RESUMO
OBJECTIVE: To evaluate the functional response, morbidity and histostructural changes in rats enterectomized and without cecum using two types of syngenic enteral transplants. MATERIAL AND METHODS: Controlled randomized surgical-therapeutic trial. Four groups of male Lewis rats 8-10 weeks old underwent the following procedures: 1. Lethal enteral resection (n = 10). 2. Lethal enteral resection + total yeyuno-ileal transplant (n = 28). 3. Lethal enteral resection + distal segmentary of 40% and cecum transplant (n = 32). 4. Control group (n = 10). RESULTS: 11% of the transplanted animals died due to technical failures; both transplanted groups had a similar proportion of late complications, mostly enteral obstruction. A persistent diarrhea was observed in 20% of the yeyuno-ileal transplanted group, but no significant differences were found between the two groups concerning survival, weight gain, protein and triglycerides serum levels, and a maltose absorption test; villus and crypt hypertrophy was observed in both grafts. The enteral graft integration was followed by structural changes similar to those found in intestinal remnants on deficit conditions after enteral resection. CONCLUSION: The bowel distal segmentary transplant with ileocecal valve and cecum may be a good option in cases of irreversible enteral failure, as the functional response and morbidity are similar to those found with the standard total transplant.
Assuntos
Ceco/transplante , Íleo/transplante , Jejuno/transplante , Síndrome do Intestino Curto/cirurgia , Animais , Glicemia/análise , Ceco/patologia , Diarreia/etiologia , Estudos de Avaliação como Assunto , Íleo/patologia , Absorção Intestinal , Obstrução Intestinal/etiologia , Jejuno/patologia , Lipídeos/sangue , Síndromes de Malabsorção/etiologia , Masculino , Maltose/farmacocinética , Complicações Pós-Operatórias , Distribuição Aleatória , Ratos , Ratos Endogâmicos LewRESUMO
UNLABELLED: The small intestine of the rat shows morphologic and enzymatic changes that are associated with the weaning and may be alternated by the early weaning, however, the morphometric criteria have been disregarded. MATERIAL AND METHODS: In this study, the effects of precocious weaning (15 days) and prolonged weaning (32 days), on the size and number of villi; and crypts of small intestine, were analyzed in rats from 16 to 70 days of age. RESULTS: Precocious weaning increased the size of villi, depth and number of crypts in the duodenum and jejunum, while the number of villi decreased. Pups nursed up to 32 days showed no alterations in the analyzed parameters. However, the ileum showed no alterations with the precocious weaning or prolonged. CONCLUSIONS: These data support the concept of an intrinsic biologic program as control of intestinal development while the change of diet seem to have a modifying role in duodenum and jejunum.