Abstract

This study was to generate phasic and tonic stress-strain curves for evaluation of smooth muscle function in the obstructed guinea pig jejunum. Partial and sham obstruction of the jejunum in guinea pigs was created surgically, with guinea pigs not being operated on served as normal controls. The animals survived 2, 4, 7, and 14 days, respectively. The jejunal segment was distended to 10 cm H2O. The pressure and outer diameter changes were recorded. Passive conditions were obtained by using papaverine. Total phasic, tonic, and passive circumferential stress and strain were computed from the diameter and pressure data with reference to the zero-stress-state geometry. The active phasic and tonic stresses were defined as the total phasic and tonic stress minus the passive stress. The thickness of intestinal muscle layers increased in a time-dependent manner after obstruction. The amplitude of passive, total phasic, total tonic, active phasic, and active tonic circumferential stresses increased as function of strain 7 days after obstruction. However, when normalized to muscle layer thickness, the amplitude of active stresses did not differ among the groups. In conclusion, the long-term-obstructed intestine exhibits increased total smooth muscle contraction force. However, the contraction force per smooth muscle unit did not increase.

Highlights

  • Small bowel obstruction is a common clinical problem resulting from congenital [1,2,3] or acquired causes [4,5,6,7]

  • When normalized to muscle layer thickness, the amplitude of active stresses did not differ among the groups

  • Histological analysis showed that the thickness of both the submucosa layer and muscle layer increased during the development

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Summary

Introduction

Small bowel obstruction is a common clinical problem resulting from congenital [1,2,3] or acquired causes [4,5,6,7]. Small intestinal mechanical obstruction can be reproduced in laboratory animals using rings of different materials. Proximal to the partial obstruction site, the intestinal segment remodels morphologically and biomechanically [8,9,10,11,12,13,14]. Partial obstruction causes intestinal smooth muscle hyperplasia and hypertrophy [8, 9, 11, 12, 15,16,17]. It is important to study the function of remodeled intestinal smooth muscle due to partial obstruction

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