The histophysiology and pathophysiology of the peritoneum.

Abstract:

:The peritoneum is an extensive serous organ with both epithelial and mesenchymal features and a variety of functions. Diseases such as inflammatory peritonitis and peritoneal carcinomatosis can induce disturbance of the complex physiological functions. To understand the peritoneal response in disease, normal embryonic development, anatomy in healthy conditions and physiology of the peritoneum have to be understood. This review aims to summarize and discuss the literature on these basic peritoneal characteristics. The peritoneum is a dynamic organ capable of adapting its structure and functions to various physiological and pathological conditions. It is a key element in regulation of inflammatory responses, exchange of peritoneal fluid and prevention of fibrosis in the abdominal cavity. Disturbance of these mechanisms may lead to serious conditions such as the production of large amounts of ascites, the generation of fibrotic adhesions, inflammatory peritonitis and peritoneal carcinomatosis. The difficulty to treat diseases, such as inflammatory peritonitis and peritoneal carcinomatosis, stresses the necessity for new therapeutic strategies. This review provides a detailed background on the peritoneal anatomy, microenvironment and immunologic responses which is essential to generate new hypotheses for future research.

journal_name

Tissue Cell

journal_title

Tissue & cell

authors

van Baal JO,Van de Vijver KK,Nieuwland R,van Noorden CJ,van Driel WJ,Sturk A,Kenter GG,Rikkert LG,Lok CA

doi

10.1016/j.tice.2016.11.004

subject

Has Abstract

pub_date

2017-02-01 00:00:00

pages

95-105

issue

1

eissn

0040-8166

issn

1532-3072

pii

S0040-8166(16)30148-3

journal_volume

49

pub_type

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