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链脲佐菌素处理大鼠部分空肠回肠旁路代谢效应的观察

Observations on the metabolic effects of partial jejunoileal bypass in streptozotocin-treated rats.

作者信息

Morsiani E, Carpanelli M C

出版信息

Eur Surg Res. 1985;17(1):25-32. doi: 10.1159/000128443.

DOI:10.1159/000128443
PMID:3972002
Abstract

A 50% small bowel bypass was performed in diabetic rats (streptozotocin-treated) and in normal rats. Normal rats and diabetic rats were used as controls. Values of fasting blood glucose and oral glucose tolerance test showed a normalization and the disappearance of glycosuria, polyuria, polydipsia and hyperphagia in diabetic rats after surgery. Mean loss of weight 3 months after surgery was 9.1% in normal bypassed rats and 60.5% in the diabetic controls. After an initial postoperative weight loss of 33.4%, the diabetic bypassed rats gained subsequently their previous weight plus an increase of 7.2%. Improvement in carbohydrate metabolism appears to be independent of loss of weight and decrease in food intake in lean diabetic rats. Amelioration of diabetes after jejunoileal bypass is the result of several metabolic consequences, particularly the malabsorption of carbohydrates, fats and amino acids.

摘要

对糖尿病大鼠(经链脲佐菌素处理)和正常大鼠进行了50%的小肠旁路手术。正常大鼠和糖尿病大鼠作为对照。空腹血糖值和口服葡萄糖耐量试验显示,术后糖尿病大鼠的血糖恢复正常,糖尿、多尿、烦渴和多食症状消失。术后3个月,正常旁路大鼠的平均体重减轻9.1%,糖尿病对照大鼠的平均体重减轻60.5%。糖尿病旁路大鼠术后最初体重减轻33.4%,随后体重恢复到术前水平,并增加了7.2%。在瘦型糖尿病大鼠中,碳水化合物代谢的改善似乎与体重减轻和食物摄入量减少无关。空肠回肠旁路术后糖尿病症状的改善是多种代谢后果的结果,尤其是碳水化合物、脂肪和氨基酸的吸收不良。

相似文献

1
Observations on the metabolic effects of partial jejunoileal bypass in streptozotocin-treated rats.链脲佐菌素处理大鼠部分空肠回肠旁路代谢效应的观察
Eur Surg Res. 1985;17(1):25-32. doi: 10.1159/000128443.
2
[Euglycemizing effect of partial jejuno-ileal resection in rats treated with streptozotocin].[链脲佐菌素处理大鼠部分空肠-回肠切除术后的血糖正常化作用]
Minerva Med. 1981 May 7;72(18):1115-24.
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Metabolic consequences from conversion of jejunoileal bypass to gastric bypass.空肠回肠旁路术转换为胃旁路术后的代谢后果。
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Observations on the improvements in carbohydrate metabolism in diabetic and other morbidly obese patients after jejunoileal bypass.空肠回肠分流术后糖尿病及其他病态肥胖患者碳水化合物代谢改善情况的观察
Surg Gynecol Obstet. 1981 May;152(5):581-6.
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Rapid Improvement in Diabetes After Simple Side-to-side Jejunoileal Bypass Surgery: Does It Need a Ligation or Not?单纯旁路空肠回肠吻合术治疗糖尿病的快速改善:是否需要结扎?
Obes Surg. 2018 Jul;28(7):1974-1979. doi: 10.1007/s11695-018-3122-2.
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Experimental evaluation of the effect of intestinal reflux on weight loss after jejunoileal bypass.空肠回肠分流术后肠反流对体重减轻影响的实验评估。
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Early improvement of glucose tolerance after ileal transposition in a non-obese type 2 diabetes rat model.非肥胖型2型糖尿病大鼠模型回肠转位术后葡萄糖耐量的早期改善
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Remissions of diabetes mellitus after weight reduction by jejunoileal bypass.空肠回肠旁路术后体重减轻后糖尿病的缓解
Diabetes Care. 1978 May-Jun;1(3):158-65. doi: 10.2337/diacare.1.3.158.
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Mid to distal small bowel resection with the preservation of the terminal ileum improves glucose homeostasis in diabetic rats by activating the hindgut-dependent mechanism.中段至远端小肠切除术保留末端回肠可通过激活回肠依赖性机制改善糖尿病大鼠的血糖稳态。
J Gastrointest Surg. 2014 Jun;18(6):1186-93. doi: 10.1007/s11605-014-2507-3. Epub 2014 Apr 1.
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The effect of small bowel bypass on diabetes mellitus.小肠旁路手术对糖尿病的影响。
Br J Surg. 1978 Jan;65(1):30-2. doi: 10.1002/bjs.1800650109.

引用本文的文献

1
Duodenal-Jejunal bypass improves glucose homeostasis in association with decreased proinflammatory response and activation of JNK in the liver and adipose tissue in a T2DM rat model.在2型糖尿病大鼠模型中,十二指肠-空肠旁路术与肝脏和脂肪组织中促炎反应降低及JNK激活相关,可改善葡萄糖稳态。
Obes Surg. 2014 Sep;24(9):1453-62. doi: 10.1007/s11695-014-1230-1.
2
Side-to-side jejunoileal anastomosis plus proximal loop ligation: a novel intestinal bypass model for diabetic rats.空肠回肠侧侧吻合术加近端肠袢结扎术:一种用于糖尿病大鼠的新型肠道旁路模型。
Obes Surg. 2014 Jan;24(1):141-2. doi: 10.1007/s11695-013-1129-2.
3
Ileal interposition improves glucose tolerance in low dose streptozotocin-treated diabetic and euglycemic rats.
回肠置管术可改善低剂量链脲佐菌素治疗的糖尿病大鼠和血糖正常大鼠的糖耐量。
Obes Surg. 2009 Jan;19(1):96-104. doi: 10.1007/s11695-008-9754-x. Epub 2008 Nov 7.