Background: Venous portal blood contributes essentially to the oxygen suppl
y of the liver. The effect of oxygen enriched water, applied into the stoma
ch, on oxygenation of portal blood was investigated in rabbits.
Material and Methods: 15 anaesthetized rabbits were given 30 ml water, cont
aining 45, 80 or 150 mg O-2/l, by a gastric tube. Oxygen pressure was monit
ored continuously by a measuring probe in the stomach, the abdominal cavity
and in the gastric as well as in the portal vein.
Results: Intragastrically applied water delivered oxygen slowly, according
to the increase in its temperature. The released oxygen was found to penetr
ate into the abdominal cavity, and a dose-response relationship between oxy
gen pressure into the stomach and the abdominal cavity was established. 45
mg O-2/l water resulted in a negligible increase of oxygen concentration in
the abdomen, while 80 or 150 mg O-2/l lead to an increase of oxygen by 10
rsp. 20 mmHg in the abdomen, and by up to 14 mmHg in the portal vein. Oxyge
n penetration occurred according to the known physical and physiological pa
rameters of gas diffusion. Diffusion of oxygen was enhanced, if concurrentl
y with oxygen the water was enriched with CO2.
Conclusions: Our results show that intragastrically applied oxygenated wate
r with more than 45 mg O-2/l delivers O-2 into the abdominal cavity and the
portal vein. This effect may be of clinical relevance in states of impaire
d liver perfusion such as fatty liver or hepatitis.