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胃部手术对人体胃肠道药物吸收的影响。

Effect of gastric surgery on the gastrointestinal drug absorption in man.

作者信息

Venho V M, Aukee S, Jussila J, Mattila M J

出版信息

Scand J Gastroenterol. 1975;10(1):43-7.

PMID:235782
Abstract

The effect of gastric surgery on the absorption of quinidine, ethambutol, and sulphafurazole was studied in 14 male patients, all serving as their own controls. Antrectomy with gastroduodenostomy (ABI) and selective vagotomy lowered the serum levels of all drugs significantly during the 6-hour test period. Excretion of drugs in 6-hour urine also decreased. Three patients showed practically no absorption up to 2 hours, and even therafter the absorption was lowered. Over one year after operation the urinary excretion of ethambutol, but not of the other drugs, was improved. ABI alone did not modify absorption. Preoperative gastric retention seemed to delay absorption.

摘要

对14名男性患者进行了胃手术对奎尼丁、乙胺丁醇和磺胺异恶唑吸收影响的研究,所有患者均以自身作为对照。胃十二指肠吻合术(ABI)胃切除术和选择性迷走神经切断术在6小时测试期内显著降低了所有药物的血清水平。6小时尿液中的药物排泄量也减少了。3名患者在2小时内几乎没有吸收,甚至在此之后吸收也降低了。术后一年多,乙胺丁醇的尿排泄量有所改善,但其他药物没有。单独的ABI并没有改变吸收。术前胃潴留似乎会延迟吸收。

相似文献

1
Effect of gastric surgery on the gastrointestinal drug absorption in man.胃部手术对人体胃肠道药物吸收的影响。
Scand J Gastroenterol. 1975;10(1):43-7.
2
Antrectomy and gastroduodenostomy with or without vagotomy in peptic ulcer disease. A prospective study with a 5-year follow-up.胃窦切除术及胃十二指肠吻合术治疗消化性溃疡疾病,伴或不伴迷走神经切断术。一项为期5年随访的前瞻性研究。
Acta Chir Scand Suppl. 1983;515:1-63.
3
Influence of several surgical techniques in peptic ulcer disease on the oral kinetic of a basic drug.消化性溃疡疾病中几种手术技术对一种碱性药物口服动力学的影响。
Acta Chir Belg. 1993 May-Jun;93(3):88-91.
4
[On selective ulcer surgery based on preoperative and postoperative secretion analyses using the endoradiographic probe].[基于术前和术后使用内镜放射探头进行的分泌分析的选择性溃疡手术]
Wien Klin Wochenschr. 1967 Oct 20;79(41):756-8.
5
[Technic and clinical picture of form-true and function-true surgery in gastro-duodenal ulcer. Experience report on 235 cases. (Report period 1961-1968)].[胃十二指肠溃疡的形态真实与功能真实手术的技术与临床情况。235例经验报告。(报告期1961 - 1968年)]
Dtsch Med Wochenschr. 1968 Apr 11;93(15):754-62. doi: 10.1055/s-0028-1105139.
6
[Hemigastrectomy with gastro-duodenal anastomosis and total vagotomy as a treatment for duodenal and peptic ulcers. (Apropos of 200 cases)].胃大部切除术加胃十二指肠吻合术及全迷走神经切断术治疗十二指肠溃疡和消化性溃疡。(附200例报告)
J Chir (Paris). 1974 Mar;107(3):237-48.
7
Late effects of proximal gastric vagotomy compared with antrectomy and selective vagotomy for chronic duodenal ulcer. A randomized study with 5-year follow-up.近端胃迷走神经切断术与胃窦切除术及选择性迷走神经切断术治疗慢性十二指肠溃疡的远期疗效比较。一项为期5年随访的随机研究。
Ann Clin Res. 1985;17(3):90-5.
8
[Modern gastric functional diagnosis as the basis for organ-preserving surgical therapy of peptic ulcer].[现代胃功能诊断作为消化性溃疡保器官手术治疗的基础]
Wien Z Inn Med. 1972;53(8):387-94.
9
Isoniazid, quinidine, and sulphafurazole absorption in patients with jejunum transposition 15 years earlier.
Scand J Gastroenterol. 1982 Oct;17(7):913-7. doi: 10.3109/00365528209181114.
10
Surgery for duodenal ulcer.十二指肠溃疡手术
Surg Annu. 1972;4:239-72.

引用本文的文献

1
Drug absorption in gastrointestinal disease and surgery. Clinical pharmacokinetic and therapeutic implications.胃肠道疾病与手术中的药物吸收。临床药代动力学及治疗意义。
Clin Pharmacokinet. 1991 Dec;21(6):431-47. doi: 10.2165/00003088-199121060-00004.
2
Drug absorption in gastrointestinal disease with particular reference to malabsorption syndromes.胃肠道疾病中的药物吸收,特别涉及吸收不良综合征。
Clin Pharmacokinet. 1977 Jan-Feb;2(1):45-60. doi: 10.2165/00003088-197702010-00004.