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Chirurgia (Bucur) ; 102(5): 563-70, 2007.
Artigo em Romano | MEDLINE | ID: mdl-18018357

RESUMO

The aim of this study was to develop an experimental model of pancreas transplantation in rats as a standardized tool for research in transplant immunobiology. Brown Norway (donors) and Lewis (receptors) rats, males, with an average weight of 220 grams, were used. The diabetes was induced in recipients using streptozocin. The pancreas was harvested with a duodenal stump, a segment of aorta containing the celiac and superior mesenteric artery and the portal vein and transplanted as follows: Group A (n=8) - systemic venous drainage; Group B (n=8) - portal venous drainage. The exocrine drainage of the pancreatic graft was established by para-topic reintegration of the graft duodenal stump in the recipient. Postoperative follow-up consisted of daily measurement of glycemia and macroscopic evaluation of the proximal duodenal stump mounted as a cutaneous stoma. Overall postoperative survival at 8 days was 87,5% for Group A and 75% for Group B. Glycemia levels started to regain normal values in both groups, at 2 days postoperatively. Rejection started at 9 and 10 days postoperatively for Group A and B respectively, being expressed by the gradual re-appraisal of hyperglycemia that followed necrosis of the proximal duodenal stump. The experimental model described is functional and has the advantage of being used either with portal or systemic drainage of the pancreatic graft. The results obtained show no significant difference between the time-points of normal postoperative glycemia when either systemic or portal venous drainage were used.


Assuntos
Diabetes Mellitus Experimental/cirurgia , Drenagem/métodos , Transplante de Pâncreas , Veia Porta , Anastomose Cirúrgica , Animais , Diabetes Mellitus Experimental/induzido quimicamente , Modelos Animais de Doenças , Sobrevivência de Enxerto , Masculino , Veia Porta/cirurgia , Ratos , Ratos Endogâmicos Lew , Transplante Homólogo , Veia Cava Inferior/cirurgia
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