Sidhu P. Gangadharan, BS, Robert J. Wagner, BS, Jack L. Cronenwett, MD 

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Presentation transcript:

Effect of intravenous glucagon on intestinal viability after segmental mesenteric ischemia  Sidhu P. Gangadharan, BS, Robert J. Wagner, BS, Jack L. Cronenwett, MD  Journal of Vascular Surgery  Volume 21, Issue 6, Pages 900-908 (June 1995) DOI: 10.1016/S0741-5214(95)70217-2 Copyright © 1995 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

Fig. 1 Quantitative measurements of ileal ischemic-reperfusion injury performed by digitizing projected microscopic image with computerized planimeter. a, Muscularis thickness; b, mucosal thickness; c, transmural thickness (each measured at 30 points around circumference in each section); d, percentage of luminal circumference covered with mucosal epithelial cells; e, villar surface circumference measured and divided by bowel circumference at base of villi f, to calculate villar surface ratio. Journal of Vascular Surgery 1995 21, 900-908DOI: (10.1016/S0741-5214(95)70217-2) Copyright © 1995 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

Fig. 2 Representative transverse sections from nonischemic ileum (A) and ileum after 110 minutes of ischemia and 24 hours of reperfusion in (B) glucagon-treated and (C) control rats. Control rats showed near-total mucosal loss, with absent epithelial coverage (C), whereas glucagon-treated rats showed more mucosal preservation with epithelium often intact (B). (Original magnification ×160.) Journal of Vascular Surgery 1995 21, 900-908DOI: (10.1016/S0741-5214(95)70217-2) Copyright © 1995 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

Fig. 2 Representative transverse sections from nonischemic ileum (A) and ileum after 110 minutes of ischemia and 24 hours of reperfusion in (B) glucagon-treated and (C) control rats. Control rats showed near-total mucosal loss, with absent epithelial coverage (C), whereas glucagon-treated rats showed more mucosal preservation with epithelium often intact (B). (Original magnification ×160.) Journal of Vascular Surgery 1995 21, 900-908DOI: (10.1016/S0741-5214(95)70217-2) Copyright © 1995 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

Fig. 2 Representative transverse sections from nonischemic ileum (A) and ileum after 110 minutes of ischemia and 24 hours of reperfusion in (B) glucagon-treated and (C) control rats. Control rats showed near-total mucosal loss, with absent epithelial coverage (C), whereas glucagon-treated rats showed more mucosal preservation with epithelium often intact (B). (Original magnification ×160.) Journal of Vascular Surgery 1995 21, 900-908DOI: (10.1016/S0741-5214(95)70217-2) Copyright © 1995 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

Fig. 3 Comparison of ileal mucosal thickness in control and glucagon-treated rats after segmental mesenteric ischemia (mean ± SEM). Journal of Vascular Surgery 1995 21, 900-908DOI: (10.1016/S0741-5214(95)70217-2) Copyright © 1995 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

Fig. 4 Comparison of percentage of mucosa covered by epithelium in control and glucagon-treated rats after segmental mesenteric ischemia (mean ± SEM). Journal of Vascular Surgery 1995 21, 900-908DOI: (10.1016/S0741-5214(95)70217-2) Copyright © 1995 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

Fig. 5 Comparison of villar surface ratio of ileal mucosa in control and glucagon-treated rats after segmental mesenteric ischemia (mean ± SEM). Journal of Vascular Surgery 1995 21, 900-908DOI: (10.1016/S0741-5214(95)70217-2) Copyright © 1995 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions