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Abstract
Background. Burn injury produces acute gastrointestinal derangements that may predispose to bacterial
translocation (BT). We studied effects of recombinant human epidermal growth factor
(r-HuEGF), a gastrointestinal trophic hormone, on gastrointestinal alterations and
BT after murine burn injury.
Methods. r-HuEGF was administered 1 and 12 hours after burn injury in a dose of 4 μg per animal
subcutaneously after 25% and 32% total body surface area (TBSA) scald burn. Small
bowel and gastric weight and histologic factors were studied, and BT was measured
by culturing mesenteric lymph nodes.
Results. Mice treated with r-HuEGF maintained gastric and small intestine weight, measured
24 hours after burn injury, and ileal mucosal height was preserved, whereas burned-untreated
mice lost organ weight and mucosal height. BT was decreased significantly in mice
with 32% TBSA burn injury treated with r-HuEGF after injury (burn, 64.2% of animals
had BT; burn-r-HuEGF, 34.6% had BT; p < 0.05). After 25% TBSA burn injury, BT was
also decreased in r-HuEGF-treated animals (burn, 31.4% of animals had BT; burn-r-HuEGF,
14.3% had BT), but the difference was not statistically significant (p < 0.1).
Conclusions. r-HuEGF improves intestinal and gastric structure in mice 24 hours after burn injury
and decreases BT after 32% TBSA burn injury.
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Article info
Publication history
Accepted:
February 1,
1992
Footnotes
☆Supported in part by National Institutes of Health grant GM 08247.
Identification
Copyright
© 1993 Published by Elsevier Inc.