PMID- 11315312 OWN - NLM STAT- MEDLINE DCOM- 20010823 LR - 20191104 IS - 0179-0358 (Print) IS - 0179-0358 (Linking) VI - 17 IP - 2-3 DP - 2001 Mar TI - Investigation of the intra-abdominal oesophagus and hiatus in fetal rats with oesophageal atresia and tracheo-oesophageal fistula. PG - 97-100 AB - After surgical management of their oesophageal atresia (OA) and tracheo-oesophageal fistula (TOF), most patients exhibit evidence of gastro-oesophageal reflux (GOR) and many have oesophagitis. However, the aetiology of the GOR is still controversial. This study was undertaken to document whether there are congenital abnormalities in the intra-abdominal oesophagus and the hiatus in the fetal rat with OA and TOF following exposure to adriamycin (ADR). Time-pregnant rats were injected daily with either saline or 2 mg/kg ADR intraperitoneally on gestational days (GD) 6-9. The fetuses (n = 56) from 8 litters were harvested on GD 21 for examination. The length of the oesophagus between the diaphragmatic crura and the gastro-oesophageal junction (GOJ) and the sizes of the stomach and the oesophageal hiatus were measured under a dissecting microscope. The length of the oesophagus between the diaphragmatic crura and the GOJ in the ADR-treated fetuses (0.85 +/- 0.37 mm) was significantly shorter than in control fetuses (2.41 +/- 0.32 mm) (P < 0.0001). The size of the stomach in ADR-treated fetuses (5.30 +/- 1.01 mm) was significantly smaller than in the controls (8.07 +/- 0.49 mm) (P < 0.001). Moreover, the size of the oesophageal hiatus in ADR-treated fetuses (1.16 +/- 0.43 mm) was markedly larger than in the controls (0.32 +/- 0.1 mm) (P < 0.0001). These results showed that the congenital abnormalities in ADR-treated rat fetuses may account for the oesophageal functional disorders seen after surgical correction in patients who have OA and TOF. FAU - Zhou, B AU - Zhou B AD - F. Douglas Stephens Surgical Research Laboratory, Royal Children's Hospital Research Institute, Melbourne, Australia. FAU - Hutson, J M AU - Hutson JM FAU - Myers, N A AU - Myers NA LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - Germany TA - Pediatr Surg Int JT - Pediatric surgery international JID - 8609169 RN - 80168379AG (Doxorubicin) SB - IM CIN - Pediatr Surg Int. 2004 Oct;20(10):813. PMID: 15243772 MH - Abnormalities, Drug-Induced/pathology/surgery MH - Animals MH - Disease Models, Animal MH - Doxorubicin MH - Esophageal Atresia/*pathology/surgery MH - Female MH - Gastroesophageal Reflux/pathology MH - Gestational Age MH - Hernia, Hiatal/*pathology MH - Postoperative Complications/pathology MH - Pregnancy MH - Rats MH - Rats, Sprague-Dawley MH - Tracheoesophageal Fistula/*pathology/surgery EDAT- 2001/04/24 10:00 MHDA- 2001/08/24 10:01 CRDT- 2001/04/24 10:00 PHST- 2001/04/24 10:00 [pubmed] PHST- 2001/08/24 10:01 [medline] PHST- 2001/04/24 10:00 [entrez] AID - 10.1007/s003830000456 [doi] PST - ppublish SO - Pediatr Surg Int. 2001 Mar;17(2-3):97-100. doi: 10.1007/s003830000456.