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Experimental gastric ulcers in the fundic gland area following transplantation of the gastric-wall pedicles
Authors:Yuhiko Kurata  Motomu Kodama  Haruo Ezaki
Affiliation:(1) Second Department of Surgery, Hiroshima University School of Medicine, Hiroshima, Japan
Abstract:Using adult mongrel dogs, a portion of the anterior gastric wall of the pyloric gland area was transplanted into the fundic gland area using the Z-plastic procedure forming an islet. Three weeks postoperatively, 2 per cent histamine in sesame oil was injected intramuscularly in a daily dose of 2 mg/kg body weight. Ulcers developed in the graft in nine of 19 animals. The factors responsible to the development of the ulcers may well be circulatory disturbance and reduction of mucosal resistance following surgical insult, and continuous irritation caused by gastric juice. When a portion of the anterior gastric wall of the fundic gland area was transplanted into the fundic gland area followed by administration of histamine in sesame oil, ulcers developed in the graft only in four of 12 animals. Histological examination revealed the regenerated epithelium at the margin of the ulcers. Thus the ulcers presently induced may provide an useful experimental model for ulcers in the fundic gland area.
Keywords:gastric-wall pedicle  pyloric gland area  fundic gland area  Z-plastic procedure  histamine  ulcer in the fundic gland area
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