The clinical syndrome of stress ulceration has been studied for years
using rodent cold restraint stress models, although the pathogenesis o
f the characteristic focal gastric mucosal lesions produced in these m
odels has been controversial We used gastric strain gauges to characte
rize fully the gastric motility effects of a 4-h cold restraint protoc
ol, and we determined the relationship of variations in gastric conten
ts and in gastric contractions to the amount of gastric mucosal injury
. Additionally, we examined rat stomachs histologically, and determine
d the location of focal haemorrhagic mucosal lesions on the mucosal ru
gae. We found a consistent relationship between force of gastric contr
actions and gastric mucosal injury and also a relationship, between th
e initial duration of contractions during restraint and ultimate mucos
al injury. Volume, acidity and mucus in the gastric contents were unre
lated to mucosal injury. The majority (91%) of the mucosal lesions had
some relationship to a rugal fold, with 59% of all lesions at the bas
e of a rugal fold. Thus, the mechanical forces of gastric hypercontrac
tility may contribute to the gastric mucosal injury of rodent cold res
traint models.