title: Acid secretion in urinary bladder of rats subjected to gastrocystoplasty.
abstract: Urinary bladder augmentation with a segment of the stomach, i.e., gastrocystoplasty, has been used to improve capacity and compliance in patients with bladder dysfunction. In the present study, rats were subjected to gastrocystoplasty (using the oxyntic segment) with or without fundectomy (removal of the oxyntic part of stomach), and the acid secretion in the augmented bladder was measured. In freely fed rats, the pH values were neutral and not significantly decreased in the rats subjected to gastrocystoplasty with or without fundectomy compared to controls (no operation or sham operation). In response to food intake after being fasted, the rats subjected to gastocystoplasty + fundectomy produced significant amounts of acid. Immunohistochemical examination revealed that the ECL cells and parietal cells seemed to be normal in rats with gastrocystoplasty alone, and that micronodules of ECL appeared to develop in rats with gastrocystoplasty + fundectomy. We suggest that the rats subjected to gastrocystoplasty + fundectomy are capable of producing acid secretion in the bladder, probably due to the secretagogue and trophic effects of gastrin on the ECL cells in the segment of the oxyntic mucosal segment of the bladder.
authors.affiliation: Department of Surgery, St. Olav's Hospital, University Hospital Trondheim, Olav Kyrres gate 17, 7006 Trondheim, Norway.
authors.forename: Carl-Jørgen
authors.initials: CJ
authors.lastname: Arum
authors.forename: Reidar Alexander
authors.initials: RA
authors.lastname: Vigen
authors.forename: Björn
authors.initials: B
authors.lastname: Karlsson
authors.forename: Karin
authors.initials: K
authors.lastname: Tømmerås
authors.forename: Chun-Mei
authors.initials: CM
authors.lastname: Zhao
authors.forename: Duan
authors.initials: D
authors.lastname: Chen
mesh_terms: D000818:Animals; D004435:Eating / Q000502:physiology; D019861:Enterochromaffin-like Cells / Q000378:metabolism / Q000473:pathology / Q000637:transplantation; D005260:Female; D005748:Gastric Fundus / Q000378:metabolism / Q000503:physiopathology / Q000601:surgery; D005750:Gastric Juice / Q000378:metabolism*; D019863:Gastrin-Secreting Cells / Q000378:metabolism / Q000637:transplantation; D017506:H(+)-K(+)-Exchanging ATPase / Q000378:metabolism; D006640:Histidine Decarboxylase / Q000378:metabolism; D006863:Hydrogen-Ion Concentration; D007150:Immunohistochemistry / Q000379:methods; D010295:Parietal Cells, Gastric / Q000378:metabolism / Q000637:transplantation; D051381:Rats; D017207:Rats, Sprague-Dawley; D015996:Survival Rate; D013997:Time Factors; D001743:Urinary Bladder / Q000378:metabolism* / Q000503:physiopathology / Q000601:surgery; D014554:Urination; D013520:Urologic Surgical Procedures / Q000379:methods* / Q000401:mortality
chemical_list: D017506:H(+)-K(+)-Exchanging ATPase; D006640:Histidine Decarboxylase