Skip to main content

Advertisement

Log in

The adverse effects of octreotide on the healing of colonic anastomoses in rats

  • Original Articles
  • Published:
Surgery Today Aims and scope Submit manuscript

Abstract

Octreotide, a long-acting somatostatin analogue, is widely used in gastrointestinal hypersecretory states and also for endocrine tumors in an attempt to inhibit the paracrine hormones. Although it is well known that octreotide inhibits trophic and anabolic hormones, no research has been conducted on its adverse effects on wound healing. In the present study, groups of rats were given 20 mcg/kg/day octreotide and 100 mg/kg/day hydrocortisone, the latter being the negative control group, starting 5 days preoperatively. The colonic anastomoses were assessed for healing on postoperative days (PODs) 5 and 8 by detemining the bursting pressure of the anastomoses, performing histopathological analysis, and measuring the hydroxyproline content of the anastomotic tissues. Octreotide was found to affect anastomotic healing negatively on both PODs 5 and 8, but the negative effect of hydrocortisone was significant only on POD 8. No significant difference was found between the adverse effects of the two agents on POD 8. These findings indicated that octreotide has an adverse effect on the healing of colonic anastomoses in rats.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  1. Brazean P, Vale W, Burgus M, Ling J, Butcher J, Rivier R (1973) Hypothalamic polypeptide that inhibits the secretion of immunoreactive pituitary growth homone. Science 179:77–79

    Article  Google Scholar 

  2. Bauer W, Briner U, Doepfner W, Haller R, Huguenin R, Marbach P, Petccher TH, Pless J (1982) SMS 202–995: A very potent and selective octapeptide analogue of somatostatin with prolonged action. Life Sci 21 (Suppl 119):11–21

    Google Scholar 

  3. Comi RJ, Maton PN, Go VLW (1989) Somatostatin and somatostatin analogue (SMS 201–995) in treatment of hormonesecreting tumors of the pituitary and gastrointestinal tract and nonneoplastic disease of the gut. Ann Intern Med 110:35–50

    PubMed  Google Scholar 

  4. Somerville KW, Henry DA, Davies JG, Hine KR, Hawkey CJ, Langman MJ (1985) Somatostatin in treatment of haematemesis and melaena. Lancet 1:130–132

    Article  PubMed  CAS  Google Scholar 

  5. Burroughs AK, Mc Cormich PA, Hughes MD, Sprengers D, D’Heygere F, Mc Intyre N (1990) Randomized, doubleblind, placebo-controlled trial of somatostatin for variceal bleeding. Gastroenterology 99:1388–1395

    PubMed  CAS  Google Scholar 

  6. Nubiola P, Badia JM, Martinez-Rondenas F, Gil MJ, Segura M, Sancho J, Sitges-Serra A (1989) Treatment of 27 postoperative enterocutaneous fistulas with the long half-life somatostatin analogue SMS 201–995. Ann Surg 210:56–58

    Article  PubMed  CAS  Google Scholar 

  7. Rosen GH (1992) Somatostatin and its analogs in the short bowel syndrome. Nutrition in clinical practice 7:81–85

    Article  PubMed  CAS  Google Scholar 

  8. Gray JL, Debas HT, Mulvihill SS (1991) Control of dumping symptoms by somatostatin analogue in patients after gastric surgery. Arch Surg 126:1231–1236

    PubMed  CAS  Google Scholar 

  9. Gullo L, Barbara L (1991) Treatment of pancreatic pseudocysts with octreotide. Lancet 338:540–541

    Article  PubMed  CAS  Google Scholar 

  10. Ahren B, Tranberg KG, Bengmark S (1988) Treatment of pancreatic fistula with the somatostatin analogue SMS 201-995. Br J Surg 75:718

    Article  PubMed  CAS  Google Scholar 

  11. Usadel K, Leuschner D, Uberla K (1985) Treatment of acute pancreatitis with somatostatin: results of the multicenter doubleblind trial. Dig Dis Sci 30:992

    Google Scholar 

  12. Tyden G, Nyberg B, Samnegaard H (1986) Effect of somatostatin on hyperamylasemia following endoscopic pancreatography. Acta Chir Scand (Suppl) 530:43–45

    CAS  Google Scholar 

  13. Watson AJM, Banks J, Halliday R, Lear PA (1988) Long acting somatostatin (SMS 201-995) prolongs mouth-to-caecal transit time in irritable bowel syndrome (IBS) patients with bowel frequency. Gastroenterology 94:A488

    Google Scholar 

  14. Cooper JC, Williams NS, King RFGJ, Barker MC (1986) Effect of a long-acting somatostatin analogue in patients with severe ileostomy diarrhea. Br J Surg 73:128–131

    Article  PubMed  CAS  Google Scholar 

  15. Robinson EN, Fogel R (1988) SMS 201–995, a somatostatin analogue, and diarrhea in the acquired immunodeficiency syndrome (AIDS). Ann Intern Med 109:680–681

    PubMed  Google Scholar 

  16. Tsai S-T, Vinik AJ (1986) Diabetic diarrhea and somatostatin. Ann Intern Med 104:894

    PubMed  CAS  Google Scholar 

  17. Bass BL, Fischer BA, Richardson C, Harmon JW (1991) Somatostatin analogue treatment inhibits postresectional adaptation of the small bowel in rats. Am J Surg 161:107–112

    Article  PubMed  CAS  Google Scholar 

  18. Thompson JS, Nguyen BT, Harty RF (1993) Somatostatin analogue inhibits intestinal regeneration. Arch Surg 128:385–389

    PubMed  CAS  Google Scholar 

  19. Pruthi RS, Farouk M, Tsai WH, Michalogoulos G, Meyers WC (1993) The effect of Octreotide on hepatic regeneration in rats. Surgery 113:84–89

    PubMed  CAS  Google Scholar 

  20. Konturek SJ, Dembinski A, Warzecha Z, Brzozowski T, Gregory H (1988) Role of epidermal growth factor in healing of chronic gastroduodenal ulcers in rats. Gastroenterology 94:1300–1307

    PubMed  CAS  Google Scholar 

  21. Dostal HG, Gamelli R (1990) The differential effect of corticosteroids on wound disruption strength in mice. Arch Surg 125:636–640

    PubMed  CAS  Google Scholar 

  22. Jiborn H, Ahonen J, Zederfeldt B (1978) Healing of experimental colonic anastomoses. Am J Surg 136:587–594

    Article  PubMed  CAS  Google Scholar 

  23. Bergman I, Loxley R (1963) Two improved and simplified methods for the spectrophotometric determination of hydroxyproline. Ann Chem 35:1961–1965

    Article  CAS  Google Scholar 

  24. Ahrendt G, Gardner K, Barbul A (1994) Loss of colonic structural collogen impairs healing during intra-abdominal sepsis. Arch Surg 129:1179–1183

    PubMed  CAS  Google Scholar 

  25. Werber S, Graf W, Glimelius B, Jiborn H, Pahlman L, Zederfeldt B (1994) The effect of 5 fluorouracil on wound healing and collagen synthesis in left colon anastomoses. Eur Surg Res 26:173–178

    Article  Google Scholar 

  26. Waninger J, Kauffman GW, Shah IA, Farthmann EH (1992) Influence of the distance between interrupted sutures and the tension of sutures on the healing of experimental colonic anastomoses. Am J Surg 163:319–323

    Article  PubMed  CAS  Google Scholar 

  27. Hermann JB, Woodward SC, Pulaskki EJ (1964) Healing of colonic anastomosis in the rat. Surg Gynecol Obstet 119:269–275

    Google Scholar 

  28. Furst MB, Stromberg BV, Blachford GJ, Christensen MA, Thorson AG (1994) Colonic anastomoses: bursting strength after corticosteroid treatment. Dis Colon Rectum 37:12–15

    Article  PubMed  CAS  Google Scholar 

  29. Cali RL, Smyrk TC, Blatchford GJ, Thorson AG, Christensen MD (1993) Effect of prostaglandin E1 and steroid on healing colonic anastomoses. Dis Colon Rectum 36:1148–1151

    Article  PubMed  CAS  Google Scholar 

  30. Christensen H, Oxlund H (1994) Growth hormone increases the collagen deposition rate and breaking strength of left colonic anastomoses in rats. Surgery 116:550–556

    PubMed  CAS  Google Scholar 

  31. Brasken P, Renwall S, Sandberg M (1991) Expression of epidermal growth factor and epidermal growth factor receptor genes in healing colonic anastomoses in rats. Eur J Surg 157:607–611

    PubMed  CAS  Google Scholar 

  32. Brasken P (1991) Healing of experimental colon anastomoses. Eur J Surg 566:1–51

    Google Scholar 

  33. Christensen H, Oxlund H, Laurberg S (1991) Postoperative biosynthetic human growth hormone increases the strength and collagen deposition of experimental colonic anastomoses. Int J Colorectal Dis 6:133–138

    Article  PubMed  CAS  Google Scholar 

  34. Hurst RD, Modlin IM (1991) The therapeutic role of octreotide in the management of surgical disorders. Am J Surg 162:499–507

    Article  PubMed  CAS  Google Scholar 

  35. Bloom SR, Polak JM (1987) Somatostatin. Br Med J 295:288–290

    Article  CAS  Google Scholar 

  36. Mulvihil S, Pappas TN, Passaro E, Detas HT (1986) The use of somatostatin and its analogs in the treatment of surgical disorders. Surgery 100:467–475

    Google Scholar 

  37. Mozell EJ, Woltering EA, O’Dorisio TM (1991) Nonendocrine applications of somotastatin and octreotide acetate facts and flights of fancy. Dis Mon 37:751–848

    Google Scholar 

  38. Mastboom WJB, Hendriks T, De Mon BM, De Boer HM (1991) Influence of methylpredinosolone on the healing of intestinal anastomoses in rats. Br J Surg 78:54–56

    Article  PubMed  CAS  Google Scholar 

  39. Tadros T, Wobbes T, Hendriks T (1992) Blood transfusion impairs the healing of experimental intestinal anastomoses. Ann Surg 215:276–281

    Article  PubMed  CAS  Google Scholar 

  40. Matzch T, Bergqvist D, Blomquist P, Jiborn H (1987) Influence of standard heparin or low molecular weight heparin on healing of abdominal wounds and colonic anastomoses in rats. Acta Chir Scand 153:593–598

    Google Scholar 

  41. Chowcat NL, Savage FJ, Lewin MR, Boulos PB (1990) Direct measurement of collagenase in colonic anastomoses. Br J Surg 77:1284–1287

    Article  PubMed  CAS  Google Scholar 

  42. Longnecker SM (1988) Somatostatin and octreotide. Literature review and description of therapeutic activity in pancreatic neoplasia. Drug Intel Clin Pharm 22:99–106

    CAS  Google Scholar 

  43. Kvols LK, Buch M, Moertel CG et al. (1987) Treatment of metastatic islet cell carcinoma with a somatostatin analogue (SMS 201–995). Ann Intern Med 107:162–168

    PubMed  CAS  Google Scholar 

  44. Di Pasquale G, Steinetz BG (1964) Relationship of food intake to the effect of cortisone acetate on skin wound healing. Proc Soc Exp Biol Med 188:115–121

    Google Scholar 

  45. Meadows EC, Prudden JF (1953) A study of the influence of adrenal steroids on the strength of healing wounds preliminary report. Surgery 33:841–848

    PubMed  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Rights and permissions

Reprints and permissions

About this article

Cite this article

Türkçapar, A.G., Demirer, S., Şengül, N. et al. The adverse effects of octreotide on the healing of colonic anastomoses in rats. Surg Today 28, 279–284 (1998). https://doi.org/10.1007/s005950050121

Download citation

  • Received:

  • Accepted:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s005950050121

Key Words

Navigation