Evidence map›Paper›PMID 39511719›Full record

ArticleAnimal models and experimental medicine2024

A novel piglet model of esophageal stricture following variable segmental esophageal resection and re-anastomosis.

Christina Oetzmann von Sochaczewski, Ann-Kristin Riedesel, Andreas Lindner, Axel Heimann, Arne Schröder, Oliver J Muensterer

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Article in Animal models and experimental medicine, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

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1citing papers in PubMed
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1 · What the graph read from it

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3 · Its place in the literature

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1 citing paper in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

6 authors.

Christina Oetzmann von SochaczewskiDepartment of Pediatric Surgery, Johannes-Gutenberg-University Medical Center, Mainz, Germany.
Ann-Kristin RiedeselExperimental Neurosurgery, Department of Neurosurgery, Medizinische Hochschule Hannover, Hannover, Germany.
Andreas LindnerDepartment of Pediatric Surgery, Johannes-Gutenberg-University Medical Center, Mainz, Germany.
Axel HeimannInstitute for Neurosurgical Pathophysiology, Johannes-Gutenberg-University Medical Center, Mainz, Germany.
Arne SchröderDepartment of Pediatric and Adolescent Medicine, Klinikum Dortmund, Dortmund, Germany.
Oliver J MuenstererDepartment of Pediatric Surgery, Johannes-Gutenberg-University Medical Center, Mainz, Germany.ORCID 0000-0003-2790-4395

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundEsophageal strictures following esophageal atresia repair are a source of significant morbidity. To test new therapeutic approaches, we designed a piglet model of esophageal stricture by resecting variable lengths of esophagus with subsequent re-anastomosis. This study describes the model and validates its physiologic impact by blinded analysis of the weight gains of the piglets.

methodsA total of 24 two-week old Pietrain piglets had esophageal resections performed, ranging from 0 to 5 cm, with the goal of inducing postoperative esophageal strictures. Postoperative body-weights were evaluated by repeated analysis of variance followed by pairwise group-comparisons based on estimated marginal means. In addition, body weight was modeled by linear-mixed model regression. Different resection lengths were compared. The esophagi were evaluated postmortem for stricture.

resultsOf 24 operated piglets, 23 reached the endpoint, and 90% developed an esophageal stricture that was radiologically visible in a contrast study, as well as appreciable macroscopically in the necropsy. We found differences in pre- and postoperative body weights for all piglets (F (1, 18) = 298.54, p < 0.001), but no differences between resection lengths (F (4, 18) = 0.36, p = 0.837).

conclusionOur model of postoperative esophageal stricture offers the opportunity to investigate potential treatments for strictures associated with esophageal atresia, since it reliably induces strictures and results in minimal loss of animals. The similar body weight gain in all groups indicates that stricture is mainly the result of esophageal resection and re-anastomosis, regardless of the length of the resected segment.

Indexed as

Anastomosis, SurgicalDisease Models, AnimalEsophageal StenosisEsophagusAnimalsBody WeightEsophageal AtresiaPostoperative ComplicationsSwineesophageal atresiaesophageal surgerypostoperative complicationstrictureswine model

Identifiers

PMID39511719
PMCPMC11680478

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.