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Ginkgo biloba extract and hypertonic hydroxyethyl starch on attenuating ischemia and reperfusion changes of splanchnic organs in a rat model

Splanchnic artery occlusion and reperfusion causes circulatory shock, due mainly to increased capillary permebility and cellular injury precipitated by oxygen derived free-radicals. The purpose of this study was to verify if Ginkgo biloba extract (Egb-761) and hypertonic hydroxyethyl starch (HHS) would be able to prevent hypovolemic shock at the splanchnic artery occlusion (SAO). Egb-761 is known for its antioxidant property, which is well documented by the literature. HHS has been used successfully in hypovolemic shock treatment. Anesthetized rats received Egb-761 and HHS infusion and had their celiac, superior mesenteric and inferior mesentereic arteries occluded for 30 minutes followed by reperfusion by 90 minutes. Ileal histology and malondialdehyd (MDA) were determinated, as well as, mean arterial blood pressure (MABP) records were performed. Treated animals exhibited higher MABP than the controls (F=18,29;p<0,001), at the end of reperfusion period. MDA (H=6,003; p> 0,10) and histology (H=4,61; p> 0,10) did not show statistical differences among the groups. In conclusion, Egb-761 and HHS, have improved the rats hemodinamics attenuating significantly the SAO shock. Further studies must be proceeded to clarify the histological changes and the lipid peroxidation final products formation.

Ginkgo biloba; Hypertonic hydroxyethyl starch; Ischemia; Reperfusion; Free-radicals; Splanchnic


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