Bacterial Translocation into Portal Blood from the Gut during Portal Triad Occlusion

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Abstract
Bacterial translocation into portal blood from the gut could be detected as early as 15 min following portal triad occlusion (PTO) in rats and increased with the increasing length of PTO. The peak of bacterial translocation was between 60 and 90 min in the experimental model of PTO for 120 min. The mean counts per minute (cpm) of radiolabelled Escherichia coli in groups with PTO for 60 and 90 min were 5 and 6 times higher in portal blood and 3 and 4 times higher in the systemic circulation than control rats (p 2 were profoundly declined in all experimental groups during PTO. We found that the elevation in cpm of radiolabelled bacteria is directly proportional to the increased endotoxin levels in portal and systemic blood and is inversely proportional to the decreased flux values of blood flow in the intestinal loop and the ileocecal mucosal surface. These findings indicate that there may be an intimate relationship between bacterial translocation into portal blood from the gut, acute gut barrier dysfunction resulting from the decrease in blood flow of the gastrointestinal tract, the increases in the endotoxin level in portal blood, and the reduction in portal pO2 during PTO.

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