Cimetidine prevents reduction in gastric mucosal blood flow during shock

B. A. Levine, W. H. Schwesinger, K. R. Sirinek, D. Jones, B. A. Pruitt

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This study evaluated Cimetidine's possible role in regulating gastric mucosal blood flow in the anesthetized, stressed miniature swine. Stress consisted of hemorrhagic shock to a mean arterial pressure of 50 mm Hg. Twenty-one animals were divided into three experimental groups: untreated controls, preshock Cimetidine treatment group, and postshock Cimetidine treatment group. Gastric mucosal blood flows were determined (microsphere method) during a stabilization period and after 90 minutes of shock. Central hemodynamic indices were monitored throughout each experiment. In the fundus, mucosal blood flow decreased 59% in the controls, 11% in the preshock, and 28% in the postshock Cimetidine groups. Antral mucosal blood flow decreased 57% in controls, 19% in the preshock, and 33% in the postshock Cimetidine groups. In the corpal mucosa, blood flow decreased 53% in controls, 11% in the preshock group and 41% in the postshock Cimetidine group. Cimetidine administration, both before and after shock, conferred significant protection on mucosal blood flow changes related to shock. Preshock drug administration had a significantly greater protective effect than postshock treatment on blood flow in the corpal mucosa.

Original languageEnglish (US)
Pages (from-to)113-119
Number of pages7
Issue number1
StatePublished - Dec 1 1978


ASJC Scopus subject areas

  • Surgery

Cite this

Levine, B. A., Schwesinger, W. H., Sirinek, K. R., Jones, D., & Pruitt, B. A. (1978). Cimetidine prevents reduction in gastric mucosal blood flow during shock. Surgery, 84(1), 113-119.