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要素饮食在短肠综合征中支持营养和适应的能力。

The ability of an elemental diet to support nutrition and adaptation in the short gut syndrome.

作者信息

Voitk A J, Crispin J S

出版信息

Ann Surg. 1975 Feb;181(2):220-5. doi: 10.1097/00000658-197502000-00017.

DOI:10.1097/00000658-197502000-00017
PMID:1111455
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC1343757/
Abstract

85% enterectomy or jejunal biopsy was randomly carried out on 80 male Sprague-Dawley rats, 300-350 gm. After recovery, rats in each group were randomly fed either elemental diet (ED) or rat chow. All rats were sacrificed 8 weeks postoperatively. Biopsied rats gained more weight with ED than chow (22% vs. 18%; p less than .01). Resection produced greater weight loss than biopsy (p less than .01) and slower gain (p less than .01). The failure to gain was most marked in ED rats, significantly less than in the chow group (p less than .05) by week two. A fall in hemoglobin, protein and albumin was seen: neither the fall nor difference between the groups was significant (p greater than .05). Enterectomized chow rats ate 22% more than their controls (p greater than .05). Increase in bowel length after resection, equally divided between jejunum and ileum, was 21% with ED and 26% with chow. Gut diameter after resection increased 104% and 98% with chow and ED, respectively. Villus height increased 65% in the jejunum of both enterectomized groups and 85% and 78% with chow and ED, respectively, in the ileum. Changes in gut length, diameter and villus height are significant in each group (p less than .01) but not between groups (p greater than .05).

摘要

对80只体重300 - 350克的雄性斯普拉格 - 道利大鼠随机进行85%的肠切除术或空肠活检。恢复后,每组大鼠随机喂食要素饮食(ED)或大鼠饲料。所有大鼠在术后8周处死。活检大鼠食用要素饮食时比食用饲料体重增加更多(22%对18%;p小于0.01)。切除术导致的体重减轻比活检更明显(p小于0.01)且体重增加更缓慢(p小于0.01)。在要素饮食组大鼠中体重未能增加的情况最为明显,到第二周时显著低于饲料组(p小于0.05)。观察到血红蛋白、蛋白质和白蛋白下降:下降情况及两组间差异均无统计学意义(p大于0.05)。接受肠切除术后食用饲料的大鼠比对照组多吃22%(p大于0.05)。切除术后肠长度增加,空肠和回肠增加量相等,食用要素饮食时增加21%,食用饲料时增加26%。切除术后肠直径在食用饲料和要素饮食时分别增加104%和98%。在两个肠切除组的空肠中绒毛高度增加65%,在回肠中,食用饲料和要素饮食时分别增加85%和78%。每组肠长度、直径和绒毛高度的变化均有统计学意义(p小于0.01),但组间无差异(p大于0.05)。

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引用本文的文献

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Ann Surg. 1975 Aug;182(2):93-7. doi: 10.1097/00000658-197508000-00001.

本文引用的文献

1
POPULATION DYNAMICS OF INTESTINAL EPITHELIA IN THE RAT TWO MONTHS AFTER PARTIAL RESECTION OF THE ILEUM.大鼠回肠部分切除术后两个月肠道上皮的种群动态
J Cell Biol. 1963 Nov;19(2):285-91. doi: 10.1083/jcb.19.2.285.
2
The intestinal response to high bulk feeding in the rat.大鼠对高容量喂食的肠道反应。
Clin Sci. 1967 Feb;32(1):1-9.
3
Growth and nutrition of enterectomized rats fed an elemental liquid diet.喂食元素液体饮食的肠切除大鼠的生长与营养
Surgery. 1971 Apr;69(4):637-45.
4
Carbohydrate digestion and absorption after massive resection of the small intestine.小肠大部切除术后的碳水化合物消化与吸收
Surg Gynecol Obstet. 1972 Aug;135(2):177-87.
5
The role of nutrition in the adaptation of the small intestine after massive resection.
Surg Gynecol Obstet. 1971 Apr;132(4):673-80.
6
Use of elemental diet during the adaptive stage of short gut syndrome.
Gastroenterology. 1973 Sep;65(3):419-26.