Modeling of bleeding from varicose vein of esophagus in a laboratory animal

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Abstract

Objective. To develop an accessible, easily reproducible, functional method for modeling bleeding from varicose veins of the esophagus based on the body of a laboratory animal.

Materials and methods. The work is based on an experiment carried out in the operating room of the vivarium of Ryazan State Medical University using laboratory animals – 12 domestic pigs of the Large White breed.

Results. In 10 cases out of 12, it was possible to successfully form changes in the animal's body, allowing to provoke bleeding from the dilated veins of the esophagus, damaging them with biopsy forceps during fibroesophagoscopy.

Conclusions. Creation of an experimental model of bleeding from varicose veins of the esophagus in the body of a domestic pig by dosed clamping of the hepato-duodenal ligament with a plastic clamp, which was followed by subsequent damage of the esophageal veins with biopsy forceps during fibroesophagoscopy, is technically feasible, reliable, and the model itself is quite functional.

About the authors

Vadim N. Budarev

Academician I.P. Pavlov Ryazan State Medical University

Email: budarev.v@yandex.ru
ORCID iD: 0000-0001-5517-0005

Candidate of Medical Sciences, Associate Professor, Associate Professor of Department of General Surgery

Russian Federation, Ryazan

Alexander A. Chekushin

Academician I.P. Pavlov Ryazan State Medical University

Author for correspondence.
Email: budarev.v@yandex.ru
ORCID iD: 0000-0002-5977-8023
SPIN-code: 7226-9799

Candidate of Medical Sciences, Associate Professor, Department of General Surgery

Russian Federation, Ryazan

References

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  3. Zarivchatskiy M.F., Mugatarov I.N., Kamenskikh E.D. Prevention of bleeding from varicose veins of the esophagus and stomach in patients with liver cirrhosis. Permskiy meditsinskiy zhurnal 2009; 5: 5–14 (in Russian).
  4. Shishin K.V., Nedoluzhko I.Yu. Endoscopic diagnosis, treatment and prevention of portal bleeding. Effektivnaya farmakoterapiya 2014; 43: 70–75 (in Russian).
  5. Budko E.V., Chernikova D.A., Jampol'skij L.M. Local hemostatic agents and ways to improve them. Rossiyskiy mediko-biologicheskiy vestnik im. akademika I.P. Pavlova 2019; 2: 274–285 (in Russian).
  6. Garbuzenko D.V. Experimental methods for studying portal hypertension. Rossijskij zhurnal gastrojenterologii, gepatologii, koloproktologii 2010; 2: 4–12 (in Russian).

Supplementary files

Supplementary Files
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2. Fig. 1. A plastic clamp is closed around the hepatic-duodenal ligament. The arrow indicates the holedoch lying outside the created loop

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3. Fig. 2. Changes in the pig's esophagus caused by the operation. The arrows indicate dilated venous trunks

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4. Fig. 3. A pig with a mouthpiece installed, prepared for esophagoscopy

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5. Fig. 4. Fibroesophagoscopy for an animal

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Copyright (c) 2022 Budarev V.N., Chekushin A.A.

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