Experimental model with bilioenteric anastomosis in rats--technique and significance.
A simple technique of hepaticojejunostomy in rats is introduced in this paper and its suitability for use as an experimental model was evaluated histologically. Hepaticojejunostomy was performed as follows; the stump of the supra-pancreatic common bile duct (CBD), detached from adjacent tissue, was introduced into the jejunal lumen using the outer catheter previously inserted into the jejunum, and the jejunal wall close to the implantation site of the CBD was fixed to the porta hepatitis with a suture. Among 40 rats in which hepaticojejunostomy was performed, the postoperative mortality rate was 17.5%. The remaining experimental animals (33 rats, 82.5%) survived for the duration of this study. The rats were sacrificed at 3, 5, 8, and 12 months after surgery, and liver function tests, macroscopic and histological studies of the biliary tract were carried out. No signs of cholangitis or liver abscess were noted in any experimental animals during this period. The median values of liver function tests were within normal limits in almost all of the experimental rats. The anastomotic stoma was also patent, and free drainage of bile was noted, but the bile duct proximal to the site of anastomosis was generally macroscopically dilated. Histologically, epithelial hyperplasia and fibrous thickening of the wall accompanied by inflammatory cell infiltration were noted in the rats sacrificed at 3 and 5 months postoperatively. Marked hyperplasia of mucous glands, goblet cell metaplasia and atypical epithelium were usually seen in the rats killed at 8 months and 12 months after surgery.(ABSTRACT TRUNCATED AT 250 WORDS)
Nagai
T
T
Department of Surgery, Teikyo University Hospital, Mizonokuchi, Japan.
Yamakawa
T
T
D000714:Anastomosis, Surgical / Q000379:methods; D000818:Animals; D003135:Common Bile Duct / Q000473:pathology / Q000601:surgery*; D005500:Follow-Up Studies; D006965:Hyperplasia; D007583:Jejunum / Q000601:surgery*; D008297:Male; D008954:Models, Biological; D009092:Mucous Membrane / Q000473:pathology; D011183:Postoperative Complications; D051381:Rats; D017208:Rats, Wistar