Skip to main content
The British Journal of Surgery logoLink to The British Journal of Surgery
. 1980 Sep 1;67(9):624–628. doi: 10.1002/bjs.1800670906

Catecholamines and experimental stress ulcer: Morphological and biochemical changes in the gastric mucosa

N Beraha 1, M Silveira 2, W Man 3, P B S Silcocks 4, J Spencer 5,
PMCID: PMC11428462  PMID: 7427060

Summary

A model for the production of gastric mucosal haemorrhages and ulcers, similar in morphology and distribution to those seen in stress states in man, has been produced by the intraperitoneal injection of adrenaline in single, double or treble doses of 0·6 mg/kg. Lesions were produced in 2 or 3 h, without ligation of the pylorus. Severe mucosal changes were associated with a fall in gastric mucosal histamine concentration. Mucosal serotonin did not change. Rises in mucosal adrenaline were accompanied by a fall in noradrenaline, total catecholamine levels being unchanged.

Contributor Information

N Beraha, Department of Surgery, Royal Postgraduate Medical School, Hammersmith Hospital, London W12.

M Silveira, Department of Surgery, Royal Postgraduate Medical School, Hammersmith Hospital, London W12.

W Man, Department of Surgery, Royal Postgraduate Medical School, Hammersmith Hospital, London W12.

P B S Silcocks, Department of Surgery, Royal Postgraduate Medical School, Hammersmith Hospital, London W12.

J Spencer, Department of Surgery, Royal Postgraduate Medical School, Hammersmith Hospital, London W12.

References

  • 1. Lucas  C E, Sugawa  C, Riddle  J  et al. : Natural history and surgical dilemma of ‘stress’ gastric bleeding. Arch. Surg.  1971; 102: 266–73. [DOI] [PubMed] [Google Scholar]
  • 2. Schwarz  K: Ueber Penetrierende Magen-und Jejunalgaschwure. Beitro Klin. Chir.  1910; 67: 96–128. [Google Scholar]
  • 3. Penner  A and Bernheim  A I: Experimental production of digestive tract ulcerations. J. Exp. Med.  1939; 70: 453–60. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 4. Klemperer  P, Penner  A and Bernheim  A I: The gastrointestinal manifestations of shock. Am. J. Dig. Dis.  1940; 7: 410–14. [Google Scholar]
  • 5. Nagler  A L and McConn  R: The role of humoral factors in shock. In: Wedingham  I MCA. (ed): Shock. Oxford: Excerpta Medica, 1976: 79–109. [Google Scholar]
  • 6. Campuzano  H C, Wilkerson  J E and Horvath  S M: Fluorometric analysis of epinephrine and norepinephrine. Anal. Biochem.  1975; 64: 578–87. [DOI] [PubMed] [Google Scholar]
  • 7. Weissbach  H, Waalkes  T P and Udenfriend  S: A simplified method for measuring serotonin in tissues; simultaneous assay of both serotonin and histamine. J. Biol. Chem.  1958; 230: 865–71. [PubMed] [Google Scholar]
  • 8. Hakanson  R and Ronnberg  A L: Improved fluorometric assay of histamine: condensation with O-phthaladehyde at −20°. Anal. Biochem.  1974; 60: 560–7. [DOI] [PubMed] [Google Scholar]
  • 9. Baronofsky  I and Wangensteen  O H: Erosion of ulcer (gastric and/or duodenal) experimentally produced through the agency of chronic arterial spasm invoked by the intramuscular implantation of epinephrine or pitressin in beeswax. Bull. Am. Coll. Surg.  1945; 30: 59–60. [Google Scholar]
  • 10. Nicoloff  D M, Peter  E T and Stone  N H: Stress, epinephrine and peptic ulcer. Fed. Proc.  1961; 20: 249. [Google Scholar]
  • 11. Nicoloff  D M: Effect of catecholamines on gastric secretion and blood flow. Ann. Surg.  1964; 159: 32–6. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 12. Sethbhakdi  S, Pfeiffer  C J and Roth  J L A: Gastric mucosal ulceration following vasoactive agents. A new experimental model. Dig. Dis.  1970; 15: 261–70. [DOI] [PubMed] [Google Scholar]
  • 13. Sethbhakdi  S, Roth  J L A and Pfeiffer  C J: Gastric mucosal ulceration after epinephrine. A study of etiologic mechanisms. Dig. Dis.  1970; 15: 1055–65. [DOI] [PubMed] [Google Scholar]
  • 14. Skillman  S J, Gould  S A, Chung  R S K  et al. : The gastric mucosal barrier, clinical and experimental studies in critically ill and normal man and in the rabbit. Ann. Surg.  1970; 172: 564–82. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 15. Nakano  J and Deschryver  C: Effect of changes in carotid sinus pulse pressure on catecholamine blood levels. Am. J. Physiol.  1963; 204: 467–70. [DOI] [PubMed] [Google Scholar]
  • 16. Troidl  H, Rodhe  H, Lorenz  W  et al. : Effect of selective gastric vagotomy on histamine concentration in gastric mucosa of patients with duodenal ulcer. Br. J. Surg.  1978; 65: 10–16. [DOI] [PubMed] [Google Scholar]

Articles from The British Journal of Surgery are provided here courtesy of Oxford University Press

RESOURCES