Adaptation Processes of the Remaining Jejunum or Ileum after Extensive Intestinal Resection

Purpose To compare the adaptation processes of the remaining jejunum or ileum after extensive intestinal resection in a growing animal model. Materials and Methods Forty 21-day old rats were divided into four groups: JG: remaining jejunum group – ileal enterectomy; IG: ileum remaining group – jejunu...

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Main Authors: Affonso Flávio Jorge Mussolino, Ana Cristina Aoun Tannuri, Josiane de Oliveira Gonçalves, Suellen Serafini, Uenis Tannuri
Format: Article
Language:English
Published: Taylor & Francis Group 2022-04-01
Series:Journal of Investigative Surgery
Subjects:
Online Access:http://dx.doi.org/10.1080/08941939.2021.1963355
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author Affonso Flávio Jorge Mussolino
Ana Cristina Aoun Tannuri
Josiane de Oliveira Gonçalves
Suellen Serafini
Uenis Tannuri
author_facet Affonso Flávio Jorge Mussolino
Ana Cristina Aoun Tannuri
Josiane de Oliveira Gonçalves
Suellen Serafini
Uenis Tannuri
author_sort Affonso Flávio Jorge Mussolino
collection DOAJ
description Purpose To compare the adaptation processes of the remaining jejunum or ileum after extensive intestinal resection in a growing animal model. Materials and Methods Forty 21-day old rats were divided into four groups: JG: remaining jejunum group – ileal enterectomy; IG: ileum remaining group – jejunum enterectomy; SHAM: sham-operated group – open-and-close laparotomy; and NO: non-operated animals. Results After 3 weeks, JG and IG animals had decreased weights comparing to SHAM and NO animals (p = 0.017 and p = 0.005, respectively). The histomorphometric analysis showed that in JG animals the villi were higher than in SHAM, NO, and IG animals (p = 0.007, p = 0.008, and p = 0.01), the depth of crypts in JG and IG animals was greater than in NO and SHAM animals (p = 0.03, p = 0.002, and p = 0.003 respectively), and muscle layer thickness of the jejunum of JG animals had values greater than SHAM and NO animals (p = 0.01 and p = 0.02, respectively). The Ki-67 expression in the ileum was higher in comparison with the jejunum (p = 0.014). The pro-apoptotic gene (Bax) expression was decreased in JG animals compared to IG, SHAM, and NO animals (p = 0.013, p = 0.024, and p = 0.021). The anti-apoptotic gene (Bcl-XL) expression was decreased in JG animals in comparison to IG and NO animals (p = 0.002 and p = 0.046) although it was increased in the colon of IG animals in comparison to JG, SHAM, and NO animals (p = 0.002, p = 0.001, and p = 0.001, respectively). The Bax/Bcl-XL ratio was higher in JG than in IG animals (p = 0.011). Conclusion Adaptive responses seemed to be more effective in the ileum than in the jejunum.
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spelling doaj.art-8acc26192aee4b5a9e5c21e5ff688f872023-09-15T10:21:28ZengTaylor & Francis GroupJournal of Investigative Surgery0894-19391521-05532022-04-0135479380010.1080/08941939.2021.19633551963355Adaptation Processes of the Remaining Jejunum or Ileum after Extensive Intestinal ResectionAffonso Flávio Jorge Mussolino0Ana Cristina Aoun Tannuri1Josiane de Oliveira Gonçalves2Suellen Serafini3Uenis Tannuri4Pediatric Surgery Division, Pediatric Liver Transplantation Unit and Laboratory of Research in Pediatric Surgery (LIM 30), University of Sao Paulo Medical SchoolPediatric Surgery Division, Pediatric Liver Transplantation Unit and Laboratory of Research in Pediatric Surgery (LIM 30), University of Sao Paulo Medical SchoolPediatric Surgery Division, Pediatric Liver Transplantation Unit and Laboratory of Research in Pediatric Surgery (LIM 30), University of Sao Paulo Medical SchoolPediatric Surgery Division, Pediatric Liver Transplantation Unit and Laboratory of Research in Pediatric Surgery (LIM 30), University of Sao Paulo Medical SchoolPediatric Surgery Division, Pediatric Liver Transplantation Unit and Laboratory of Research in Pediatric Surgery (LIM 30), University of Sao Paulo Medical SchoolPurpose To compare the adaptation processes of the remaining jejunum or ileum after extensive intestinal resection in a growing animal model. Materials and Methods Forty 21-day old rats were divided into four groups: JG: remaining jejunum group – ileal enterectomy; IG: ileum remaining group – jejunum enterectomy; SHAM: sham-operated group – open-and-close laparotomy; and NO: non-operated animals. Results After 3 weeks, JG and IG animals had decreased weights comparing to SHAM and NO animals (p = 0.017 and p = 0.005, respectively). The histomorphometric analysis showed that in JG animals the villi were higher than in SHAM, NO, and IG animals (p = 0.007, p = 0.008, and p = 0.01), the depth of crypts in JG and IG animals was greater than in NO and SHAM animals (p = 0.03, p = 0.002, and p = 0.003 respectively), and muscle layer thickness of the jejunum of JG animals had values greater than SHAM and NO animals (p = 0.01 and p = 0.02, respectively). The Ki-67 expression in the ileum was higher in comparison with the jejunum (p = 0.014). The pro-apoptotic gene (Bax) expression was decreased in JG animals compared to IG, SHAM, and NO animals (p = 0.013, p = 0.024, and p = 0.021). The anti-apoptotic gene (Bcl-XL) expression was decreased in JG animals in comparison to IG and NO animals (p = 0.002 and p = 0.046) although it was increased in the colon of IG animals in comparison to JG, SHAM, and NO animals (p = 0.002, p = 0.001, and p = 0.001, respectively). The Bax/Bcl-XL ratio was higher in JG than in IG animals (p = 0.011). Conclusion Adaptive responses seemed to be more effective in the ileum than in the jejunum.http://dx.doi.org/10.1080/08941939.2021.1963355animal modelexperimental surgerypediatric surgeryintestinegastroenterologyabdominal surgery
spellingShingle Affonso Flávio Jorge Mussolino
Ana Cristina Aoun Tannuri
Josiane de Oliveira Gonçalves
Suellen Serafini
Uenis Tannuri
Adaptation Processes of the Remaining Jejunum or Ileum after Extensive Intestinal Resection
Journal of Investigative Surgery
animal model
experimental surgery
pediatric surgery
intestine
gastroenterology
abdominal surgery
title Adaptation Processes of the Remaining Jejunum or Ileum after Extensive Intestinal Resection
title_full Adaptation Processes of the Remaining Jejunum or Ileum after Extensive Intestinal Resection
title_fullStr Adaptation Processes of the Remaining Jejunum or Ileum after Extensive Intestinal Resection
title_full_unstemmed Adaptation Processes of the Remaining Jejunum or Ileum after Extensive Intestinal Resection
title_short Adaptation Processes of the Remaining Jejunum or Ileum after Extensive Intestinal Resection
title_sort adaptation processes of the remaining jejunum or ileum after extensive intestinal resection
topic animal model
experimental surgery
pediatric surgery
intestine
gastroenterology
abdominal surgery
url http://dx.doi.org/10.1080/08941939.2021.1963355
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AT josianedeoliveiragoncalves adaptationprocessesoftheremainingjejunumorileumafterextensiveintestinalresection
AT suellenserafini adaptationprocessesoftheremainingjejunumorileumafterextensiveintestinalresection
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