Evaluation of Serial Measurements of Selected Biomarkers in Serum and Peritoneal Fluid for the Diagnosis of Intestinal Ischemia in Donkeys: An Experimental Study

Y. Hamad, M. El-Ashker, H. Ibrahim, K. Abouelnasr, M. Youssef
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Abstract

Up to now, there has been limited evidence relating to the early diagnostic approach of colic in equine patients. The purpose of this study was to evaluate serial measurements of selected biomarkers in both serum and peritoneal fluid (PF) in donkeys underwent experimental intestinal obstruction owing to early detection of intestinal. For this purpose, four apparently healthy male donkeys (Equus asinus) were randomly purchased based on their health condition and were thoroughly examined to rule out concurrent or even previous ailments. Following a standard pre-surgical and surgical precautions, these animals were subjected to intestinal ischemia via complete ligation of ileum and its mesentery. The animals were clinically and ultrasonographically monitored for 72 hours. Paired samples of blood and PF were collected from each animal before surgery (T0) and following surgical intervention at the following time points: T12, T24, T48 and T72 to measure the respective levels of L-lactate, nitric oxide (NO), total alkaline phosphatase (TAP), lipase and cardiac troponin I (CTnI). The results herein demonstrated that the pattern of both PF and blood lactate were significantly higher at T72 than those at other time points (P< 0.05). Serum values of NO, AP, lipase and CTnI, despite being not significantly changed among the different time points, their respective levels in the PF were altered significantly when compared with their levels in serum (P
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评价血清和腹膜液中选定生物标志物的一系列测量对驴肠缺血诊断的实验研究
到目前为止,有关马绞痛患者的早期诊断方法的证据有限。本研究的目的是评估早期发现的实验性肠梗阻驴血清和腹膜液(PF)中选定的生物标志物的一系列测量结果。为此,研究人员根据健康状况随机购买了4头明显健康的公驴(Equus asinus),并对其进行了彻底检查,以排除并发或甚至以前的疾病。按照标准的术前和手术预防措施,这些动物通过完全结扎回肠及其肠系膜进行肠缺血。对这些动物进行临床和超声监测72小时。分别于术前(T0)和术后(T12、T24、T48、T72)采集各组动物的成对血液和PF样本,分别测定l -乳酸、一氧化氮(NO)、总碱性磷酸酶(TAP)、脂肪酶和心肌肌钙蛋白I (CTnI)的水平。结果表明,T72时PF和血乳酸水平均显著高于其他时间点(P< 0.05)。血清NO、AP、脂肪酶和CTnI值虽然在不同时间点间变化不显著,但其在PF中的水平与血清中的水平相比有显著变化(P
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