Background—Recent clinical studies suggest that
ischaemic colitis is caused by a microcirculatory disturbance that
involves thrombosis of the colon.
Aim—To establish a new model of photochemically
induced ischaemic colitis in rats.
Methods—Thirty male Wistar rats were anaesthetised
with amobarbital, the femoral veins were cannulated and laparotomies
were performed. The serosal surface of the proximal colon was
irradiated by using a krypton laser (wavelength 568 nm, 20 mW) for
four minutes. An intravenous infusion of a photosensitising dye, rose
bengal (20 mg/kg body weight), was administered over 90 seconds,
beginning at the start of irradiation. Rats were killed immediately
(n=4), 12 hours (n=2), 24 hours (n=10), three days (n=4), seven days (n=4), 14 days (n=2), or 28 days (n=2) after irradiation. Two control
rats received laser irradiation without dye infusion. Specimens of the
irradiated sites were examined by using histopathology.
Results—Localised ulcers of the colon were present
in rats killed at 12 hours, 24 hours, three days, and seven days after irradiation. Microscopy findings were consistent with the features of
human ischaemic colitis. Reproducible ulcerative lesions were produced
by photothrombosis of microvessels in the colon.
Conclusion—This model may be useful for further
investigation of the pathophysiology of ischaemic colitis.
Keywords:
ischaemic colitis; photothrombosis; rose bengal