title: [Mesenteric flow in an experimental model of ischaemia-reperfusion in rats].
abstract: BACKGROUND
  Maintained acute occlusion followed by reperfusion of the superior mesenteric artery (SMA) in a few hours can trigger irreversible bowel damage. The aim of the study was to determine the changes in mesenteric flow measured by colour Doppler Ultrasound and correlating with histological lesions in an experimental model of ischaemia-reperfusion.
  
  
  METHODS
  Three groups of Sprague-Dawley 17 day-old rats were studied (control, ischemia and reperfusion). The model used was ischaemia-reperfusion over the SMA. Intra-abdominal ultrasound was then performed. The parameters recorded were: Maximum systolic velocity (MSV), pulsatility index (PI), resistance (RI) and systole-diastole (S/D). The histological variables were: intestinal lesion (Wallace/Keenan-Chiu scale), morphometrics (mean villus height [MVH]), and goblet cells. The Spearman (rs) correlation was used.
  
  
  RESULTS
  The MSV in the reperfusion group was 74.3 cm/s, the PI 7.33 and S/D 25.75 in the SMA, which were higher than the controls (41.35 cm/s; 3.12 and 12.45, respectively). A direct association (P<.01) was found between MSV, PI and S/D regarding: Wallace/Kennan scoring system (rs = 0.655; rs = 0.593; rs = 0.63) and the Chiu (rs = 0.569; rs = 0.522; rs = 0.47). While the correlation was the reverse (P<.01) when associated with the MVH (rs = -0,495; rs = -0,452; rs = -0,459) and goblet cells of the colon (rs = -0,525; rs = -0,45; rs = -0,518).
  
  
  CONCLUSIONS
  The reperfusion phase increased mesenteric flow expressed by the MSV and PI and could significantly predict the potential bowel damage at macroscopic and microscopic level.
authors.affiliation: Servicio de Cirugía Pediátrica, Hospital Sant Joan de Déu, Esplugues de Llobregat, Barcelona, España. Electronic address: fcaceres@hsjdbcn.org.
authors.forename: F
authors.initials: F
authors.lastname: Cáceres
authors.affiliation: Servicio de Cirugía Pediátrica, Hospital Sant Joan de Déu, Esplugues de Llobregat, Barcelona, España; Sección de Cirugía Neonatal, Hospital Sant Joan de Déu, Esplugues de Llobregat, Barcelona, España.
authors.forename: M
authors.initials: M
authors.lastname: Castañon
authors.affiliation: Servicio de Cirugía Pediátrica, Hospital Sant Joan de Déu, Esplugues de Llobregat, Barcelona, España.
authors.forename: J
authors.initials: J
authors.lastname: Lerena
authors.affiliation: Servicio de Anatomía Patológica, Hospital Sant Joan de Déu, Esplugues de Llobregat, Barcelona, España.
authors.forename: V
authors.initials: V
authors.lastname: Cusi
authors.affiliation: Servicio de Diagnóstico por la Imagen, Hospital Sant Joan de Déu, Esplugues de Llobregat, Barcelona, España.
authors.forename: J
authors.initials: J
authors.lastname: Badosa
authors.affiliation: Cátedra de Pediatría, Universidad de Barcelona, Hospital Sant Joan de Déu, Universidad de Barcelona, Esplugues de Llobregat, Barcelona, España.
authors.forename: L
authors.initials: L
authors.lastname: Morales
mesh_terms: D000818:Animals; D004195:Disease Models, Animal; D017538:Mesenteric Artery, Superior; D008643:Mesentery / Q000098:blood supply*; D051381:Rats; D017207:Rats, Sprague-Dawley; D012039:Regional Blood Flow; D015427:Reperfusion Injury / Q000000981:diagnostic imaging / Q000473:pathology / Q000503:physiopathology*; D018615:Ultrasonography, Doppler, Color
keywords: Ecografía; Ischaemia; Isquemia; Mesenteric flow; Mesentérico; Rat; Rata; Reperfusion; Reperfusión; Ultrasound