Effects of beta-Glucan on Colon Anastomotic Healing in Rats Given Preoperative Irradiation


Seker A., Deger K. C. , Bostanci E. B. , Ozer I., Dalgic T., Bilgihan A., ...More

JOURNAL OF INVESTIGATIVE SURGERY, vol.27, no.3, pp.155-162, 2014 (Journal Indexed in SCI) identifier identifier identifier

  • Publication Type: Article / Article
  • Volume: 27 Issue: 3
  • Publication Date: 2014
  • Doi Number: 10.3109/08941939.2013.865820
  • Title of Journal : JOURNAL OF INVESTIGATIVE SURGERY
  • Page Numbers: pp.155-162

Abstract

Background: Radiation therapy is an essential therapeutic modality in the management of a wide variety of tumors. We aimed to investigate the short-term effects of pelvic irradiation on the healing of colon anastomoses and to determine the potential protective effects of beta-glucan in this situation. Material and Methods: Sixty Wistar albino rats were randomized into three experimental groups: a control group (n = 20), an irradiation (IR) group (n = 20), and an irradiation + beta-glucan (IR + beta-glucan) group (n = 20). Only segmental colonic resection and anastomosis were performed on the control group. The IR group underwent the same surgical procedure as the control group 5 days after pelvic irradiation. In the IR+ beta-glucan group, the same procedure was applied as in the IR group after beta-glucan administration. The groups were subdivided into subgroups according to the date of euthanasia (third [n = 10] or seventh [n = 10] postoperative [PO] day), and anastomotic colonic segments were resected to evaluate bursting pressures and biochemical and histopathological parameters. Results: Bursting pressure values were significantly lower in the IR group (p < .001). Malondialdehyde (MDA) levels were significantly higher in the IR group, whereas beta-glucan significantly decreased MDA levels on the third PO day (p < .001). Granulation tissue formation scores were significantly lower in the IR+ beta-glucan group compared with the control group and the IR group (p < .001). Conclusions: The results of this study indicate that irradiation has negative effects on the early healing of colon anastomoses. The administration of beta-glucan ameliorates these unfavorable effects by altering bursting pressures and biochemical parameters.