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发展并验证一种带有回肠结肠吻合术的小型猪短肠综合征模型。

Development and validation of an ambulatory piglet model for short bowel syndrome with ileo-colonic anastomosis.

机构信息

Department of Pediatrics, Saint Louis University School of Medicine, Saint Louis, MO 63103, USA.

Department of Surgery, Saint Louis University School of Medicine, Saint Louis, MO 63103, USA.

出版信息

Exp Biol Med (Maywood). 2020 Jun;245(12):1049-1057. doi: 10.1177/1535370220915881. Epub 2020 Apr 7.

DOI:10.1177/1535370220915881
PMID:32264693
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7357144/
Abstract

Short bowel syndrome is associated with significant comorbidities and mortality. This study is important as unlike current systems, it provides a validated piglet model which mirrors anatomical, histological, and serological characteristics observed in human SBS. This model can be used to advance knowledge into mechanistic pathways and therapeutic modalities to improve outcomes for SBS patients. This study is novel in that in addition to significant reduction in the remnant bowel and noted liver disease, we also developed a method to emulate ileocecal valve resection and described gut adaptive responses which has important clinical implications in humans.

摘要

短肠综合征与多种并发症和死亡率相关。本研究意义重大,因为与现有系统不同,它提供了一种经过验证的仔猪模型,可模拟人类 SBS 观察到的解剖学、组织学和血清学特征。该模型可用于深入了解机制途径和治疗方式,从而改善 SBS 患者的预后。本研究具有创新性,除了明显减少残留肠段和已观察到的肝病外,我们还开发了一种模拟回盲瓣切除术的方法,并描述了肠道适应性反应,这对人类具有重要的临床意义。

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Development and validation of an ambulatory piglet model for short bowel syndrome with ileo-colonic anastomosis.发展并验证一种带有回肠结肠吻合术的小型猪短肠综合征模型。
Exp Biol Med (Maywood). 2020 Jun;245(12):1049-1057. doi: 10.1177/1535370220915881. Epub 2020 Apr 7.
2
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Intestinal adaptation following massive ileocecal resection in 20-day-old weanling rats.20 日龄断奶大鼠盲肠大部切除术后的肠道适应。
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JPEN J Parenter Enteral Nutr. 2017 Aug;41(6):938-945. doi: 10.1177/0148607115626903. Epub 2016 Feb 2.
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本文引用的文献

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Short Bowel Syndrome as the Leading Cause of Intestinal Failure in Early Life: Some Insights into the Management.短肠综合征作为早期生命中肠衰竭的主要原因:对其管理的一些见解
Pediatr Gastroenterol Hepatol Nutr. 2019 Jul;22(4):303-329. doi: 10.5223/pghn.2019.22.4.303. Epub 2019 Jun 27.
2
Intestinal failure-associated liver disease in patients with short bowel syndrome: Evaluation by transient elastography.短肠综合征患者的肠衰竭相关肝病:瞬态弹性成像评估。
Nutrition. 2019 Jul-Aug;63-64:134-140. doi: 10.1016/j.nut.2019.02.001. Epub 2019 Feb 13.
3
Intestinal failure-associated liver disease: causes, manifestations and therapies.肠衰竭相关肝病:病因、临床表现与治疗。
Curr Opin Gastroenterol. 2019 Mar;35(2):126-133. doi: 10.1097/MOG.0000000000000503.
4
Role of the Gut⁻Liver Axis in Driving Parenteral Nutrition-Associated Injury.肠-肝轴在引发肠外营养相关损伤中的作用。
Children (Basel). 2018 Sep 25;5(10):136. doi: 10.3390/children5100136.
5
Research Agenda 2018: The American Society for Parenteral and Enteral Nutrition.2018年研究议程:美国肠外肠内营养学会
JPEN J Parenter Enteral Nutr. 2018 Jul;42(5):838-844. doi: 10.1002/jpen.1312.
6
No Gut No Gain! Enteral Bile Acid Treatment Preserves Gut Growth but Not Parenteral Nutrition-Associated Liver Injury in a Novel Extensive Short Bowel Animal Model.无肠道,无获益!肠内胆汁酸治疗可保留肠道生长,但不能预防新型广泛小肠短小动物模型中的肠外营养相关肝损伤。
JPEN J Parenter Enteral Nutr. 2018 Nov;42(8):1238-1251. doi: 10.1002/jpen.1167. Epub 2018 Apr 27.
7
Fifteen-Year Trends in Pediatric Liver Transplants: Split, Whole Deceased, and Living Donor Grafts.15 年儿童肝移植趋势:劈离式、全遗体和活体供肝移植。
J Pediatr. 2018 May;196:148-153.e2. doi: 10.1016/j.jpeds.2017.11.015. Epub 2018 Jan 4.
8
Liver Disease in Patients on Total Parenteral Nutrition.全肠外营养患者的肝脏疾病。
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J Pediatr Gastroenterol Nutr. 2017 Nov;65(5):588-596. doi: 10.1097/MPG.0000000000001722.