Akin M L, Erenoglu C, Dal A, Erdemoglu A, Elbuken E, Batkin A
Department of General Surgery, Gulhane Military Medical Academy, Haydarpasa Training Hospital, Istanbul, Turkey.
Dig Dis Sci. 2001 Aug;46(8):1657-62. doi: 10.1023/a:1010641201842.
This study was designed to demonstrate bacterial translocation following bile duct ligation and investigate preventive effects of hyperbaric oxygen on obstructive jaundice-related bacterial translocation in an animal model. Hyperbaric oxygen treatment significantly reduced the endogenous colony counts in distal ileum of normal rats both in the short (two days) and long (seven days) term. Endogenous bacteria in distal ileum significantly increased in bile duct ligated rats in the short and long term, and presence of bacterial translocation was proven by bacterial growth in mesenteric lymph nodes, liver, spleen, and blood. Short- and long-term hyperbaric oxygen treatments significantly reduced the intestinal colony counts and prevented the bacterial translocation almost completely in rats with bile duct ligation. It is concluded that obstructive jaundice causes bacterial overgrowth and translocation, and hyperbaric oxygen treatment can prevent both bacterial overgrowth and translocation effectively.
本研究旨在证明胆管结扎后细菌移位的情况,并在动物模型中研究高压氧对梗阻性黄疸相关细菌移位的预防作用。高压氧治疗在短期(两天)和长期(七天)均显著降低了正常大鼠回肠末端的内源性菌落计数。胆管结扎大鼠回肠末端的内源性细菌在短期和长期均显著增加,肠系膜淋巴结、肝脏、脾脏和血液中的细菌生长证明了细菌移位的存在。短期和长期高压氧治疗均显著降低了胆管结扎大鼠的肠道菌落计数,并几乎完全防止了细菌移位。结论是梗阻性黄疸会导致细菌过度生长和移位,而高压氧治疗可有效预防细菌过度生长和移位。