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一种用于抗胃食管反流病医疗器械初步功能评估的新型酸诱导猪食管损伤模型。

A novel porcine model of acid-induced esophageal damage for preliminary functional evaluations of anti-gastroesophageal reflux disease medical devices.

作者信息

Ventrella Domenico, Salaroli Roberta, Elmi Alberto, Carnevali Giacomo, Forni Monica, Baldi Fabio, Bacci Maria Laura

机构信息

Department of Veterinary Medical Sciences, University of Bologna, Ozzano dell'Emilia (BO), Italy.

Center for the Study of Diseases of the Esophagus, University of Bologna, Bologna, Italy.

出版信息

Vet World. 2020 Dec;13(12):2728-2735. doi: 10.14202/vetworld.2020.2728-2735. Epub 2020 Dec 21.

DOI:10.14202/vetworld.2020.2728-2735
PMID:33487991
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7811544/
Abstract

AIM

The aim of the study was to set up a porcine model of acid-induced damage and to evaluate its performance by means of multichannel intraluminal impedance and pH (MII-pH) live recording, histology, and Evans blue (EB) permeability assay.

MATERIALS AND METHODS

Thirteen esophagi, collected at a slaughterhouse, were ablated of their sphincters, pinned upright on a support, and placed in a thermostatic hood at 37°C with two infusion tubes and an MII-pH probe inserted in the top end. Three esophagi (histology controls) were only left in the hood for 3.5 h before sampling, while the remaining organs underwent the experimental protocol including saline infusion and recovery recording, and acid solution infusion and recovery recording.

RESULTS

MII-pH analysis highlighted a significantly stronger decrease during acid infusion when compared to saline, but a better post-infusion recovery for saline solution. At the end of the protocol, MII was still statistically lower than baseline. The acid-damaged esophagi significantly absorbed more EB dye, and histology revealed strong mucosal exfoliation.

CONCLUSION

The proposed model of esophageal acid damage seems to be repeatable, reliable, and achievable using organs collected at the slaughterhouse. MII recording proved to have good sensitivity in detecting mucosal alterations also in trials.

摘要

目的

本研究的目的是建立一个酸诱导损伤的猪模型,并通过多通道腔内阻抗和pH值(MII-pH)实时记录、组织学检查和伊文思蓝(EB)通透性测定来评估其性能。

材料与方法

从屠宰场收集13个食管,切除其括约肌,垂直固定在支架上,置于37°C的恒温箱中,在顶端插入两根输液管和一个MII-pH探头。三个食管(组织学对照)仅在恒温箱中放置3.5小时后取样,其余器官进行实验方案,包括生理盐水输注和恢复记录,以及酸溶液输注和恢复记录。

结果

MII-pH分析显示,与生理盐水相比,酸输注期间下降明显更强烈,但生理盐水溶液输注后恢复更好。在实验方案结束时,MII在统计学上仍低于基线。酸损伤的食管显著吸收更多的EB染料,组织学检查显示黏膜有强烈的剥脱。

结论

所提出的食管酸损伤模型似乎是可重复的、可靠的,并且使用在屠宰场收集的器官即可实现。MII记录在试验中也被证明在检测黏膜改变方面具有良好的敏感性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/35e9/7811544/4db0373a7c18/Vetworld-13-2728-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/35e9/7811544/8e93fba267ad/Vetworld-13-2728-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/35e9/7811544/67ebbaa59b9f/Vetworld-13-2728-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/35e9/7811544/d3ef7792812c/Vetworld-13-2728-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/35e9/7811544/5b26440114d8/Vetworld-13-2728-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/35e9/7811544/e26b1143529a/Vetworld-13-2728-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/35e9/7811544/4db0373a7c18/Vetworld-13-2728-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/35e9/7811544/8e93fba267ad/Vetworld-13-2728-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/35e9/7811544/67ebbaa59b9f/Vetworld-13-2728-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/35e9/7811544/d3ef7792812c/Vetworld-13-2728-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/35e9/7811544/5b26440114d8/Vetworld-13-2728-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/35e9/7811544/e26b1143529a/Vetworld-13-2728-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/35e9/7811544/4db0373a7c18/Vetworld-13-2728-g006.jpg

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