Liver function in the pig: 1. The effects of 30 minutes' normothermic ischaemia

Author:

Battersby C12,Hickman Rosemary12,Saunders S J12,Terblanche John12

Affiliation:

1. The Departments of Surgery and Medicine and the Medical Research Council Liver Research Group, University of Cape Town, Capetown

2. The Liver Clinic, Groote Schuur Hospital, Capetown

Abstract

Abstract A preparation was developed in the pig in which transhepatic samples could be taken, and the duration for which the pig liver would tolerate ischaemia was studied. Total occlusion of the hepatic artery, portal vein and inferior Venn cava was caused after studies of the effects of occlusion of the portal vein or the vena cava alone. Adequate splanchnic decompression was provided by a splenojugular bypass. Reversible changes were noted in the acid/base status and potassium levels after ischaemia. Aspartate transaminase (SGOT) levels rose and remained elevated during the hour of study following occlusion. Alkaline phosphatase and glucose levels changed but remained within normal laboratory limits, although there appeared to be a release of glucose from the hepatic veins after occlusion. Portal pressure increased reversibly after ischaemia and returned to normal within 1 hour. Bile flow ceased during inflow occlusion and resumed 15 minutes after the release of the clamps.

Funder

Medical Research Council of South Africa, the Cape Provincial Administration and the Herman Caporn and Harry Crossley Bequests to the University of Cape Town

Publisher

Oxford University Press (OUP)

Subject

Surgery

Reference27 articles.

1. Immediate effects of short-term hepatic and splanchnic ischemia in pigs;Almersjo;Am. J. Surg.,1971

2. The effects of afferent circulatory arrest upon hydrogen ion concentration of the liver;Barnett;Surg. Gynecol. Obstet.,1958

3. Acute occlusion of the portal vein in the calf;Battersby;J. Surg. Res.,1971

4. Immediate effects of short-term hepatic inflow occlusion in pigs;Bengmark;Acta Chir. Scand.,1972

5. Observations on the blood flow and gaseous metabolism of the liver of unanaesthetised dogs;Blalock;Am. J. Physiol.,1936

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