Rodrigues C A, Lennard-Jones J E, Thompson D G, Farthing M J
St Mark's Hospital, London.
Gut. 1989 Feb;30(2):176-83. doi: 10.1136/gut.30.2.176.
Energy absorption from a liquid test meal, intestinal transit rate and water and sodium output over a six hour period were measured in five patients with an ileostomy and 12 patients with the short bowel syndrome, five of whom were on longterm parenteral nutrition. The proportion of total energy absorbed was greatest in the ileostomists (median 87%, range 82-92%), less in short bowel patients not on parenteral nutrition (median 67%, range 59-78%, p less than 0.01) and least in the short bowel group who needed it (median 27%, range 2-63%, p less than 0.01). Transit rate was more rapid in the short bowel patients compared with the ileostomists. A close correlation was observed between percentage energy absorption and the dry weight of the stools/stoma effluent collected during the six hour test period (r = -0.99, p less than 0.001). This simple non-invasive test quantitates the degree of intestinal failure and may be of practical help in management.
对5名回肠造口术患者和12名短肠综合征患者进行了测量，记录了他们在6小时内从液体试验餐中吸收的能量、肠道转运速率以及水和钠的排出量，其中12名短肠综合征患者中有5名接受长期肠外营养。回肠造口术患者吸收的总能量比例最高（中位数87%，范围82 - 92%），未接受肠外营养的短肠患者吸收比例较低（中位数67%，范围59 - 78%，p<0.01），而需要肠外营养的短肠患者组吸收比例最低（中位数27%，范围2 - 63%，p<0.01）。与回肠造口术患者相比，短肠患者的转运速率更快。在6小时测试期内收集的粪便/造口流出物干重与能量吸收百分比之间观察到密切相关性（r = -0.99，p<0.001）。这种简单的非侵入性测试可对肠衰竭程度进行定量，可能对管理有实际帮助。
