Background: Intestinal ischemia occurs frequently during major abdominal surgery, causing increasedmucosal permeability and bacterial translocation, thus increasing the risk of postoperative sepsis.We previously showed that chemical hypoxia stimulated basolateral, intermediate conductance, Ca2+-sensitive K+ (IKCa) channels and doubled paracellular shunt conductance (GS) (which reflects mucosal permeability) in human colon in vitro, changes which were completely inhibited by the serosal addition of IKCa channel blockers TRAM-34 and clotrimazole (Am J Physiol Gastrointest Liver Physiol 300:G146-G153,2011). Aim: To determine whether inhibition of basolateral IKCa channels by somatostatin (SOM) and its synthetic analog octreotide (OCT) (Am J Physiol Gastrointest Liver Physiol 277:G967-G975,1999) prevents the increase in GS induced by chemical hypoxia in human colon. Methods: With informed consent, sheets of muscle-stripped normal human distal colon (from cancer patients) were mounted in an Ussing chamber, and bathed with high-K+ gluconate solution (mucosal side) and high-Na+ gluconate solution (serosal side) at 37oC. While passing 2-sec rectangular current pulses (I; 50 μA), transepithelial voltage (VT), total tissue conductance (GT; = I/ΔVT) and calculated short-circuit current (Isc; = VT.GT) were monitored until constant values were obtained. Tissues acting as ‘controls' were gassed throughout with 95%O2/5%CO2. Other tissues gassed with 95%O2/5%CO2 were switched to 95%N2/5%CO2 when 100 μM dinitrophenol (DNP) was added mucosally and serosally to induce chemical hypoxia over 5-min. 2 μM SOM was added to hypoxic tissues either 10-min before or immediately after addition of DNP. Nystatin (500 U/ml) was then added mucosally to permeabilize the apical membrane, and VT, GT and Isc monitored at 10-sec intervals to steady-state. Similar experiments in hypoxic tissues established the dose response to OCT. GS was estimated from the y-axis intercept of the linear relationship between GT and Isc (J Membr Biol 45:81108,1979). Results: GS was significantly greater in hypoxic tissues (5.52±1.22 mS/cm2; n= 10) than in controls (3.65±1.34 mS/cm2; n=11, P<0.005). GS was similar in hypoxic tissues irrespective of whether SOM was added before (3.28±1.56 mS/cm2; n=6) or after (3.48±1.21 mS/cm2; n=6) the application of DNP. GS in both SOM groups was significantly lower than in tissues treated with DNP alone (P<0.05), but similar to GS in controls. Dose response data indicated that 0.2 μM OCT and 2 μM OCT/SOM had the same protective effect on GS. Conclusion: Our results suggest that perioperative administration of OCT (a long-acting synthetic analog of SOM) during major abdominal surgery may prevent the increase in intestinal mucosal permeability associated with intestinal ischemia, thereby decreasing the likelihood of bacterial translocation and post-operative sepsis.