Eur J Pediatr Surg 2014; 24(05): 403-409
DOI: 10.1055/s-0033-1352525
Original Article
Georg Thieme Verlag KG Stuttgart · New York

Protective Effect of Dimethyl Sulfoxide on Stricture Formation in Corrosive Esophageal Burns in Rats

Huseyin Kilincaslan
1   Department of Pediatric Surgery, Bezmialem Vakif University, Faculty of Medicine, Istanbul, Turkey
,
Hande Ozgun Karatepe
2   Department of Pediatrics, Zeynep Kamil Research and Education Hospital, Istanbul, Turkey
,
Fatma Sarac
3   Department of Pediatric Surgery, Haseki Research and Education Hospital, Istanbul, Turkey
,
Vakur Olgac
4   Department of Pathology, Istanbul University, Institute of Oncology, Istanbul, Turkey
,
Ahu Sarbay Kemik
5   Department of Biochemistry, Istanbul University, Cerrahpasa Faculty of Medicine, Istanbul, Turkey
,
Ahmet Hakan Gedik
6   Department of Pediatrics, Bezmialem Vakif University, Faculty of Medicine, Istanbul, Turkey
,
Omer Uysal
7   Department of Biostatistics, Bezmialem Vakif University, Faculty of Medicine, Istanbul, Turkey
› Author Affiliations
Further Information

Publication History

15 March 2013

26 June 2013

Publication Date:
05 August 2013 (online)

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Abstract

Introduction The aim of this study was to investigate the effects of dimethyl sulfoxide (DMSO) on stricture formation in corrosive esophageal burns.

Materials and Methods A total of 21 male rats were divided equally into three groups. In Group 1 (burn) and Group 2 (burn + DMSO) burns were induced in the distal esophagi with a 30% NaOH solution. In Group 3 (control), a saline solution was applied to the esophageal lumen. In Group 2, DMSO was administered intraperitoneally (3 mg/kg) 15 minutes after the burn was induced and then every 24 hours for 7 days. All rats were humanely killed at the end of Day 22. Distal esophagi were harvested for analysis. The stenosis index (SI) and histopathologic damage score were evaluated in addition to malondialdehyde (MDA), myeloperoxidase (MPO), nitric oxide (NO), tumor necrosis factor alpha (TNF-α), and interleukin-6 (IL-6) levels.

Results DMSO significantly decreased the levels of MDA, NO, TNF-α, and IL-6 in the rats with burned esophagi. Furthermore, the SI and histopathologic scores decreased significantly in the burn + DMSO group relative to the burn group (p < 0.05).

Conclusions Our results suggest that DMSO can decrease the occurrence of stricture formation and could represent a beneficial alternative therapy for the treatment of corrosive esophagitis.