Civalleri D, Gianetta E, Bonalumi U, Berretti V, Caponnetto A, Adami G F, Mudanò P, Scopinaro N
Minerva Chir. 1978;33(13-14):775-88.
Variations in body weight, behaviour of lipidaemic fractions proteinaemia, uricaemia and uricuria, and lipid and protein absorption were studied preoperatively and at varying times following operation in five subjects who had undergone jejuno-ileal bypass for obesity. The results showed high serous NEFA and a definite, early and persistent reduction in all lipidaemic fractions after operation. The post-operative levels of serous proteins, particularly albumin, which were reduced in all subjects, reached pathological levels in two patients where proteic malnutrition following on the operation was associated with serious liver disease. The results agree with reported data. The variations in lipidic and proteic malabsorption proved to be in agreement with weight drop and the serous parameters considered. The reduction in uricaemia encountered in the five patients studied failed to agree with data reported in the Anglo-Saxon literature. This may be explained by alimentary and racial differences between the two populations of patients.
对5例因肥胖接受空肠回肠分流术的患者，在术前及术后不同时间研究了体重变化、血脂成分、蛋白血症、尿酸血症和尿酸尿的情况以及脂质和蛋白质吸收情况。结果显示，术后血清非酯化脂肪酸水平升高，所有血脂成分均出现明确、早期且持续的降低。术后血清蛋白水平，尤其是白蛋白水平，在所有受试者中均降低，在2例患者中达到病理水平，术后蛋白质营养不良与严重肝脏疾病相关。结果与报道的数据一致。脂质和蛋白质吸收不良的变化与体重下降及所考虑的血清参数一致。在研究的5例患者中遇到的尿酸血症降低情况与盎格鲁 - 撒克逊文献报道的数据不一致。这可能是由于这两组患者在饮食和种族上的差异所致。
