Skip to main content

Advertisement

Log in

Influence of misoprostol, a synthetic prostaglandin E1 analog, on the healing of colonic anastomoses in rats

  • Original Contributions
  • Published:
Diseases of the Colon & Rectum

Abstract

PURPOSE: This study was designed to examine the influence of misoprostol, a synthetic prostaglandin E 1 analog, on the healing of colonic anastomoses in rats, with particular regard to changes in collagen levels at the site of the anastomoses and their histopathologic aspects. METHODS: Sixty rats were submitted to resection and anastomosis of the colon, and divided at random into two groups. The test group received misoprostol intragastrically (200 μg/kg body weight), twice daily, from the day of operation until sacrifice. Controls received 0.9 percent NaCl. The animals were sacrificed on the third, seventh, or fourteenth postoperative day, and the results of the histopathologic analyses and hydroxyproline concentrations were compared. RESULTS: Our results show that misoprostol administration increased the hydroxyproline concentration on the fourteenth postoperative day without interfering in the inflammatory response (P<0.05).CONCLUSION: Misoprostol interferes with the balance between the synthesis and degradation of collagen, resulting in an elevation of collagen levels by the fourteenth postoperative day without influencing the inflammatory response.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  1. Goligher JC, Graham NG, De Dombal FT. Anastomotic dehiscence after anterior resection of rectum and sigmoid. Br J Surg 1970;57:109–18

    PubMed  CAS  Google Scholar 

  2. Fielding LP, Stewart-Browm S, Blesovsky L, Kearney G. Anastomotic integrity after operations for large-bowel cancer: a multicentre study. BMJ 1980;281:411–4.

    Article  PubMed  CAS  Google Scholar 

  3. Ballantyne GH. The experimental basis of intestinal suturing: effect of surgical technique, inflammation, and infection on enteric wound healing. Dis Colon Rectum 1984;27:61–71.

    PubMed  CAS  Google Scholar 

  4. Orgill D, Demling RH. Current concepts and approaches to wound healing. Crit Care Med 1988;16:899–907.

    PubMed  CAS  Google Scholar 

  5. Sousa JB, Soares EG, Aprilli F. Effects of diclofenac sodium on intestinal anastomotic healing: experimental study on the small intestine of rabbits. Dis Colon Rectum 1991;34:613–7.

    PubMed  Google Scholar 

  6. Aszodi A, Ponsky JL. Effects of corticosteroid on the healing bowel anastomosis. Am Surg 1984;50:546–8.

    PubMed  CAS  Google Scholar 

  7. Mantovani M, Leonardi LS, Alcântara FG. Evolučao da cicatrizačao em anastomoses do intestino grosso em condičoes de normalidade e sob ačao de drogas imunossupressoras: estudo comparativo em caes. Rev Paul Med 1979;94:118–26.

    PubMed  CAS  Google Scholar 

  8. Martins A Jr, Guimaraes AS, Ferreira AL. Efeitos dos corticosteróides na cicatrizačao de anastomoses intestinais. Acta Cir Bras 1993;7:28–30.

    Google Scholar 

  9. Houston KA, Rotstein OD. Fibrin sealant in high-risk colonic anastomoses. Arch Surg 1988;123:230–4.

    PubMed  CAS  Google Scholar 

  10. Flower RJ, Moncada S, Vane JR. Substâncias antiinflamatórias e analgésicas-antipiréticas; drogas empregadas no tratamento da gota. In: Gilman AG, Goodman LS, Rall TW, Murad F, eds. As bases farmacológicas da terapêutica. 7th ed. Rio de Janeiro: Guanabara Koogan, 1987:443–69.

    Google Scholar 

  11. Haynes RC Jr, Murad F. Hormônio adrenocorticotrôpico; esteróides adrenocorticais e seus análogos sintéticos; inibidores da biossíntese adrenocortical de esteróides. In: Gilman AG, Goodman LS, Rall TW, Murad F, eds. As bases farmacológicas da terapêutica. 7th ed. Rio de Janeiro: Guanabara Koogan, 1987:956–75.

    Google Scholar 

  12. Kaley G, Weiner R. Prostaglandin E1: a potential mediator of the inflammatory response. Ann N Y Acad Sci 1971;180:338–50.

    PubMed  CAS  Google Scholar 

  13. Williams TJ, Morley J. Prostaglandins as potentiators of increased vascular permeability in inflammation. Nature 1973;246:215–7.

    PubMed  CAS  Google Scholar 

  14. Williams TJ, Peck MJ. Role of prostaglandin-mediated vasodilatation in inflammation. Nature 1977;270:530–2.

    PubMed  CAS  Google Scholar 

  15. Brennan SS, Foster ME, Morgan A, Leaper DJ. Prostaglandins in colonic anastomotic healing. Dis Colon Rectum 1984;27:723–5.

    PubMed  CAS  Google Scholar 

  16. Terzioglu T, Sonmez YE, Eldegez U. The effect of prostaglandin E1 on colonic anastomotic healing: a comparison study. Dis Colon Rectum 1990;33:44–8.

    PubMed  CAS  Google Scholar 

  17. Stegemann H, Stalder K. Determination of hydroxyproline. Clin Chim Acta 1967;18:267–73.

    PubMed  CAS  Google Scholar 

  18. Medugorac I. Collagen content in different areas of normal and hypertrophied rat myocardium. Cardiovasc Res 1980;14:551–4.

    Article  PubMed  CAS  Google Scholar 

  19. Brand DL, Roufail WM, Thomson ABR, Tapper EJ. Misoprostol, a synthetic PGE1 analog, in the treatment of duodenal ulcers: a multicentre double-bind study. Dig Dis Sci 1985;30(Suppl):147S-58S.

    PubMed  CAS  Google Scholar 

  20. Bauer RF. Misoprostol preclinical pharmacology. Dig Dis Sci 1985;30(Suppl):118S-25S.

    PubMed  CAS  Google Scholar 

  21. Kotsonis FN, Dodd, DC, Regnier B, Kohn, FE. Preclinical toxicology profile of misoprostol. Dig Dis Sci 1985;30 (Suppl):142S-6S.

    PubMed  CAS  Google Scholar 

  22. Schoenhard G, Oppermann J, Kohn FE. Metabolism and pharmacokinetic studies of misoprostol. Dig Dis Sci 1985;30(Suppl):126S-8S.

    PubMed  CAS  Google Scholar 

  23. Gabella G. The cross-ply arrangement of collagen fibres in the submucosa of the mammalian small intestine. Cell Tissue Res 1987;248:491–7.

    PubMed  CAS  Google Scholar 

  24. Hunt TK, Hawley PR, Hale J, Goodson W, Thakral KK. Colon repair: the collagenous equilibrium. In: Hunt TK, ed. Wound healing and wound infection. New York: Appelton-Century-Crofts, 1980:153–9.

    Google Scholar 

  25. Hogstrom H, Haglund U. Postoperative decrease in suture holding capacity in laparotomy wounds and anastomoses. Acta Chir Scand 1985;151:533–5.

    PubMed  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

About this article

Cite this article

de Oliveira, P.G., Soares, E.G. & Aprilli, F. Influence of misoprostol, a synthetic prostaglandin E1 analog, on the healing of colonic anastomoses in rats. Dis Colon Rectum 37, 660–663 (1994). https://doi.org/10.1007/BF02054408

Download citation

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF02054408

Key words

Navigation