Effects of cyclooxygenase inhibition on anastomotic healing following large bowel resection in a rabbit model--a randomized, blinded, placebo-controlled trial

Purpose We performed an experimental study in a rabbit model to investigate the effects of a selective Cox-2 inhibitor (Valdecoxib) on anastomotic healing following large bowel resection after 1 week. Materials and methods Eighty New Zealand white rabbits were randomized into four groups and underwe...

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Veröffentlicht in:International journal of colorectal disease 2009-05, Vol.24 (5), p.551-557
Hauptverfasser: Neuss, Heiko, Raue, Wieland, Müller, Verena, Weichert, Wilko, Schwenk, Wolfgang, Mall, Julian W
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container_end_page 557
container_issue 5
container_start_page 551
container_title International journal of colorectal disease
container_volume 24
creator Neuss, Heiko
Raue, Wieland
Müller, Verena
Weichert, Wilko
Schwenk, Wolfgang
Mall, Julian W
description Purpose We performed an experimental study in a rabbit model to investigate the effects of a selective Cox-2 inhibitor (Valdecoxib) on anastomotic healing following large bowel resection after 1 week. Materials and methods Eighty New Zealand white rabbits were randomized into four groups and underwent a colon resection with end-to-end anastomosis. Group 1 (n = 20) was treated with Valdecoxib, group 2 with Metamizole (Novalgin®), group 3 with Resveratrol (specific Cox-1 inhibitor), or a placebo vehicle with similar volume (group 4). Anastomotic healing was tested at the seventh postoperative day by measurement of the bursting pressure in vitro. Immunohistochemical staining of the anastomotic site was performed with polyclonal antibodies (CD31). Results There were no significant differences in anastomotic dehiscence, bursting pressure, or vessel density between the treatment and control groups. Conclusion The application of Valdecoxib does not influence anastomotic healing or new vessel formation in the anastomotic region following large bowel resection.
doi_str_mv 10.1007/s00384-009-0643-0
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Materials and methods Eighty New Zealand white rabbits were randomized into four groups and underwent a colon resection with end-to-end anastomosis. Group 1 (n = 20) was treated with Valdecoxib, group 2 with Metamizole (Novalgin®), group 3 with Resveratrol (specific Cox-1 inhibitor), or a placebo vehicle with similar volume (group 4). Anastomotic healing was tested at the seventh postoperative day by measurement of the bursting pressure in vitro. Immunohistochemical staining of the anastomotic site was performed with polyclonal antibodies (CD31). Results There were no significant differences in anastomotic dehiscence, bursting pressure, or vessel density between the treatment and control groups. Conclusion The application of Valdecoxib does not influence anastomotic healing or new vessel formation in the anastomotic region following large bowel resection.</description><identifier>ISSN: 0179-1958</identifier><identifier>EISSN: 1432-1262</identifier><identifier>DOI: 10.1007/s00384-009-0643-0</identifier><identifier>PMID: 19184064</identifier><identifier>CODEN: IJCDE6</identifier><language>eng</language><publisher>Berlin/Heidelberg: Berlin/Heidelberg : Springer-Verlag</publisher><subject>Anastomosis, Surgical - adverse effects ; Anastomotic healing ; Animal model ; Animals ; Biological and medical sciences ; Bursting pressure ; Cox-2 ; Creatinine - blood ; Cyclooxygenase Inhibitors - pharmacology ; Gastroenterology ; Gastroenterology. Liver. Pancreas. Abdomen ; Hepatology ; Internal Medicine ; Intestine, Large - blood supply ; Intestine, Large - pathology ; Intestine, Large - surgery ; Isoxazoles - pharmacology ; Medical sciences ; Medicine ; Medicine &amp; Public Health ; Models, Animal ; Original Article ; Postoperative Complications - etiology ; Pressure ; Proctology ; prostaglandin synthase ; Rabbits ; Sulfonamides - pharmacology ; Surgery ; Wound Healing - drug effects</subject><ispartof>International journal of colorectal disease, 2009-05, Vol.24 (5), p.551-557</ispartof><rights>Springer-Verlag 2009</rights><rights>2009 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c423t-9c8b2598710e67ee478f183c11a88e27146eb6da3a98df0822d121bf2d44c7513</citedby><cites>FETCH-LOGICAL-c423t-9c8b2598710e67ee478f183c11a88e27146eb6da3a98df0822d121bf2d44c7513</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00384-009-0643-0$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00384-009-0643-0$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,780,784,27924,27925,41488,42557,51319</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&amp;idt=21300780$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/19184064$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Neuss, Heiko</creatorcontrib><creatorcontrib>Raue, Wieland</creatorcontrib><creatorcontrib>Müller, Verena</creatorcontrib><creatorcontrib>Weichert, Wilko</creatorcontrib><creatorcontrib>Schwenk, Wolfgang</creatorcontrib><creatorcontrib>Mall, Julian W</creatorcontrib><title>Effects of cyclooxygenase inhibition on anastomotic healing following large bowel resection in a rabbit model--a randomized, blinded, placebo-controlled trial</title><title>International journal of colorectal disease</title><addtitle>Int J Colorectal Dis</addtitle><addtitle>Int J Colorectal Dis</addtitle><description>Purpose We performed an experimental study in a rabbit model to investigate the effects of a selective Cox-2 inhibitor (Valdecoxib) on anastomotic healing following large bowel resection after 1 week. Materials and methods Eighty New Zealand white rabbits were randomized into four groups and underwent a colon resection with end-to-end anastomosis. Group 1 (n = 20) was treated with Valdecoxib, group 2 with Metamizole (Novalgin®), group 3 with Resveratrol (specific Cox-1 inhibitor), or a placebo vehicle with similar volume (group 4). Anastomotic healing was tested at the seventh postoperative day by measurement of the bursting pressure in vitro. Immunohistochemical staining of the anastomotic site was performed with polyclonal antibodies (CD31). Results There were no significant differences in anastomotic dehiscence, bursting pressure, or vessel density between the treatment and control groups. 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Abdomen</topic><topic>Hepatology</topic><topic>Internal Medicine</topic><topic>Intestine, Large - blood supply</topic><topic>Intestine, Large - pathology</topic><topic>Intestine, Large - surgery</topic><topic>Isoxazoles - pharmacology</topic><topic>Medical sciences</topic><topic>Medicine</topic><topic>Medicine &amp; Public Health</topic><topic>Models, Animal</topic><topic>Original Article</topic><topic>Postoperative Complications - etiology</topic><topic>Pressure</topic><topic>Proctology</topic><topic>prostaglandin synthase</topic><topic>Rabbits</topic><topic>Sulfonamides - pharmacology</topic><topic>Surgery</topic><topic>Wound Healing - drug effects</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Neuss, Heiko</creatorcontrib><creatorcontrib>Raue, Wieland</creatorcontrib><creatorcontrib>Müller, Verena</creatorcontrib><creatorcontrib>Weichert, Wilko</creatorcontrib><creatorcontrib>Schwenk, Wolfgang</creatorcontrib><creatorcontrib>Mall, Julian W</creatorcontrib><collection>AGRIS</collection><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Immunology Abstracts</collection><collection>ProQuest Health &amp; Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health &amp; Medical Complete (Alumni)</collection><collection>Health &amp; Medical Collection (Alumni Edition)</collection><collection>PML(ProQuest Medical Library)</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><jtitle>International journal of colorectal disease</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Neuss, Heiko</au><au>Raue, Wieland</au><au>Müller, Verena</au><au>Weichert, Wilko</au><au>Schwenk, Wolfgang</au><au>Mall, Julian W</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Effects of cyclooxygenase inhibition on anastomotic healing following large bowel resection in a rabbit model--a randomized, blinded, placebo-controlled trial</atitle><jtitle>International journal of colorectal disease</jtitle><stitle>Int J Colorectal Dis</stitle><addtitle>Int J Colorectal Dis</addtitle><date>2009-05-01</date><risdate>2009</risdate><volume>24</volume><issue>5</issue><spage>551</spage><epage>557</epage><pages>551-557</pages><issn>0179-1958</issn><eissn>1432-1262</eissn><coden>IJCDE6</coden><abstract>Purpose We performed an experimental study in a rabbit model to investigate the effects of a selective Cox-2 inhibitor (Valdecoxib) on anastomotic healing following large bowel resection after 1 week. Materials and methods Eighty New Zealand white rabbits were randomized into four groups and underwent a colon resection with end-to-end anastomosis. Group 1 (n = 20) was treated with Valdecoxib, group 2 with Metamizole (Novalgin®), group 3 with Resveratrol (specific Cox-1 inhibitor), or a placebo vehicle with similar volume (group 4). Anastomotic healing was tested at the seventh postoperative day by measurement of the bursting pressure in vitro. Immunohistochemical staining of the anastomotic site was performed with polyclonal antibodies (CD31). Results There were no significant differences in anastomotic dehiscence, bursting pressure, or vessel density between the treatment and control groups. Conclusion The application of Valdecoxib does not influence anastomotic healing or new vessel formation in the anastomotic region following large bowel resection.</abstract><cop>Berlin/Heidelberg</cop><pub>Berlin/Heidelberg : Springer-Verlag</pub><pmid>19184064</pmid><doi>10.1007/s00384-009-0643-0</doi><tpages>7</tpages></addata></record>
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subjects Anastomosis, Surgical - adverse effects
Anastomotic healing
Animal model
Animals
Biological and medical sciences
Bursting pressure
Cox-2
Creatinine - blood
Cyclooxygenase Inhibitors - pharmacology
Gastroenterology
Gastroenterology. Liver. Pancreas. Abdomen
Hepatology
Internal Medicine
Intestine, Large - blood supply
Intestine, Large - pathology
Intestine, Large - surgery
Isoxazoles - pharmacology
Medical sciences
Medicine
Medicine & Public Health
Models, Animal
Original Article
Postoperative Complications - etiology
Pressure
Proctology
prostaglandin synthase
Rabbits
Sulfonamides - pharmacology
Surgery
Wound Healing - drug effects
title Effects of cyclooxygenase inhibition on anastomotic healing following large bowel resection in a rabbit model--a randomized, blinded, placebo-controlled trial
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