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Hans Gregersen

Publications and source records attributed to Hans Gregersen.

75 records · Page 5Linked to original sources

The morphometry and biomechanical properties of the rat small intestine after systemic treatment with epidermal growth factor.

Morphometric and passive biomechanical properties were studied in isolated segments of the duodenum, jejunum and ileum in 22 EGF-treated rats and 12 control rats. The rats were allocated to groups with EGF treatment for 2, 4, 7, and 14 days (n = 6 for each EGF treatment group except n = 4 for the 14 days group) or saline treatment (n = 3 for each group). The intestinal segments were pressurized with Krebs solution from 0 to 8 cmH2O for duodenum and 0 to 6 cmH2O for jejunum and ileum using a ramp distension protocol. The diameter and length were recorded at different pressure levels. Circumferential and longitudinal stresses (force per area) and strains (deformation) were computed from the length, diameter, pressure and the zero-stress state data. EGF treatment was associated with pronounced morphometric changes, e.g., the wall thickness, wall area, and the circumferential lengths significantly increased during EGF treatment in all intestinal segments (P < 0.05). Histological analysis showed that the thickness and area of the layers increased after EGF treatment. With respect to the biomechanical data, the opening angle increased in all segments during EGF treatment with the highest value in the 14 days EGF treatment group (P < 0.05). The same result was found for residual strain and the residual strain gradient through the intestinal wall. Linear regression analysis demonstrated that the opening angle mainly depended on the mucosa thickness and area. Furthermore, the circumferential stiffness increased in the duodenum and decreased in the jejunum and ileum during EGF treatment. A plateau was reached after 7 days where after it started to normalize (P < 0.01). In the longitudinal direction, all intestinal segments became stiffer after EGF treatment for 7 days. After 14 days the curve started to normalize in duodenum and jejunum but not in the ileum.

Animals↗

Biomechanical and histomorphometric esophageal remodeling in type 2 diabetic GK rats.

Diabetes mellitus induces remodeling of the morphology and mechanical properties in the gastrointestinal tract. This study aimed to investigate the histomorphometric and biomechanical remodeling of esophagus in the diabetic type 2 model Goto-Kakizaki (GK) rats. Five male diabetic GK rats and five male nondiabetic Wistar rats were used in this study. The mechanical test was performed 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. The thickness, area, and the opening angle were measured from the digitized images. The layer circumference, thickness, and area were measured from histological slides. The collagen fraction was determined from histological slides with Van Gieson stain. Diabetes induced pronounced morphometric changes, e.g., the wall thickness and wall cross-sectional area significantly increased in the GK rats (P<.01). Histologically, the circumference, thickness, and area of the muscle layer and the collagen fraction of mucosa-submucosa layer were significantly increased in the GK rats (P<.01). The opening angle, outer residual strain, and residual strain difference to wall thickness ratio decreased significantly in the GK rats (P<.05 and P<.01). Furthermore, the circumferential stiffness of the esophagus is significantly higher in the GK rats than in the normal rats (P<.01). In conclusion, histomorphometric and biomechanical remodeling is a feature of the esophageal wall in GK rats.

Animals↗

Strain during gastric contractions can be measured using Doppler ultrasonography.

This study was undertaken to explore if strain of the muscle layers within the gastric wall could be measured by transabdominal strain rate imaging (SRI), a novel Doppler ultrasound (US) method. A total of 9 healthy fasting subjects (8 women, 1 man; ages 22 to 55 years) were studied and both grey-scale and Doppler US data were acquired with a 5- to 8-MHz linear transducer in cineloops of 97 to 256 frames. Rapid stepwise inflation (5 to 60 mL) of an intragastric bag was carried out and bag pressure and SRI were measured simultaneously. SRI enabled detailed studies of layers within the gastric wall in all subjects. Great variations in strain distribution of the muscle layers were found. Radial strain was much higher in the circular than in the longitudinal muscle layer. Strains derived from SRI correlated well with strains obtained with B-mode measurements (r = 0.98, p < 0.05). During balloon distension, we found an inverse correlation between pressure and radial strain (r = -0.87, p < 0.05). Intraobserver correlation of strain estimation was r = 0.98 (p < 0.05) and intraobserver agreement was 0.2% +/- 18.6% (mean difference +/- 2SD, % strain). Interobserver correlation was r = 0.84 (p < 0.05) and interobserver agreement was 6.9% +/- 56.8%. SRI enables detailed mapping of radial strain distribution of the gastric wall and correlates well with B-mode measurements and pressure increments.

Adult↗