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水包油型乳剂的胃十二指肠消化新认识:胃稳定性与消化模拟。

New insights into gastroduodenal digestion of oil-in-water emulsions: gastric stability and digestion modeling.

机构信息

Department of Food Science and Biotechnology, Zhejiang Gongshang University, Hangzhou, PR China.

Riddet Institute, Massey University, Palmerston North, New Zealand.

出版信息

Crit Rev Food Sci Nutr. 2022;62(14):3723-3737. doi: 10.1080/10408398.2020.1868396. Epub 2021 Jan 12.

DOI:10.1080/10408398.2020.1868396
PMID:33432823
Abstract

In this paper, effect of emulsion stability on gastroduodenal emptying/secretion was reviewed and differentiated. Moreover, novel perspectives on physiology of gastric lumen, duodenum, and gall bladder were achieved using mathematical models, being useful for designing artificial digestive systems. In this regard, numerical data for dynamic gastric emptying/secretion were offered for gastric-stable and gastric-unstable emulsion intakes. It was shown that alterations in human gastric and duodenal volume follow, respectively, linear and sinusoidal curves, with high correlation coefficients ( > 0.93). For both emulsions, about 30-40mL ingesta discharged rapidly from stomach upon ingestion; However, further gastric emptying was regulated for the rest of digestion period, so that 0.1mL/min oil was passing through duodenum. Intragastric evacuation of both emulsions started with a lag phase during which stomach stored secretions incrementally by slow gastric discharge. Lag phase ended with fat layering, when emptying considerably enhanced. This reduction was gradual for stable emulsion while unstable emulsion experienced a rapid emptying before slow declining trend. Along with initial gastric emptying, 87% of gallbladder content discharged into duodenum, prolonged up to the gradual reduction phase of stomach. Supplementary investigations are needed to quantify gastroduodenal secretions, particularly pepsin and pancreas in response to emulsion ingesta.

摘要

本文综述了乳剂稳定性对胃十二指肠排空/分泌的影响,并加以区分。此外,利用数学模型对胃腔、十二指肠和胆囊的生理学取得了新的认识,这对于设计人工消化系统很有用。在这方面,为胃稳定和胃不稳定乳液摄入提供了动态胃排空/分泌的数值数据。结果表明,人类胃和十二指肠容积的变化分别遵循线性和正弦曲线,相关系数很高(>0.93)。对于两种乳液,摄入后约 30-40mL 迅速从胃中排出;然而,进一步的胃排空受到消化过程剩余时间的调节,以至于 0.1mL/min 的油通过十二指肠。两种乳液的胃内排空都开始于一个滞后阶段,在此期间胃通过缓慢的胃排空逐渐储存分泌物。滞后阶段以脂肪分层结束,此时排空明显增强。稳定乳液的排空逐渐减少,而不稳定乳液在缓慢下降趋势之前经历了快速排空。随着初始胃排空,87%的胆囊内容物排入十二指肠,持续到胃的逐渐减少阶段。需要进一步的研究来定量乳剂摄入后胃十二指肠分泌的量,特别是胃蛋白酶和胰腺。

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