Kato M, Sasaki I, Naito H, Takahashi M, Matsuno S
First Department of Surgery, School of Medicine, Tohoku University, Sendai, Japan.
Nihon Geka Gakkai Zasshi. 1991 Oct;92(10):1461-8.
The effect of proximal and distal small bowel resection on gut hormone release after test meal loading in dogs was studied. Ten beagle dogs were subjected to 50% proximal or distal small bowel resection, and test meal loading was performed after one night fasting to examine gut hormone release. Fasting levels of plasma gastrin were not changed after both proximal and distal resection, but response to test meal was increased at 18 weeks of postoperative period in 50% proximal resection. Postprandial release of plasma GIP was significantly decreased in both proximal and distal resection compared with preoperative period. Postprandial release of enteroglucagon was increased at 4 and 8 weeks in proximal resection. In distal resection, it was increased at 4 weeks but returned to preoperative levels at 8 weeks. Villus height of middle part of the intestine was increased in both proximal and distal resection, and significant change was observed in the duodenal mucosa of proximal resection at 4 weeks. These findings suggest that part of the resection of small bowel influences gut hormone release, and these may play an important role in intestinal adaptation.
研究了近端和远端小肠切除对犬类进食试验餐负荷后肠道激素释放的影响。十只比格犬接受了50%近端或远端小肠切除,在禁食一晚后进行进食试验餐以检测肠道激素释放。近端和远端切除后空腹血浆胃泌素水平均未改变,但在术后18周,50%近端切除术后对试验餐的反应增强。与术前相比,近端和远端切除术后血浆GIP的餐后释放均显著降低。近端切除术后4周和8周肠高血糖素的餐后释放增加。在远端切除术中,4周时增加,但8周时恢复到术前水平。近端和远端切除术后小肠中部的绒毛高度均增加,近端切除术后4周十二指肠黏膜出现显著变化。这些发现表明,部分小肠切除会影响肠道激素释放,且这些可能在肠道适应中起重要作用。