Ramírez-Nuñez Wilson Ranú, Almeida Eros Antonio, Ozaki Michiko Regina, Vinagre Adriana Mendes, Collares Edgard Ferro, Fernandes Gilberto D'assunção
Núcleo de Medicina e Cirurgia Experimental (NMCE), Faculdade de Ciências Médicas da Universidade Estadual de Campinas (FCM/Unicamp), São Paulo, Brasil.
Acta Gastroenterol Latinoam. 2006 Mar;36(1):33-7.
Gastric Emptying (GE) is food transition from the stomach to the upper small intestine. Haemodynamics changes modify gastric emptying and the gastroduodenal motor activity. Myocardial Infarction is a pathological condition in which there are haemodynamics changes. Therefore, the objective of the present investigation was to study the effect of acute myocardial infarction on rat gastric emptying of an isosmotic and inert liquid meal. We conducted a study involving male Wistar rats (varying in body weight from 220 g to 250 g), that were allowed to habituate in a laboratory environment and then divided into 3 groups: group INF, rats in which the myocardial infarction was produced by left anterior coronary artery ligation; group SH, rats in which the myocardial infarction was simulated without ligating the anterior coronary artery; and group NA, rats which were not given any anesthesia or surgical procedures. After group constitution, animals were fasted with access to water ad libitum. 24 hours later, the Gastric Retention (GR) of 1.5 ml/100 g animal weight of a test meal of 0.9% NaCl plus the marker phenol red was evaluated. GE was indirectly evaluated in conscious animals, through determining the percentage of gastric retention (% GR) of a test meal, measured 10 minutes after orogastric infusion. Results of the present study showed that animals from the INF group presented GR (median=48.0%), significantly higher than the NA group (30.6%) and SH group (36.6%). No statistical difference in GR was observed between the SH and NA groups. Infarcted area, expressed in percentages, in animals of the INF group was 51.3+/-4.7% (mean SEM, N=17) which not presented correlation with results of GR of the same group (r=-0.05). From a caloric viewpoint, the results suggested that acute myocardial infarct in rats induce delay of the gastric emptying of an isosmotic and inert liquid meal.
胃排空(GE)是指食物从胃向小肠上段的转移。血流动力学变化会改变胃排空以及胃十二指肠运动活性。心肌梗死是一种存在血流动力学变化的病理状态。因此,本研究的目的是探讨急性心肌梗死对大鼠等渗惰性液体餐胃排空的影响。我们进行了一项研究,涉及体重在220克至250克之间的雄性Wistar大鼠,让它们在实验室环境中适应,然后分为3组:INF组,通过结扎左冠状动脉前降支产生心肌梗死的大鼠;SH组,未结扎冠状动脉前降支模拟心肌梗死的大鼠;NA组,未接受任何麻醉或手术操作的大鼠。分组完成后,动物禁食但可自由饮水。24小时后,评估给予每100克动物体重1.5毫升含标记物酚红的0.9%氯化钠测试餐的胃潴留(GR)情况。通过测定经口胃内灌注10分钟后测试餐的胃潴留百分比(%GR),间接评估清醒动物的胃排空情况。本研究结果显示,INF组动物的胃潴留(中位数=48.0%)显著高于NA组(30.6%)和SH组(36.6%)。SH组和NA组之间的胃潴留无统计学差异。INF组动物梗死面积的百分比为51.3±4.7%(平均值±标准误,N = 17),与同组胃潴留结果无相关性(r = -0.05)。从热量角度来看,结果表明大鼠急性心肌梗死会导致等渗惰性液体餐胃排空延迟。