2004
DOI: 10.1097/00003677-200410000-00011
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Role of Gastrointestinal Permeability in Exertional Heatstroke

Abstract: Reduced splanchnic blood flow and hyperthermia during exercise-heat stress can produce gastrointestinal barrier dysfunction and increased gastrointestinal permeability. This may allow endotoxin to enter the internal environment, causing local and systemic immune responses. These responses may be involved in the cause and outcome of exertional heatstroke. Countermeasures may reduce gastrointestinal permeability and possibly exertional heatstroke occurrence and outcome.

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Cited by 114 publications
(109 citation statements)
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“…During HS, blood flow is diverted from the splanchnic system to the skin in an attempt to dissipate excess heat (Lambert, 2009). Reduced blood flow and hyperthermia leads to hypoxia and oxidative and nitrosative stress in the enterocyte (Lambert, 2004;Pearce et al, 2013c). As a result, cell membranes and tight junctions can be damaged, leading to an increase in intestinal permeability, and this is also known as "leaky gut" (Lambert et al, 2002).…”
Section: Discussionmentioning
confidence: 99%
“…During HS, blood flow is diverted from the splanchnic system to the skin in an attempt to dissipate excess heat (Lambert, 2009). Reduced blood flow and hyperthermia leads to hypoxia and oxidative and nitrosative stress in the enterocyte (Lambert, 2004;Pearce et al, 2013c). As a result, cell membranes and tight junctions can be damaged, leading to an increase in intestinal permeability, and this is also known as "leaky gut" (Lambert et al, 2002).…”
Section: Discussionmentioning
confidence: 99%
“…Another review published in 2004 has discussed a possible function of immune response in organ failure of patients suffering from hyperthermia during physical exercise [13] . Since a reduced splanchnic blood flow which can result in gastrointestinal barrier dysfunction and increased permeability can be measured, endotoxin causing immune reactions could enter internal organs and drive organ damage.…”
Section: Discussionmentioning
confidence: 99%
“…Furthermore, NSAIDs are likely to contribute to both the clotting abnormalities and the gastrointestinal cellular dysfunction that develop in hyperthermia. 36 Measuring a core rather than peripheral temperature is recommended, as a peripheral temperature may under-read by up to 2 C in hyperthermia. 37 …”
Section: Coolingmentioning
confidence: 99%