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考来烯胺治疗迷走神经切断术后腹泻的双盲试验。

Double-blind trial of cholestyramine in post-vagotomy diarrhoea.

作者信息

Duncombe V M, Bolin T D, Davis A E

出版信息

Gut. 1977 Jul;18(7):531-5. doi: 10.1136/gut.18.7.531.

Abstract

The effect of cholestyramine in post-vagotomy diarrhoea has been assessed under double-blind conditions. Cholestyramine produced a significant improvement in frequency, urgency, and consistency of stool as well as episodic diarrhoea. Faecal bile acid excretion was significantly higher in the post-vagotomy group when compared with normal controls. These findings confirm the effectiveness of cholestyramine and support the concept of a bile acid mediated aetiology in post-vagotomy diarrhoea.

摘要

已在双盲条件下评估了消胆胺对迷走神经切断术后腹泻的疗效。消胆胺在改善大便频率、急迫感、稠度以及间歇性腹泻方面有显著效果。与正常对照组相比,迷走神经切断术后组的粪便胆汁酸排泄显著更高。这些发现证实了消胆胺的有效性,并支持胆汁酸介导的病因学在迷走神经切断术后腹泻中的概念。

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本文引用的文献

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EFFECTS OF VAGAL-NERVE SECTION ON THE BILIARY SYSTEM.迷走神经切断术对胆道系统的影响
Lancet. 1964 Mar 14;1(7333):579-81. doi: 10.1016/s0140-6736(64)91330-3.
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SELECTIVE NERVE SECTION IN THE PREVENTION OF POST-VAGOTOMY DIARRHOEA.
Lancet. 1964 Mar 14;1(7333):577-9. doi: 10.1016/s0140-6736(64)91329-7.
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The effect of vagotomy on the bile-secreting function of the liver.
Fiziol Zh SSSR Im I M Sechenova. 1961 Dec;47:685-92.
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Some observations upon selective gastric vagotomy.关于选择性胃迷走神经切断术的一些观察
Arch Surg. 1963 May;86:716-25. doi: 10.1001/archsurg.1963.01310110026005.
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Control of bile flow in the cholecystectomized dog.
Am J Physiol. 1963 May;204:825-8. doi: 10.1152/ajplegacy.1963.204.5.825.

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