ABSTRACT
The dynamic diversity in gastrointestine of the severe aute pancreatitis (SAP) is a relatively scarce area of clinical research. During SAP, it is very common to see the phenomenon of the dynamic disorder of gastrointestine such as the paralysis of intestine, the distension of abdomen.It is complicate that the mechanisms of the dynamic diversity in gastrointestine have been secondary to the severe acute pancreatitis (SAP). It can be elucidated partly as follows: the disorder of gastrointestinal hormone, the drop of the plasma calcium levels, the release of the inflammatory factors, the formation of intra-abdominal high-pressure (IAH) and the abdominal compartment syndrome (ACS) , the pancreatitisassociated ascites fluid(PAAF) and the apoptosis of the gastrointestinal epithelial cell during SAP. To investigate the mechanism of The dynamic diversity in gastrointestine of the severe aute pancreatitis (SAP), it is beneficial to promote further research to the phenomenon and to provide a theoretical basis for the clinical treatment of SAP. The review is refered to the concept, mechanism, clinical significance of the dynamic diversity in gastrointestine during SAP.
ABSTRACT
Objective To study the effect of Qing Yi Tang(QYT) on bacterial and endotoxin translocation from intestine in acute hemorrhagic necrotizing pancreatitis(AHNP) in rats.Methods SD rats were randomly divided into 3 groups: AHNP group,AHNP +QYT treatment group and sham operation(SO) group.AHNP models were set up in the former two group,while the pancreas was only mobilized in SO group.After setting up the model,QYT was gavaged in the QYT group,while normal saline was gavaged in the SO group and AHNP group.The concentration of endotoxin(ET) and the DNA of E.coli expressoin in portal vein blood in three groups of rats were measured 24h later.Results The concentration of ET and amount of E.coli DNA in portal vein of QYT group were lower than those of AHNP group.Conclusions QYT can reduce significantly the concentration of ET and E.coli DNA in portal vein blood and decrease bacterial and endotoxin translocation from intestine in the AHNP rats.