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胃底刺激对兔小肠葡萄糖吸收及水和电解质通量的影响。

Effects of gastric fundic stimulation on glucose absorption and water and electrolyte fluxes from rabbit small bowel.

作者信息

Andrews N J, Burdett K, Elder J B

机构信息

University Department of Surgery, University of Manchester, U.K.

出版信息

Dig Dis Sci. 1989 Mar;34(3):412-6. doi: 10.1007/BF01536264.

Abstract

A single-pass perfusion model was developed to measure net fluxes of glucose, water, sodium, and potassium across upper jejunal and duodenal mucosa in vivo in the anaesthetised rabbit. Irrigation of the gastric fundic mucosa with Michaelis' buffer (pH 8) reduced jejunal mean glucose absorption by 21.3% (P less than 0.04) and duodenal glucose absorption by 27.2%. Irrigation of gastric fundic mucosa with 0.1 M glycine at pH 2 increased mean jejunal glucose absorption by 25%. Jejunal net secretion of water and sodium were reduced by gastric fundic alkali. Potassium net fluxes in jejunum and duodenum were not significantly affected. These results support the hypothesis that the gastric fundic mucosa is sensitive to chemical stimulation, responding by a humoral mechanism that modified the rate of glucose absorption from the small bowel mucosa.

摘要

建立了一种单通道灌注模型,用于在麻醉兔体内测量葡萄糖、水、钠和钾在上段空肠和十二指肠黏膜的净通量。用米氏缓冲液(pH 8)灌注胃底黏膜可使空肠平均葡萄糖吸收降低21.3%(P<0.04),十二指肠葡萄糖吸收降低27.2%。用pH 2的0.1 M甘氨酸灌注胃底黏膜可使空肠平均葡萄糖吸收增加25%。胃底碱减少了空肠水和钠的净分泌。空肠和十二指肠的钾净通量未受到显著影响。这些结果支持以下假设:胃底黏膜对化学刺激敏感,通过体液机制作出反应,该机制可改变小肠黏膜葡萄糖的吸收速率。

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