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Published in: International Journal of Colorectal Disease 5/2009

01-05-2009 | Original Article

Effects of cyclooxygenase inhibition on anastomotic healing following large bowel resection in a rabbit model—a randomized, blinded, placebo-controlled trial

Authors: Heiko Neuss, Wieland Raue, Verena Müller, Wilko Weichert, Wolfgang Schwenk, Julian W. Mall

Published in: International Journal of Colorectal Disease | Issue 5/2009

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Abstract

Purpose

We performed an experimental study in a rabbit model to investigate the effects of a selective Cox-2 inhibitor (Valdecoxib) on anastomotic healing following large bowel resection after 1 week.

Materials and methods

Eighty New Zealand white rabbits were randomized into four groups and underwent a colon resection with end-to-end anastomosis. Group 1 (n = 20) was treated with Valdecoxib, group 2 with Metamizole (Novalgin®), group 3 with Resveratrol (specific Cox-1 inhibitor), or a placebo vehicle with similar volume (group 4). Anastomotic healing was tested at the seventh postoperative day by measurement of the bursting pressure in vitro. Immunohistochemical staining of the anastomotic site was performed with polyclonal antibodies (CD31).

Results

There were no significant differences in anastomotic dehiscence, bursting pressure, or vessel density between the treatment and control groups.

Conclusion

The application of Valdecoxib does not influence anastomotic healing or new vessel formation in the anastomotic region following large bowel resection.
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Metadata
Title
Effects of cyclooxygenase inhibition on anastomotic healing following large bowel resection in a rabbit model—a randomized, blinded, placebo-controlled trial
Authors
Heiko Neuss
Wieland Raue
Verena Müller
Wilko Weichert
Wolfgang Schwenk
Julian W. Mall
Publication date
01-05-2009
Publisher
Springer-Verlag
Published in
International Journal of Colorectal Disease / Issue 5/2009
Print ISSN: 0179-1958
Electronic ISSN: 1432-1262
DOI
https://doi.org/10.1007/s00384-009-0643-0

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