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العنوان
Can neurotoxins improve the properties of gut segments for use in bladder augmentation and substitution /
المؤلف
Selim, Ashraf Mohamed Saber.
هيئة الاعداد
باحث / أشرف محمد صابر سليم
مشرف / محمد أحمد غنيم
مشرف / اليسون بريدنج
مشرف / عادل نبيه محمد على
مشرف / محـمود أنيس بازيد
الموضوع
Bladder augmentation.
تاريخ النشر
2003.
عدد الصفحات
146 p. :
اللغة
الإنجليزية
الدرجة
الدكتوراه
التخصص
جراحة المسالك البولية
تاريخ الإجازة
1/1/2003
مكان الإجازة
جامعة المنصورة - كلية الطب - قسم جراحة المسالك البولية
الفهرس
Only 14 pages are availabe for public view

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from 164

Abstract

Objective: to initiate peristalsis in the Mayflower tissue bath<U+2122> and use this model to see the effect of different agents when in contact with the serosal or mucosal surface of a tubular segment of guinea­pig ileum. Substances safe for human use are tested and if effective, may be used in man to abolish peristalsis contributing to eneuresis in patients with neobladders Materials and Methods: guinea­pigs weighing 500­1000 grams are decapitated and a 5 cm tubular segment is taken and mounted on a Mayflower organ Bath<U+2122> filled with Krebs solution. The latter is passed inside the lumen to initiate peristalsis by distension. The following substances were used: verapamil, capsaicin, guanethidine, 6­hydroxydopamine, 5­7dihydroxytryptamine, botulinum toxin A, botulinum toxin D, conotoxin, agatoxin and ricin. Results: verapamil was effective in doses of 1.5 x 10 (­5) M for periods ranging from 5­12 hours (average 6.5 hours). Capsaicin was effective in doses of 7.5 x 10 (­3) M. Peristalsis was suppressed for an average of 8.9 hours. A mild effect was noted from dopamine and tryptamine and no significant effect occurred with the remaining substances. Conclusion: Using verapamil systemically and capsaicin by intrapouch instillation may help decrease peristalsis and hopefully help eneuritic patients who have neobladders.