CARVEDILOL AS PRIMARY PROPHYLAXIS FOR GASTRIC VARICEAL BLEEDING IN PORTAL HYPERTENSION MODEL IN RATS

Autor: Andressa de Souza BERTOLDI, Camila Roginski GUETTER, Gabriel Antonio COLTRO, Larissa Maria VOSGERAU, Laura Maria Viscardi BRIGHENTI, Natália Izycki FAUAT, Fernando Bermudez KUBRUSLY, Camila Aparecida Moraes MARQUES, Luiz Fernando KUBRUSLY
Jazyk: English<br />Portuguese
Rok vydání: 2020
Předmět:
Zdroj: ABCD: Arquivos Brasileiros de Cirurgia Digestiva, Vol 33, Iss 3 (2020)
Druh dokumentu: article
ISSN: 0102-6720
DOI: 10.1590/0102-672020200003e1525
Popis: ABSTRACT Background: Portal hypertension (PH) can be measured indirectly through a hepatic vein pressure gradient greater than 5 mmHg. Cirrhosis is the leading cause for PH and can present as complications ascites, hepatic dysfunction, renal dysfunction, and esophagogastric varices, characterizing gastropathy. Aim: To evaluate the use of carvedilol as primary prophylaxis in the development of collateral circulation in rats submitted to the partial portal vein ligament (PPVL) model. Method: This is a combined qualitative and quantitative experimental study in which 32 Wistar rats were divided into four groups (8 animals in each): group I - cirrhosis + carvedilol (PPVL + C); group II - cirrhosis + vehicle (PPVL); group III - control + carvedilol (SO-sham-operated + C); group IV - control + vehicle (SO-sham-operated). After seven days of the surgical procedure (PPVL or sham), carvedilol (10 mg/kg) or vehicle (1 mL normal saline) were administered to the respective groups daily for seven days. Results: The histological analysis showed no hepatic alteration in any group and a decrease in edema and vasodilatation in the PPVL + C group. The laboratory evaluation of liver function did not show a statistically significant change between the groups. Conclusion: Carvedilol was shown to have a positive effect on gastric varices without significant adverse effects.
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