PubMed Health⌕ Search

Biomedical subjects

Hans Gregersen

Publications and source records attributed to Hans Gregersen.

At least 73 records · Page 4Linked to original sources

Multi-modal induction and assessment of allodynia and hyperalgesia in the human oesophagus.

BACKGROUND AND AIMS: Experimental pain models based on single stimuli have to some degree limited visceral pain studies in humans. Hence, the aim of this study was to investigate the effect of multi-modal visceral pain stimuli of the oesophagus in healthy subjects before and after induction of visceral hyperalgesia. We used a multi-modal psychophysical assessment regime and a neurophysiological method (nociceptive reflex) for the characterisation of the experimentally induced hyperalgesia. METHODS: A probe for multi-modal (cold, warm, electrical, and mechanical) visceral stimulation was positioned in the lower part of the oesophagus in eleven healthy subjects. Mechanical stimuli were applied as distensions with a bag, which also had electrodes mounted for electrical stimulation. Thermal stimulation with temperatures from 0 to 60 degrees C was applied with re-circulating water in the bag. To assess the interaction between visceral and somatic pathways, the nociceptive withdrawal reflex to electrical stimuli at the ankle was measured with and without simultaneous mechanical oesophageal distension to painful levels. Finally, the oesophageal sensitisation was induced by perfusion with hydrochloric acid. Multimodal responses (pain threshold, stimulus response function, size of nociceptive reflex, and referred pain areas) were assessed before and after the induced hyperalgesia. RESULTS: The multi-modal psychophysical responses and reflex sizes were assessed twice before sensitisation, and the parameters were reproducible. Sensitisation of the oesophagus resulted in hyperalgesia to electrical and mechanical stimuli (29 and 35% decrease in pain threshold) and allodynia to cold and warmth stimuli (11% increase in sensory rating). After sensitisation, the referred pain area to mechanical stimuli increased more than 300% with a change in the localisation of the referred pain to all stimuli, and the amplitude of nociceptive reflex increased 100%, all indicating the presence of central hyperexcitability. CONCLUSIONS: Visceral hyperalgesia/allodynia can be induced experimentally and assessed quantitatively by the newly introduced multi-modal psychophysical assessment approach. The significant changes of the experimentally evoked referred pain patterns and of the nociceptive reflex evoked from a distant somatic structure indicate that even short-lasting visceral hyperalgesia can generate generalised sensitisation.

Adult↗

Stress distribution in the layered wall of the rat oesophagus.

The topic of this study is to obtain the constitutive equations for two layers in the oesophagus from inflation experiment of each layer in the in vivo state and to calculate the corresponding stress distribution referenced to a new stress-free state for multi-layered tissue. The oesophagus is treated as a two-layered structure consisting of an inner submucosa layer and an outer muscle layer. An anisotropic exponential pseudo-strain energy density function is used as the constitutive equation to fit the experimental loading curve and for the calculation of the stress distribution in each layer. Significant differences in the constitutive parameters and zero-stress parameter were found between the submucosa layer and the muscle layer. The stress in the submucosa layer was higher than that in the muscle layer and intact (non-separated) wall under the same loading conditions. The submucosa layer was stiffer than the muscle layer and the intact wall. The zero-stress state of the intact oesophagus and the zero-stress state after separation were used as a reference to compare the stress-strain distributions. The residual strain was discontinuous when using the zero-stress state after separation as a reference. Furthermore, the circumferential stress when using the zero-stress state of the intact wall as a reference was about 100 times higher than that referenced to the zero-stress state after separation. Hence, it is important to use the zero-stress state obtained after the layer separation as the stress-free state in the study of multi-layered tissue.

Animals↗

Morphological properties of zero-stress state in rat large intestine during systemic EGF treatment.

Systemic treatment with epidermal growth factor (EGF) induce growth of the large intestine. The aim of this study was to investigate the morphological properties early in the course of EGF-induced large intestinal growth. The effects of systemic EGF treatment on the morphological properties at the zero-stress state along the large intestine were investigated. EGF-treated rats and control rats were allocated into group with EGF treatment for 2, 4, 7, and 14 days (N = 6 for each EGF treatment group except N = 4 for the 14-day group). The controls had saline injected (N = 3 for each group). The excised large intestine was subdivided into four segments: the ascending colon, transverse colon, descending colon, and rectum. The length and weight of each segment was measured. The zero-stress state was obtained by cutting rings of the large intestine radially, and the opening angle was measued on video images. The thickness and cross-sectional area of the mucosa and muscle layers, and the inner and outer circumference were measured. The total colon length did not increase, whereas the weight of the large intestine, muscosal thickness and mass, and inner and outer circumference increased significantly (P < 0.05). The increase was most prominent in the proximal colon after 7 days of EGF treatment. Later no further morphological changes were observed, except for a decrease in mucosal thickness in most segments and in mucosal cross-sectional area in the descending colon. In the controls and during the first week of EGF treatment, the opening angle was approximately 100 degrees. After 14 days the opening angle increased significantly in the ascending and transverse colon to approximately 172 and 135 degrees (P < 0.05). In conclusion, this study demonstrates that systemic EGF treatment caused remodeling of the morphology of the zero-stress state in the large intestine in a time-dependent manner. The growth was most pronounced in the ascending and transverse colon and involved mainly the mucosal layer.

Analysis of Variance↗

Pain intensity and biomechanical responses during ramp-controlled distension of the human rectum.

The current study aimed to refine the conventional distension model in the human rectum by measuring the cross-sectional area with a ramp-controlled impedance planimetric system. After preconditioning, the rectum in seven volunteers was distended 56 times with infusion rates of 50, 100 and 200 ml/min and at 100 ml/min during relaxation of the smooth muscle with glucagon. The pump was reversed at maximal tolerated pain. The subjects tolerated a higher volume and pressure with a more reliable sensory rating after preconditioning of the tissue. The three distension rates resulted in different pressure and tension at the maximal pain intensity (P < 0.02 and P < 0.05) with a decrease after relaxation of the smooth muscle with glucagon (P < 0.05). On the other hand, the cross-sectional area and volume were robust, did not show strain-rate dependency, and were not affected by muscle relaxation. Since the cross-sectional area is directly related to the deformation of the gut wall and hence to the strain, the study supports the idea that, independent of the muscular function, the mechano sensitive nociceptors in the human rectum depend directly on circumferential wall strain rather than on pressure and tension.

Adult↗

Viscoelastic behavior of small intestine in streptozotocin-induced diabetic rats.

Diabetes is associated with remodeling of the morphology and elastic properties of the small intestine. This study aims to study remodeling of the viscoelastic (time-dependent) properties of the small intestine during experimental diabetes. Stress relaxation tests were performed on the duodenum, jejunum, and ileum in 10 nondiabetic and 28 streptozotocin (STZ) -induced diabetic rats. The rats were made diabetic by a single intraperitoneal injection of 50 mg/kg STZ. The diabetic rats were allocated into groups living four days or one, two, or four weeks after the induction of diabetes (N = 7 in each group). The mechanical test was performed using a machine that rapidly stretched the intestinal tube to 40% more than the resting length. The intestinal diameter and wall area were obtained from digitized images of the intestinal segments at no-load and zero-stress states. The stress (force per area) was computed and a reduced-stress relaxation function was applied. The log decay parameter C and the slow and fast time constants tau1 and tau2 were computed. STZ-induced diabetes was associated with a progressive increase in the wall thickness and wall cross-sectional area (P < 0.05). tau1 and tau2 increased and C decreased. The slope alpha became consistently less negative (P < 0.05), and the stress after 600-sec relaxation gradually increased during diabetes (P < 0.01). In conclusion, the viscoelastic behavior of the intestinal wall changed during the development of diabetes.

Animals↗

Morphometric and biomechanical remodelling following reopening of the obstructed bile duct.

Obstruction in the common bile duct results in duct dilatation, increased wall thickness and stiffening of the wall. Whether these changes are reversible after release of the obstruction has not yet been studied in detail. The aim of this study was to create a porcine model for release of bile duct obstruction and to describe biomechanical and morphometric parameters in a time-dependent design after the reopening. The bile duct of pigs was completely obstructed for one week and then reopened. Eighteen animals were allocated into four groups: unobstructed (group 1, n = 5), one week of obstruction (group 2, n = 5) and one week of obstruction followed by release of the obstruction after one week (group 3, n = 4), and four weeks (group 4, n = 4), respectively. The bile ducts were examined in vitro on the day of termination. One week of obstruction induced pronounced dilatation and wall thickening. Both the diameter and wall thickness decreased after release of the obstruction (p < 0.05) but without reaching the unobstructed level. The biomechanical properties in terms of the circumferential stress-strain relation differed between groups (p < 0.01). Groups 3 and 4 were transposed to the left of the other groups, indicating that they had the stiffest wall. The wall was stiffer in the longitudinal direction when compared to the circumferential direction in all groups (p < 0.05). The collagen amount decreased after releasing the obstruction (p < 0.01). The collagen amount correlated to the wall thickness (r > 0.9 and p < 0.001) and wall thickness-to-radius ratio (r > 0.7 and p < 0.05) in each of the two groups with release of the obstruction.

Animals↗

Biomechanical properties of esophagus during systemic treatment with epidermal growth factor in rats.

The epidermal growth factor (EGF) is a growth factor with effects on many cell types and tissue. Morphometric and passive biomechanical properties were studied in isolated segments of the esophagus in 22 EGF-treated rats and 12 control rats. The rats were divided into groups with EGF treatment for 2, 4, 7, and 14 days (n=6 for each group except n=4 for the 14 days EGF-treatment group) or saline treatment (n=3 for each group). The mechanical test was performed as a distension experiment in vitro where the whole esophagus was stretched to its in situ length and distended with pressures up to 10 cm H2O using a ramp distension protocol. The pressure and outer diameter were recorded. Circumferential stress (force per area) and strain (deformation) were computed from the diameter and pressure data using the zero-stress state as reference. The zero-stress state was obtained by cutting esophageal rings radially. This caused the rings to open up into a sector. EGF induced pronounced morphometric changes, e.g., the wall thickness, wall cross-sectional area, and inner and outer circumferential lengths significantly increased during the EGF treatment. Histological analysis showed mucosa and submucosa growth during EGF treatment. The opening angle and residual strains increased with the highest value in the 14 days EGF-treated group (P<0.05). The change in opening angle depended largely on the change in mucosa thickness. Furthermore, the circumferential stiffness of the esophagus reached a maximum after 7 days EGF treatment (P<0.01).

Animals↗

Morphology and stress-strain properties along the small intestine in the rat.

The stress-strain relationship is determined by the inherent mechanical properties of the intestinal wall, the geometric configurations, the loading conditions and the zero-stress state of the segment. The purpose of this project was to provide morphometric and biomechanical data for rat duodenum, jejunum and ileum. The circumferential strains were referenced to the zero-stress state. Large morphometric variations were found along the small intestine with an increase in the outer circumferential length and luminal area and a decrease in wall thickness in distal direction. The serosal residual strain was tensile and decreased in distal direction (P < 0.05). The mucosal residual strain was compressive and the absolute value decreased in distal direction (P < 0.001). The stress-strain experiments showed that the duodenum was stiffest. All segments were stiffest in longitudinal direction (P < 0.05). In conclusion, axial variation in morphometric and biomechanical properties was found in the small intestine. The zero-stress state must be considered in future biomechanical studies in the gastrointestinal tract.

Animals↗

Biomechanical properties of ileum after systemic treatment with epithelial growth factor.

AIM: Systemic treatment with epidermal growth factor (EGF) leads to growth of all parts of the small intestine in normal functioning rats. In this study, we investigated the effect of this growth process on morphometric and biomechanical parameters of ileum. METHODS: Rats were treated with EGF (150 microg.kg(-1)day(-1))or placebo via osmotic minipumps for 2, 4, 7, and 14 days. A segment of ileum was removed. The morphology at no-load state and zero-stress state was measured and passive biomechanical properties were assessed using a biaxial test machine (combined inflation and axial stretching). RESULTS: The ileum weight increased after EGF administration. After 4 days' EGF treatment, the wall thickness was increased. Significantly smaller inner perimeters were seen in 4 day and 7 day EGF treatment groups. The opening angle and residual strain began to increase after 7 days' EGF treatment. Wall stiffness, evaluated from the stress-strain curves, showed a continuous decrease in circumferential direction during the first 7 days' EGF treatment. The longitudinal stiffness increased during the first 7 days. The stress-strain curves for both circumferential and longitudinal direction tended to shift back to normal 14 days after starting EGF administration. CONCLUSION: EGF can cause significant changes both in the morphology and in the passive mechanical properties of the rat ileum.

Animals↗

Sensory and biomechanical responses to ramp-controlled distension of the human duodenum.

The aim of this study was to develop a new method for investigation of the relationship among the mechanical stimulus, the biomechanical properties, and the visceral perception evoked by volume/ramp-controlled distension in the human duodenum in vivo. An impedance planimetric probe for balloon distension was placed in the third part of the duodenum in seven healthy volunteers. Distension of the duodenum was done at infusion rates of 10, 25, and 50 ml/min. The pump was reversed when level 7 was reached on a visual analog scale ranging from 0 to 10. Distensions were done with and without the administration of the antimuscarinic drug butylscopolamine. The total circumferential tension (T(total)) and the passive circumferential tension (T(passive)) were determined from the distension tests without and with the administration of butylscopolamine, respectively. T(total) and T(passive) showed an exponential behavior as a function of strain (a measure of deformation). The active circumferential tension (T(active)) was computed as T(total)-T(passive) and showed a bell-shaped behavior as a function of strain. At low distension intensities, the intensity of sensation at 10 ml/min was significantly higher than that obtained at 25 and 50 ml/min. The coefficient of variation at the pain threshold for circumferential strain (average 4.34) was closer to zero compared with those for volume (8.72), pressure (31.22), and circumferential tension (31.55). This suggests that the mechanoreceptors in the gastrointestinal wall depend primarily on circumferential strain. The stimulus-response functions provided evidence for the existence of low- and high-threshold mechanoreceptors in the human duodenum. Furthermore, the data suggest that high-threshold receptors are nonadapting.

Adult↗

Controlled dilatation of the uterine cervix--an experimental visceral pain model.

Pain originating from the female reproductive organs is a substantial clinical problem to treat. Experimental models may be a tool for the study of visceral pain mechanisms and hence provide information to aid in formulating new treatment strategies. The aim was to develop and evaluate the performance and safety of a model for nociceptive stimulation of the uterine cervix by balloon dilatation using impedance planimetry. Three consecutive (repeated) dilatations at 1 ml/min, an isovolumetric and a fast dilatation at 2 ml/min were performed. Pilot studies were conducted in vitro on hysterectomy specimens, followed by application of the model in 14 healthy females. Subjects indicated the quality of perception and pain during dilatations by verbal reports and the McGill Pain Questionnaire (MPQ), and the intensity by a continuous electronic visual analog scale. The pain location was marked on an anatomical map. The balloon cross-sectional area (CSA) was measured simultaneously. The experimental procedure was atraumatic. Pain was evoked in all subjects, with referral to the hypogastric and low back regions. The word descriptors on the MPQ and the areas of referred sensations were similar to that seen clinically in abortion, labor and menstrual pain. The pain intensity correlated with balloon CSA (r=0.9, P<0.001). No significant differences were found for the balloon volumes (4.2, 3.8 and 3.9 ml) or CSA (163, 122 and 123 mm(2)) to pain threshold (PT) for repeated dilatations, suggesting the reliability of the model. There was significant correlation between the balloon volume and CSA to reach the PT for single and repeated cervical dilatations. During isovolumetric distension, greater overall pain intensity was demonstrated for the prolonged as compared to the shorter duration cervical stimulation. In conclusion, this is the first human experimental pain model for dilatation of the uterine cervix, providing a safe, controlled, quantifiable stimulus that evoked reliable pain scores. The model thus provides a new possibility to study gynecological pain and may lead to better characterization and treatment of female visceral pain syndromes.

Adult↗

Dynamic model of the role of platelets in the blood coagulation system.

In order to confirm which process is the most important in the blood coagulation cascade, a dynamic model of the function of platelets in blood coagulation is provided based on biochemical experiments. A series of conclusions based on qualitative analysis and mathematical simulation are drawn about the influence of the activation rate of factor VIII and factor IX on the generation of thrombin (IIa). It is evident that the pro-coagulation stimulus must exceed a threshold value to initiate the coagulation cascade. The value is related to the rate of platelet activation, the binding constant d2. The stability of the fixed value is also related to the pro-coagulation stimulus. This article also evaluates the influence of the stimulus strength and the activated rate parameter of platelets on thrombin. The proportion of platelets activated at any given time is designated c. To each c, we obtain a maximum concentration of thrombin. It is evident that when the level of factor IX is below 1% of normal levels, the rate of thrombin generation reduces dramatically resulting in severe bleeding tendency.

Blood Coagulation↗

Morphometric and biomechanical intestinal remodeling induced by fasting in rats.

The function of the small intestine is mechanical to a large degree. To understand the function it is necessary to know how the mechanical stresses and strains can be computed. Nutrition plays an important role in the maintenance of normal gut structure and function. The small intestine undergoes functional changes when food is withheld. To explore the morphological and biomechanical remodeling during starvation, intestinal segments from the fed and fasted rat duodenum, jejunum, and ileum were investigated. After seven days of fasting the animals lost 22% of the body weight and the intestinal mass per length decreased by nearly 40% in the duodenum. Fasting decreased the plasma levels of glucose, insulin, triglyceride, and cholesterol whereas the level of free fatty acids increased (P < 0.001). Fasting decreased the outer circumferential length, wall thickness, wall area, inner circumferential length, and luminal area at the three locations (P < 0.001). Histological examination showed that the mucosal and the submucosal thickness decreased during fasting (P < 0.001), whereas the muscle layers were unchanged. The residual strain on the mucosal surface was compressive. The serosal residual strain was tensile and increased with the highest values after four days of fasting in the duodenum and jejunum (P < 0.001). Fasting shifted the stress-strain curves to the right in both circumferential and longitudinal directions at the three locations (P < 0.04). In conclusion pronounced biomechanical and structural remodeling occurred in the small intestine during fasting for up to one week. Since the contractile properties depend on the passive properties (according to the well-known Hill's model), it can be predicted that the smooth muscle contractile function will also change.

Biomechanical Phenomena↗

Early and late effects of irradiation on morphometry and residual strain of mouse rectum.

Radiotherapy of malignancies in the pelvis is associated with both early and late intestinal reactions with subsequent alterations in rectal function because this part of the intestine often is included in the radiation field. This report presents data on morphometry of the zero-stress and no-load states as well as residual strains and opening angles of the rectum in mice with early and late radiation injury and in age-matched sham-irradiated control groups. In blood vessels and esophagus, cross-sections at the zero-stress state are not closed rings, but open sectors. The rectal zero-stress state is demonstrated by cutting the rectum into rings and cutting the rings into sectors; each sector is characterized by an opening angle. The opening angle was between 50 degrees and 200 degrees and differed between groups (P < 0.01). Young mice had 25-50% smaller opening angles than the older mice. The irradiated groups had 25-75% smaller opening angles than the normal groups. The residual strain analysis showed mucosal compression and serosal tension in the no-load state. Both at the serosal and mucosal surfaces, variation was found between groups (P < 0.01). The no-load state wall thickness-to-mucosal circumferential length ratio varied along the axis of the organ (P < 0.01) and between groups (P < 0.01). The early irradiated group had higher values than the control group. Furthermore, proximal to the irradiated zone the late irradiated group had significantly higher values compared to the normal group, indicating a higher stress level proximal to the irradiated zone. The zero-stress state must be taken into account when studying pathophysiological problems in which the stresses and strains are important, eg, the storage function of the rectum. Radiation therapy and age remodeled the morphometry and zero-stress state of rectum.

Animals↗

Remodelling of the left anterior descending artery in a porcine model of supravalvular aortic stenosis.

BACKGROUND: Knowledge of the adaptive mechanisms of structure and function of coronary arteries in response to physical stress is important in human health and disease. OBJECTIVE: To gain a better understanding of the adaptive mechanisms of morphology in the zero-stress state of the coronary arteries in a porcine model of hypertension and flow overload. METHODS: The effects of simultaneous increases in pressure and flow were examined by studying the left anterior decending (LAD) artery in supravalvular aortic stenosis (SVAS). In this model, the pressure is uniformly increased along the length of the LAD artery trunk, whereas the increase in flow is significantly greater in the proximal than in the distal artery. The longitudinal variation of vessel dimension, medial and adventitial area, opening angle and residual strains were examined in the LAD arteries of aortic-banded (n = 5) and control (n = 5) pigs. RESULTS: Our results show that the wall shear stress was normalized, whereas the circumferential stress was increased, in the proximal portion of the LAD artery after 5 weeks of SVAS. In the distal artery, both shear and circumferential stresses were normalized. The vessel wall area was also increased in the remodelled vessels as the result of an increase in the medial and adventitial area. CONCLUSION: The major conclusion of this study is that, in the SVAS model, the remodelling process of the coronary artery is consistent with normalization of shear stress despite an increase in the circumferential stress. Furthermore, the remodelling of the zero-stress state is also dominated by flow overload.

Adaptation, Physiological↗

Multimodal assessment of pain in the esophagus: a new experimental model.

A new multimodal pain assessment model was developed integrating electrical, mechanical, cold, and warmth stimuli into the same device. The device, with a bag and electrodes for electrical stimulation, was positioned in the lower part of the esophagus in 11 healthy subjects. Mechanical stimuli were delivered with an impedance planimetric system. Thermal stimuli were performed by circulating water of different temperatures (5-50 degrees C) inside the bag. All subjects reported both nonpainful and painful local and referred sensations to all stimuli. Temporal summation to repeated electrical stimuli could be studied. For all stimuli, there was a relationship between stimulus intensity and pain intensity. The referred pain area increased with increasing intensity of the electrical and mechanical stimuli. There were several differences between the sensations evoked by the four stimulus modalities, indicating activation of different visceral nerve pathways. This model offers the possibility for controlled multimodal stimuli activating the superficial and deeper layers of the human gut and should be used in basic, clinical, and pharmacological pain studies.

Adult↗

Regional arterial stress-strain distributions referenced to the zero-stress state in the rat.

Morphometric and stress-strain properties were studied in isolated segments of the thoracic aorta, abdominal aorta, left common carotid artery, left femoral artery, and the left pulmonary artery in 16 male Wistar rats. The mechanical test was performed as a distension experiment where the proximal end of the arterial segment was connected via a tube to the container used for applying pressures to the segment and the distal end was left free. Outer wall dimensions were obtained from digitized images of the arterial segments at different pressures as well as at no-load and zero-stress states. The results showed that the morphometric data, such as inner and outer circumference, wall and lumen area, wall thickness, wall thickness-to-inner radius ratio, and normalized outer diameter, as a function of the applied pressures, differed between the five arteries (P < 0.01). The opening angle was largest in the pulmonary artery and smallest in thoracic aorta (P < 0.01). The absolute value of both the inner and outer residual strain and the residual strain gradient were largest in the femoral artery and smallest in the thoracic aorta (P < 0.01). In the circumferential and longitudinal direction, the arterial wall was stiffest in the femoral artery and in the thoracic aorta, respectively, and most compliant in the pulmonary artery. These results show that the morphometric and biomechanical properties referenced to the zero-stress state differed between the five arterial segments.

Animals↗

Morphological properties and residual strain along the small intestine in rats.

AIM: Residual stress and strain are important for gastrointestinal function and relate to the geometric configuration, the loading conditions and the zero-stress state of the gastrointestinal tract. The purpose of this project is to provide morphometric data and residual strains for the rat small intestine ( n =11). METHODS: To approach the no-load state, the intestine was surgically excised, transferred to an organ bath and cut transversely into short ring-shaped segments. Each ring was cut radially for obtaining the zero-stress state. The residual stress can be characterised by an opening angle. The strain difference between the zero-stress state and the no-load state is called residual strain. RESULTS: Large morphometric variations were found along the small intestine. The wall thickness was highest in the proximal duodenum and decreased in distal direction along the axis of the small intestine (P<0.001). The circumferential length of the inner and outer surfaces decreased rapidly along the length of duodenum by 30-50% (P<0.001). The wall area and lumen area showed a similar pattern (P<0.001). In zero-stress state the rings always opened up after making the cut. The experiments resulted in larger inner circumferential length and smaller outer circumferential length when compared to the no-load state. The wall thickness and wall area did not differ between the no-load and zero-stress state. The opening angle and tangent rotation angle increased along the length of the duodenum and had its highest value 30% down the intestine. Further down the intestine it decreased again (P<0.001). The serosal residual strain was tensile with the highest value close to the ligament of Treitz (P<0.001). The mucosal residual strain was compressive in all segments of the small intestine with average values between -0.25 and -0.4 and with the lowest values close to the ligament of Treitz (P<0.001). CONCLUSION: Axial variation in morphometric properties and residual strains were found in the small intestine. Existence of large residual strains indicates that the zero-stress state must be considered in future biomechanical studies in the gastrointestinal tract.

Animals↗