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Annals of Surgery logoLink to Annals of Surgery
. 1988 Feb;207(2):169–173. doi: 10.1097/00000658-198802000-00009

The effect of somatostatin on experimental intestinal obstruction.

S J Mulvihill 1, T N Pappas 1, E W Fonkalsrud 1, H T Debas 1
PMCID: PMC1493368  PMID: 2893593

Abstract

The effect of somatostatin (SS-14) was tested in an anesthetized rabbit model of closed-loop ileal obstruction. Experimental groups included (1) immediate treatment (N = 6) receiving SS-14 2,000 pmol X kg-1 X h-1 intravenously (I.V.) beginning at the time of ileal obstruction, (2) delayed treatment (N = 5) receiving SS-14 beginning 6 hours following ileal obstruction, and (3) control (N = 6) receiving only hydration. After 24 hours, all rabbits were killed. Significantly decreased intestinal luminal volume and sodium and potassium output was observed with both immediate and delayed SS-14 treatment when compared to control. Additionally, the gross and microscopic pathologic features of intestinal distension, inflammation, and necrosis seen in control rabbits were absent in rabbits treated with SS-14. The known broad spectrum of physiologic activity of SS-14 on the gastrointestinal tract appeared beneficial in this rabbit model of intestinal obstruction.

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Selected References

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  1. Arnold R., Lankisch P. G. Somatostatin and the gastrointestinal tract. Clin Gastroenterol. 1980 Sep;9(3):733–753. [PubMed] [Google Scholar]
  2. Brazeau P., Vale W., Burgus R., Ling N., Butcher M., Rivier J., Guillemin R. Hypothalamic polypeptide that inhibits the secretion of immunoreactive pituitary growth hormone. Science. 1973 Jan 5;179(4068):77–79. doi: 10.1126/science.179.4068.77. [DOI] [PubMed] [Google Scholar]
  3. Dharmsathaphorn K., Binder H. J., Dobbins J. W. Somatostatin stimulates sodium and chloride absorption in the rabbit ileum. Gastroenterology. 1980 Jun;78(6):1559–1565. [PubMed] [Google Scholar]
  4. Dharmsathaphorn K., Sherwin R. S., Dobbins J. W. Somatostatin inhibits fluid secretion in the rat jejunum. Gastroenterology. 1980 Jun;78(6):1554–1558. [PubMed] [Google Scholar]
  5. Guandalini S., Kachur J. F., Smith P. L., Miller R. J., Field M. In vitro effects of somatostatin on ion transport in rabbit intestine. Am J Physiol. 1980 Feb;238(2):G67–G74. doi: 10.1152/ajpgi.1980.238.2.G67. [DOI] [PubMed] [Google Scholar]
  6. Maton P. N., O'Dorisio T. M., Howe B. A., McArthur K. E., Howard J. M., Cherner J. A., Malarkey T. B., Collen M. J., Gardner J. D., Jensen R. T. Effect of a long-acting somatostatin analogue (SMS 201-995) in a patient with pancreatic cholera. N Engl J Med. 1985 Jan 3;312(1):17–21. doi: 10.1056/NEJM198501033120104. [DOI] [PubMed] [Google Scholar]
  7. Modlin I. M., Bloom S. R., Mitchell S. Plasma vasoactive intestinal polypeptide (VIP) levels and intestinal ischaemia. Experientia. 1978 Apr 15;34(4):535–536. doi: 10.1007/BF01935976. [DOI] [PubMed] [Google Scholar]
  8. Mulvihill S., Pappas T. N., Passaro E., Jr, Debas H. T. The use of somatostatin and its analogs in the treatment of surgical disorders. Surgery. 1986 Sep;100(3):467–476. [PubMed] [Google Scholar]
  9. Mulvihill S., Passaro E., Jr, Debas H., Yamada T. Severe diarrhea after colonic pseudo-obstruction: treatment with somatostatin. N Engl J Med. 1984 Feb 16;310(7):467–468. doi: 10.1056/NEJM198402163100719. [DOI] [PubMed] [Google Scholar]
  10. Reichlin S. Somatostatin (second of two parts). N Engl J Med. 1983 Dec 22;309(25):1556–1563. doi: 10.1056/NEJM198312223092506. [DOI] [PubMed] [Google Scholar]
  11. SMITH G. A., PERRY J. F., Jr, YONEHIRO E. G. Mechanical intestinal obstructions; a study of 1,252 cases. Surg Gynecol Obstet. 1955 Jun;100(6):651–660. [PubMed] [Google Scholar]
  12. Shields R. The absorption and secretion of fluid and electrolytes by the obstructed bowel. Br J Surg. 1965 Oct;52(10):774–779. doi: 10.1002/bjs.1800521019. [DOI] [PubMed] [Google Scholar]
  13. Wright H. K., O'Brien J. J., Tilson M. D. Water absorption in experimental closed segment obstruction of the ileum in man. Am J Surg. 1971 Jan;121(1):96–99. doi: 10.1016/0002-9610(71)90083-3. [DOI] [PubMed] [Google Scholar]

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