Beneficial effects of prostaglandin E1 on ischemic colitis following surgery on the abdominal aorta

Mikizo Nakai, Hatsuzo Uchida, Toshihito Hanaoka, Satoru Sugiyama, Shunji Sano, Nobuyoshi Shimizu

Research output: Contribution to journalArticlepeer-review

11 Citations (Scopus)

Abstract

To determine the effects of prostaglandin E1 (PGE1) on the intestinal circulation, an experimental dog model of ischemic colitis following abdominal aortic reconstruction was made by ligating the inferior mesenteric artery (IMA) and the internal lilac artery, with the creation of a 50% stenosis in the superior mesenteric artery (SMA). The parameters of enteric ischemia included the blood flow of the SMA, the tissue blood flow in the small intestine and left colon, the mean stump pressure of the IMA (IMAP), and the IMAP/mean systemic blood pressure ratio. With the continuous infusion of 10 ng/kg per minute of PGE1 into the descending thoracic aorta, these values increased significantly on the seventh postoperative day compared with those on the day of operation. These results thus suggest that the continuous intraarterial infusion of PGE1 may reduce ischemic changes in the colon following abdominal aortic reconstruction.

Original languageEnglish
Pages (from-to)1146-1153
Number of pages8
JournalSurgery today
Volume28
Issue number11
DOIs
Publication statusPublished - 1998
Externally publishedYes

Keywords

  • Abdominal aortic surgery
  • Ischemic colitis
  • Laser Doppler flowmetry
  • Prostaglandin E

ASJC Scopus subject areas

  • Surgery

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