Effect of stress and aspirin on extrahepatic portal hypertension in rats.

Abstract:

:Extrahepatic portal hypertension was induced in rats by portal venous constriction. Portal pressures on the fourth postconstriction day were significantly elevated in PVC rats when compared to control rats. Splenoportograms showed decreased hepatic flow and venous collaterals. Histologic sections showed gastric mucosal congestion in PVC rats. Gastric acid production and H+ ion equilibration were similar in PVC and control rats. Rats with portal hypertension had a significant increase (p less than 0.001) in mucosal erosions when subjected to a 7-hr restraint stress. Erosion formation was significantly augmented by aspirin administration. Although the exact relationship between the stress of a respiratory infection and variceal bleeding is unknown, these data demonstrate an increased susceptibility of PVC rats to nonhemorrhagic stress. This response is clearly augmented by aspirin treatment. Gastric congestion and the known effect of aspirin on gastric mucosal permeability and the gastric mucosal barrier are implicated in these observations. These findings correlated with clinical observations and strongly suggest avoidance of aspirin therapy in children with extrahepatic portal hypertension.

journal_name

J Pediatr Surg

authors

Grosfeld JL,Phelps TO,Jesseph JM

doi

10.1016/0022-3468(75)90363-2

subject

Has Abstract

pub_date

1975-10-01 00:00:00

pages

609-15

issue

5

eissn

0022-3468

issn

1531-5037

pii

0022-3468(75)90363-2

journal_volume

10

pub_type

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