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Characterization of the layer, direction and time-dependent mechanical behaviour of the human oesophagus and the effects of formalin preservation

Ciara Durcan, Mokarram Hossain Orcid Logo, Grégory Chagnon Orcid Logo, Djordje Peric Orcid Logo, Edouard Girard Orcid Logo

Journal of The Royal Society Interface, Volume: 21, Issue: 213

Swansea University Authors: Ciara Durcan, Mokarram Hossain Orcid Logo, Djordje Peric Orcid Logo

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DOI (Published version): 10.1098/rsif.2023.0592

Abstract

The mechanical characterization of the oesophagus is essential for applications such as medical device design, surgical simulations and tissue engineering, as well as for investigating the organ’s pathophysiology. However, the material response of the oesophagus has not been established ex vivo in r...

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Published in: Journal of The Royal Society Interface
ISSN: 1742-5662
Published: The Royal Society 2024
Online Access: Check full text

URI: https://cronfa.swan.ac.uk/Record/cronfa65741
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Abstract: The mechanical characterization of the oesophagus is essential for applications such as medical device design, surgical simulations and tissue engineering, as well as for investigating the organ’s pathophysiology. However, the material response of the oesophagus has not been established ex vivo in regard to the more complex aspects of its mechanical behaviour using fresh, human tissue: as of yet, in the literature, only the hyperelastic response of the intact wall has been studied. Therefore, in this study, the layer-dependent, anisotropic, visco-hyperelastic behaviour of the human oesophagus was investigated through various mechanical tests. For this, cyclic tests, with increasing stretch levels, were conducted on the layers of the human oesophagus in the longitudinal and circumferential directions and at two different strain rates. Additionally, stress-relaxation tests on the oesophageal layers were carried out in both directions. Overall, the results show discrete properties in each layer and direction, highlighting the importance of treating the oesophagus as a multi-layered composite material with direction-dependent behaviour. Previously, the authors conducted layer-dependent cyclic experimentation on formalin-embalmed human oesophagi. A comparison between the fresh and embalmed tissue response was carried out and revealed surprising similarities in terms of anisotropy, strain-rate dependency, stress-softening and hysteresis, with the main difference between the two preservation states being the magnitude of these properties. As formalin fixation is known to notably affect the formation of cross-links between the collagen of biological materials, the differences may reveal the influence of cross-links on the mechanical behaviour of soft tissues.
Keywords: gastrointestinal tract, biomechanics, uniaxial tensile testing, zero-stress state, cadaver preservation
College: Faculty of Science and Engineering
Funders: C.D. and M.H. are indebted to the Swansea University Strategic Partnerships Research Scholarships (SUSPRS) for funding of the project.
Issue: 213