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Indicial response functions of growth and remodeling of common bile duct postobstruction

机译:胆总管阻塞后生长和重构的独立反应功能

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摘要

Biliary duct obstruction is an important clinical condition that stems from cholelithiasis, the neoplasm in the wall or, most commonly, gallbladder stones. The objective of this study is to understand the structural and mechanical remodeling of the common bile duct (CBD) postobstruction. Porcine CBD was ligated near the duodenum that increased the duct's pressure from 6.4 to 18.3 cmH_2O in the first 12 h and to 30.7 cmH_2O after 32 days. The remodeling process was studied after 3 h, 12 h, 2 days, 8 days, and 32 days (n = 5 in each group) after obstruction. One additional animal in each group was sham operated. At each scheduled time, the time course of change of morphometry (diameter, length, wall thickness, etc.) and mechanical properties (stress, strain, etc.) was documented. It was found that the diameter increased by about threefold and the wall thickness of the CBD doubled in the 32-day group compared with the sham group (P < 0.001).
机译:胆管阻塞是一种重要的临床疾病,源于胆石症,壁部肿瘤或最常见的胆囊结石。这项研究的目的是了解胆总管(CBD)梗阻后的结构和机械重塑。在十二指肠附近结扎猪的CBD,这使导管的压力在最初的12小时内从6.4增加到18.3 cmH_2O,在32天后增加到30.7 cmH_2O。在梗阻后3 h,12 h,2天,8天和32天(每组n = 5)之后研究了重塑过程。每组另外一只动物进行假手术。在每个预定的时间,记录形态变化(直径,长度,壁厚等)和机械性能(应力,应变等)变化的时间过程。发现与假手术组相比,在32天组中直径增加了约三倍,CBD的壁厚增加了一倍(P <0.001)。

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