the vascularity of an isolated bowel segment using fluorescein angiography in rats

<b>Aims:</b> An isolated bowel segment (IBS), a viable loop of bowel completely free of its mesenteric attachments, has potential clinical use in bowel lengthening and other techniques. The end point of successful creation of an IBS is the development of adequate collateral circulation....

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Main Authors: Chandrasekharam V.V.S.S, Talwar D, Bhatnagar V
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2007-01-01
Series:Journal of Indian Association of Pediatric Surgeons
Subjects:
Online Access:http://www.jiaps.com/article.asp?issn=0971-9261;year=2007;volume=12;issue=2;spage=65;epage=67;aulast=Chandrasekharam
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author Chandrasekharam V.V.S.S
Talwar D
Bhatnagar V
author_facet Chandrasekharam V.V.S.S
Talwar D
Bhatnagar V
author_sort Chandrasekharam V.V.S.S
collection DOAJ
description <b>Aims:</b> An isolated bowel segment (IBS), a viable loop of bowel completely free of its mesenteric attachments, has potential clinical use in bowel lengthening and other techniques. The end point of successful creation of an IBS is the development of adequate collateral circulation. In this experimental study, we report the use of fluorescein test to demonstrate collateral vascularity of the IBS in rats. A simple technique for the visualization and photography of fluorescein in the tissues is also described. <b> Materials and Methods:</b> In nine Wistar rats, 5 cm of distal ileum was anastomosed side-to-side to 5 cm of proximal colon using 6/0 PDS. In one rat (control), the colon patch was isolated from the rest of the large bowel immediately and fluorescein test was performed. The remaining eight (study group) rats were operated after 8 weeks and the procedure followed as in the control rat. In the last rat, the mesentery of the colon patch was severed; and 2 weeks later, the fluorescein test was performed. <b> Results:</b> The colon patch in the control rat showed complete lack of fluorescence; in the seven rats tested after 8 weeks, patchy fluorescence was demonstrated in the colon patch; and in the last rat, bright fluorescence of the whole patch could be demonstrated within a few seconds following fluorescein injection. <b> Conclusion:</b> This study describes a simple technique for the fluorescein test. The observation that the vascular collaterals were more abundant after mesocolic division was obviously due to the opening up of collaterals over a period of time. The fluorescein test is a rapid and easy test and can be easily reproduced.
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spelling doaj.art-30ca7fa022a849debcf4615824d7ee1b2022-12-22T03:30:10ZengWolters Kluwer Medknow PublicationsJournal of Indian Association of Pediatric Surgeons0971-92612007-01-011226567Evaluation of the vascularity of an isolated bowel segment using fluorescein angiography in ratsChandrasekharam V.V.S.STalwar DBhatnagar V<b>Aims:</b> An isolated bowel segment (IBS), a viable loop of bowel completely free of its mesenteric attachments, has potential clinical use in bowel lengthening and other techniques. The end point of successful creation of an IBS is the development of adequate collateral circulation. In this experimental study, we report the use of fluorescein test to demonstrate collateral vascularity of the IBS in rats. A simple technique for the visualization and photography of fluorescein in the tissues is also described. <b> Materials and Methods:</b> In nine Wistar rats, 5 cm of distal ileum was anastomosed side-to-side to 5 cm of proximal colon using 6/0 PDS. In one rat (control), the colon patch was isolated from the rest of the large bowel immediately and fluorescein test was performed. The remaining eight (study group) rats were operated after 8 weeks and the procedure followed as in the control rat. In the last rat, the mesentery of the colon patch was severed; and 2 weeks later, the fluorescein test was performed. <b> Results:</b> The colon patch in the control rat showed complete lack of fluorescence; in the seven rats tested after 8 weeks, patchy fluorescence was demonstrated in the colon patch; and in the last rat, bright fluorescence of the whole patch could be demonstrated within a few seconds following fluorescein injection. <b> Conclusion:</b> This study describes a simple technique for the fluorescein test. The observation that the vascular collaterals were more abundant after mesocolic division was obviously due to the opening up of collaterals over a period of time. The fluorescein test is a rapid and easy test and can be easily reproduced.http://www.jiaps.com/article.asp?issn=0971-9261;year=2007;volume=12;issue=2;spage=65;epage=67;aulast=ChandrasekharamCollateral circulationcolon patchfluorescein testisolated bowel segment
spellingShingle Chandrasekharam V.V.S.S
Talwar D
Bhatnagar V
Evaluation of the vascularity of an isolated bowel segment using fluorescein angiography in rats
Journal of Indian Association of Pediatric Surgeons
Collateral circulation
colon patch
fluorescein test
isolated bowel segment
title Evaluation of the vascularity of an isolated bowel segment using fluorescein angiography in rats
title_full Evaluation of the vascularity of an isolated bowel segment using fluorescein angiography in rats
title_fullStr Evaluation of the vascularity of an isolated bowel segment using fluorescein angiography in rats
title_full_unstemmed Evaluation of the vascularity of an isolated bowel segment using fluorescein angiography in rats
title_short Evaluation of the vascularity of an isolated bowel segment using fluorescein angiography in rats
title_sort evaluation of the vascularity of an isolated bowel segment using fluorescein angiography in rats
topic Collateral circulation
colon patch
fluorescein test
isolated bowel segment
url http://www.jiaps.com/article.asp?issn=0971-9261;year=2007;volume=12;issue=2;spage=65;epage=67;aulast=Chandrasekharam
work_keys_str_mv AT chandrasekharamvvss evaluationofthevascularityofanisolatedbowelsegmentusingfluoresceinangiographyinrats
AT talward evaluationofthevascularityofanisolatedbowelsegmentusingfluoresceinangiographyinrats
AT bhatnagarv evaluationofthevascularityofanisolatedbowelsegmentusingfluoresceinangiographyinrats