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[广泛小肠切除术能否预防实验性诱导的十二指肠溃疡?一项大鼠研究]

[Does extensive small intestine resection prevent experimentally induced duodenal ulcers? A study on rats].

作者信息

Nowak W, Fleck U, Albrecht R

出版信息

Z Exp Chir Transplant Kunstliche Organe. 1987;20(1):21-5.

PMID:3577272
Abstract

Our previous results showed that pentagastrin stimulated gastric secretion (peak acid output) was significantly decreased following extensive distal small bowel resection. The aim of this study was to see the effect of extensive small bowel resection on experimental duodenal ulcers 28 days after operation. We used secretagogue-produced duodenal ulcers in the rats. Vagotomy prevented these experimental ulcers but not gastric mucosa lesions. Extensive small bowel resection both proximally and distally prevented secretagogue-induced duodenal ulcers too, but there was a mucosa protection both in gastric antrum and duodenal bulb. We concluded this protective effect may be due to compensatory mucosa hyperplasia following extensive small bowel resection.

摘要

我们之前的研究结果表明,广泛的远端小肠切除术后,五肽胃泌素刺激的胃酸分泌(峰值酸排出量)显著降低。本研究旨在观察广泛小肠切除术后28天对实验性十二指肠溃疡的影响。我们在大鼠中使用促分泌剂诱导十二指肠溃疡。迷走神经切断术可预防这些实验性溃疡,但不能预防胃黏膜损伤。广泛的近端和远端小肠切除也可预防促分泌剂诱导的十二指肠溃疡,且胃窦和十二指肠球部均有黏膜保护作用。我们得出结论,这种保护作用可能是由于广泛小肠切除术后黏膜的代偿性增生所致。

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