• Department of Surgery, The Third Affiliated Hospital,Beijing University, Beijing 100083, China;
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Objective  To evaluate the sclerosing effects of several chemical sclerosants on the gallbadder mucosa in vivo.
Methods  Twentyeight rabbits were randomly divided into: Normal saline was used as contrast agent, and 95% ethanol, 5% tetracycline and compound phenol as sclerosants respectively. The cystic duct was ligated and cholecystostomy was performed for each animal. Sclerosants and contrast agent were injected into the gallbladder through a tube respectively and were kept in the gallbladder for 15 minutes. Animals were killed two weeks later; the gallbladder, bile duct and adjacent liver tissue were obtained for histopathological examination.
Results  With the naked eye, normal saline and 5% tetracycline made the cavity of the gallbladder unchanged; 95% ethanol made two gallbladder cavities occluded, two smaller, and three unchanged; and compound phenol made four gallbladder cavities occluded, and three smaller. In histopathological observations, 95% ethanol and compound phenol could make seven rabbits’ gallbladder mucosa completely destroyed (7/7); compared with normal saline (1/7), there was significant difference (P<0.01). Five percent tetracycline had some effect of ablating the gallbladder mucosa (5/7), but compared with normal saline, there was no difference (P gt;0.05).
Conclusion  Ninety-five percent ethanol can be clinically applied as an effective and safe sclerosant.

Citation: XU Zhi,PENG Xuanfu,WANG Lixin,ZHANG Nengwei,DENG Shaoqing,ZHOU Xiaosi. Evaluation of Sclerosing Effects of Several Chemical Sclerosants on Gallbladder Mucosa. CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2004, 11(2): 136-138. doi: Copy