Rodier-Bruant C, Vaxman F, Lambert A, Wagner D, Coumaros G, Vaultier J P, Koenig M, Grenier J F
INSERM U 61, Clinique Chirurgicale B, Hospices Civils, Strasbourg.
Gastroenterol Clin Biol. 1991;15(3):187-93.
Telemetric shuttles for the in vivo investigation of the gastrointestinal tract have been available for sometime. We describe herein the use of a new shuttle model whose original features include: a) continuous, real time transmission of its location in the small bowel and accurate measurement of the gut length, b) controlled release of 1 ml of a given substance at any chosen site, allowing detailed investigation of intestinal absorption at different levels of the small bowel under physiological conditions. Small bowel length was measured in dogs using the shuttle and was later compared to the actual small gut length measured in the same animals at laparotomy. The telemetric measurements appeared to closely match the direct operative measurements. Insulin absorption from the canine small bowel was then investigated releasing different dosages of insulin together with the pancreatic enzyme inhibitors Soybean and Aprotinine and a surfactant (5-methoxysalicylate). By adjusting the dose of insulin released, the type of adjuvant substance delivered with it and the site of release in the small bowel, we have been able to precisely define the conditions of insulin absorption. Insulin as such is exclusively absorbed in the ileum when released in doses of 500 IU or higher and mixed with aprotinine. For absorption to take place the solution delivered by the shuttle needs to have the correct pH and natremic concentration.
用于胃肠道体内研究的遥测穿梭器已经问世一段时间了。我们在此描述一种新型穿梭器模型的使用,其独特之处包括:a)连续实时传输其在小肠中的位置并精确测量肠长度,b)在任何选定部位可控释放1毫升给定物质,从而能够在生理条件下详细研究小肠不同水平的肠吸收情况。使用穿梭器测量了犬的小肠长度,随后将其与同一动物剖腹手术时测得的实际小肠长度进行比较。遥测测量结果似乎与直接手术测量结果非常吻合。然后,通过释放不同剂量的胰岛素以及胰腺酶抑制剂大豆胰蛋白酶抑制剂和抑肽酶以及一种表面活性剂(5-甲氧基水杨酸盐),研究了犬小肠对胰岛素的吸收情况。通过调整释放的胰岛素剂量、与之一起输送的辅助物质类型以及在小肠中的释放部位,我们能够精确确定胰岛素吸收的条件。当以500 IU或更高剂量释放并与抑肽酶混合时,胰岛素仅在回肠被吸收。为了实现吸收,穿梭器输送的溶液需要具有正确的pH值和钠浓度。