Abstract | OBJECTIVE: METHODS: Twelve New Zealand white rabbits underwent measurement of lower esophageal sphincter pressure followed by laparotomy and injection into the muscular layer of the GEJ (controls, 1.0 mL saline; low-dose DxHA [0.5 mL]; high-dose DxHA [1.0 mL]). After a 12-week survival period, the animals underwent manometry, sacrifice, and necropsy. Organs were examined histologically by pathologists blinded to the injection delivered. RESULTS: All animals survived. Weight gain was equal in the 3 groups. There was no significant difference in mean lower esophageal sphincter pressure from baseline in any group (control 2.3 mmHg [95% confidence interval, CI -3.3 to 7.9]; low-dose group 3.2 mmHg [95% CI -0.8 to 7.2]; high-dose group -4.0 mmHg [95% CI -18.95 to 10.95]). Histologically, DxHA injection produced an intramural implant, with a foreign body giant cell reaction, and fibroblastic infiltration with collagen deposition. High-dose injection did not consistently result in a qualitative increase in the magnitude of the reaction. There was no mucosal injury or luminal stenosis. CONCLUSIONS: In this first study evaluating the effects of DxHA injection at the GEJ, a histologic bulking effect was observed without obvious functional complications. The agent may have a role in the treatment of gastroesophageal reflux disease.
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Authors | Kathryn Martin, Sherif Emil, Chantal Bernard, Fady Gaied, Miriam Blumenkrantz, Jean-Martin Laberge, Veronique Morinville, Van-Hung Nguyen |
Journal | Journal of pediatric gastroenterology and nutrition
(J Pediatr Gastroenterol Nutr)
Vol. 58
Issue 5
Pg. 593-7
(May 2014)
ISSN: 1536-4801 [Electronic] United States |
PMID | 24345840
(Publication Type: Journal Article, Research Support, Non-U.S. Gov't)
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Chemical References |
- Dextrans
- dextranomer-hyaluronic acid copolymer
- Hyaluronic Acid
- Collagen
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Topics |
- Animals
- Collagen
(analysis)
- Dextrans
(administration & dosage)
- Dose-Response Relationship, Drug
- Esophageal Sphincter, Lower
(drug effects, physiology)
- Esophagogastric Junction
(anatomy & histology, drug effects)
- Fibroblasts
(physiology)
- Foreign-Body Reaction
(chemically induced)
- Gastroesophageal Reflux
(drug therapy)
- Giant Cells, Foreign-Body
(physiology)
- Hyaluronic Acid
(administration & dosage)
- Injections, Intramuscular
(veterinary)
- Manometry
(veterinary)
- Pressure
- Rabbits
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