1 Nov 2011Article
The effect of Omega-3 fatty acid and ascorbic acid on healing of ischemic colon anastomoses
Baki Ekçi 1Ihsan Karabicak 2Pinar Atukeren 3Ediz Altinli 4Kamer Tomaoglu 5Ihsan Tasci 2
Affiliations
Article Info
1 Medical School of Yeditepe University, Department of General Surgery, Istanbul, Turkey
2 Istanbul University, Cerrahpasa Medical School, Department of General Surgery, Istanbul, Turkey
3 Istanbul University, Cerrahpasa Medical School, Department of Biochemistry, Istanbul, Turkey
4 Haydarpasa Numune Training & Research Hospital, 2nd General Surgery Unit, Istanbul, Turkey
5 Surp Pirgic Armenian Hospital, Istanbul, Turkey
Ann. Ital. Chir., 2011, 82(6), 475-479;
Published: 1 Nov 2011
Copyright © 2011 Annali Italiani di Chirurgia
This work is licensed under a Creative Commons Attribution 4.0 International License.
Abstract
PURPOSE: Many systemic and local factors contribute to gastrointestinal tract anastomoses dehiscence, which is a serious and potentially fatal postoperative complication. The aim of this study was to evaluate the effects of omega-3 fatty acid and ascorbic acid on the healing of ischemic colon anastomosis. PATIENTS AND METHODS: 40 Wistar Albino rats weighing between 180 and 220 g were divided into four groups. Groups were assigned as follows; Group 1 (control): anastomosis and no treatment, Group 2: anastomosis plus ascorbic acid, Group 3: anastomosis plus omega-3 fatty acid, and Group 4: anastomosis plus ascorbic acid and omega-3 fatty acid. Colon anastomoses was were performed in all rats. All animals were sacrificed on the 5th postoperative day. Healing of the anastomoses was assessed by measuring the burst pressures (BP) and hydroxyproline levels. RESULTS: No mortality was observed and perianastomotic abscesses were not noted in any rats. The BP was significantly higher in the ascorbic acid plus omega-3 fatty acid combination group than the other groups (p<0.05). The hydroxyproline levels were significantly high in ascorbic acid plus omega-3 fatty acid combination group than the other groups (p<0.05). CONCLUSION: Dietary supplementation with omega-3 fatty acid and ascorbic acid improved colonic anastomoses healing. Ascorbic acid and omega-3 fatty acid enhance the colonic wound healing process by additive action.
Keywords
- Ascorbic acid
- Colon anastomoses healing
- Omega-3 fatty acid