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Inflammatory response markers in rats undergoing abdominal surgical procedures
Türkay Kirdak1, Erdal Uysal2, Efe Sezgin3
1Department of General Surgery, Uludag University School of Medicine, Bursa.
Annals of Gastroenterology
|September 4, 2020
Summary
Interleukin-6 (IL-6) and C-reactive protein (CRP) levels varied significantly after abdominal surgery in rats, while cortisol did not. White blood cell (WBC) counts changed over time, but no marker was specific to the surgical procedure.
Area of Science:
- Veterinary Surgery
- Surgical Inflammation
- Biomarker Analysis
Background:
- Evaluating postoperative inflammatory response is crucial in abdominal surgery.
- Identifying reliable inflammatory markers aids in patient management and outcome prediction.
- This study investigates key inflammatory markers in a rat model of abdominal surgery.
Purpose of the Study:
- To assess the efficacy of cortisol, IL-6, CRP, and WBC count as indicators of the postoperative inflammatory response.
- To compare the changes in these markers across different abdominal surgical procedures in rats.
- To determine the influence of time post-surgery on these inflammatory markers.
Main Methods:
- 152 Wistar albino rats were divided into 7 surgical groups (control, hepatectomy, splenectomy, nephrectomy, colectomy, gastrectomy, sham) and sampled at 6, 24, and 48 hours post-operation.
- Plasma concentrations of interleukin-6 (IL-6), cortisol, C-reactive protein (CRP), and white blood cell (WBC) count were measured.
- Statistical analysis was performed to determine the significance of surgery type and time on marker levels.
Main Results:
- Both surgery type and time significantly impacted IL-6 levels (P<0.0001).
- CRP levels were primarily influenced by the type of surgery (P<0.0001).
- Cortisol levels were not significantly affected by surgery type or time.
- WBC count was significantly influenced by the time elapsed after surgery (P<0.0001).
Conclusions:
- Postoperative inflammatory markers IL-6, CRP, and WBC count exhibit dynamic changes at different time points following abdominal surgery.
- Cortisol levels do not correlate with surgical procedure type or time elapsed.
- WBC count demonstrates a decrease over time post-surgery.
- None of the evaluated markers showed specificity to the category of abdominal surgical procedure performed.

