Abstract
Experimental neogut production was achieved in dogs. After 90% enterectomy, an artificial opening on the antimesenteric border of the intestinal remnant was patched with lyophilized human dura. The internal surface of the patch was completely covered by neomucosa within 8 weeks. Histological and morphometric studies showed that the structure of the newly formed mucosa was similar to that of the neighboring mucosa. The submucosal tunica muscularis started regenerating after the 14th week post-patching. Enterization of the dural patch contributes positively to the management of small bowel syndrome (SBS), as evidenced by an increase in body weight. This increase is highly significant statistically (P < 0.001) in the animals with dural patch as compared to control animals. The slower transit time of intestinal contents after patching and the compensatory adaptive processes also result in increasing body weight.
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References
Binnington HB, Siegel BA, Kissane JM, Ternberg JL (1973) A technique to increase jejunal mucosa surface area. J Pediatr Surg 8: 765–769
Binnington HB, Summer H, Lesker P, Alpers DA, Ternberg JL (1974) Functional characteristics of surgically induced jejunal neomucosa. Surgery 75: 805–810
Binnington HB, Tumbleson ME, and Ternberg JL (1975) Use of jejunal neomucosa in the treatment of the short gut syndrome in pigs. J Pediatr Surg 10: 617–621
Currie AB, Doraiswamy NV, Durbin GM (1979) Gastroschisis: lyodura repair. JR Coll Surg Edinb 24: 288–292
Cywes S (1968) The surgical management of massive bowel resection. J Pediatr Surg 3: 740–748
Gaton E, Czernobilsky B, Kraus L, Motovic A, Glas I, Taub Y, Man B (1980) The neomucosa and its surrounding after jejunoserosal patching in dogs. J Surg Res 29: 451–465
Gauger JU, Willital GH (1979) Verwendung loesungsmittelgetrockneter Dura in der Chirurgie. MMW 121: 603–604
Harmon JW, Wright JA, Noel J, Cogdn M (1979) Fate of Dacron prostheses in the small bowel of rabbits. Surg Forum 30: 365–366
Lillemoe KD, Berry WR, Harmon JW, Tai YH, Weichbrod RH, Cogen MA (1982) Use of vascularized abdominal wall pedicle flaps to grow small bowel neomucosa. Surgery 91: 293–300
Pesch HJ, Stöss H (1977) Lösungsmittelgetrocknete dura mater. Chirurg 48: 732–736
Rodgers BM, Maher JW, Talbert JL (1981) The use of preserved human dura for closure of abdominal wall and diaphragmatic defects. Ann Surg 193: 606–611
Smyrnis SA (1978) Successful closure of a jejunal fistula with Dacron patch. Acta Chir Hellen 50: 102–108
Smyrnis SA (1981) Dacron patch for closure of experimental stomach defects. Br J Surg 69: 82–83
Stolf NA, Curi N, Aun F, Piggoni N, Zerbini EJ (1976) Homologous dura mater used to close thoracic wall and diaphragmatic defects. Int Surg 61: 604–606
Willital GH, Belin RP, Linke R (1972) Die chirurgische Bedeutung von Korrelationspathologica des gastrointestinalen Systems bei Omphalocelen und Gastroschisis. Z Kinderchir 11: 426–432
Ziegler A, Akovbiantz A (1980) Klinische Anwendung von lyophilisierter Dura beim Zwerchfelldefkt. Helv Acta 47: 23–26
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Pappis, C.H., Kaïris, M.Z. & Willital, G.H. Enterization of the dural patch. Pediatr Surg Int 1, 192–196 (1986). https://doi.org/10.1007/BF00180923
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DOI: https://doi.org/10.1007/BF00180923