The effect of amnio-allantoic fluid pH on the intestines: an experimental study in the chick embryo gastroschisis

T Kanmaz1, A Yağmurlu, T Aktuğ

  • 1Department of Pediatric Surgery, Ankara University Faculty of Medicine, Ankara, Turkey.

Insights

Alkalizing the amnio-allantoic fluid (AAF) in a gastroschisis model significantly reduced intestinal damage. This suggests AAF pH adjustment may be a promising treatment to prevent intestinal injury in gastroschisis.

Area of Science:

  • Developmental Biology
  • Surgical Research
  • Neonatal Medicine

Background:

  • Gastroschisis leads to intestinal damage due to prolonged exposure to amniotic fluid.
  • Intestinal changes include edema, thickening, fibrous coating, and adhesions.
  • The pH of amnio-allantoic fluid (AAF) is a potential factor influencing this damage.

Purpose of the Study:

  • To evaluate the effect of amnio-allantoic fluid (AAF) pH on intestinal damage in a chick embryo gastroschisis model.
  • To investigate if alkalizing the AAF can mitigate intestinal injury associated with gastroschisis.

Main Methods:

  • A chick embryo model of gastroschisis was established on day 14 of incubation.
  • Seventy eggs were divided into five groups: preliminary study, AAF control, just gastroschisis, gastroschisis with placebo, and gastroschisis with sodium bicarbonate (NaHCO3) pretreatment.
  • The sodium bicarbonate group received alkalized AAF for four days.

Main Results:

  • Macroscopic and microscopic intestinal damage was significantly reduced in the gastroschisis group pretreated with sodium bicarbonate (GPS) compared to the just gastroschisis (JG) and gastroschisis with placebo (GPP) groups.
  • Alkalization of the AAF demonstrated a protective effect on the intestines.

Conclusions:

  • Pretreatment involving the alkalization of amnio-allantoic fluid effectively prevented intestinal damage in the gastroschisis model.
  • AAF pH adjustment presents a potential, simple alternative to amniotic fluid exchange for treating human fetuses with gastroschisis.
Abstract