Hall A W, Moossa A R, Skinner D B
Ann Surg. 1977 Feb;185(2):214-8. doi: 10.1097/00000658-197702000-00014.
The effect of bowel resection, sufficient to cause gastric secretory changes, on gastric emptying is unknown. Gastric evacuation was characterized in 8 Rhesus monkeys by a modification of George's double sampling test meal. Fifty per cent distal small bowel resection was then performed. Gastric emptying was again studied at 6 weeks and 6 months. The rate constant fell from -0.00289 +/- 0.000467 (+/-1 SEM) to -0.00232 +/- 0.00106 during the early phase, but role to -0.00308 +/- 0.00186 by 6 months, neither value being statistically different from the preoperative values. T1/2 rose from 125.2 +/- 19.2 mins to 367 +/- 173.4 mins by 6 weeks and to 380.9 +/- 161.6 mins by the end of the experiments. Corresponding values for T were: control period 425.8 +/- 63.2 mins, early phase 1223 +/- 589 mins and late phase 1245.9 +/- 529.6 mins. None of these changes were statistically significant. Alterations in emptying time within each animal were consistent at the two postoperative phases. Although the two animals showing acceleration of evacuation were those with least change in secretion, compensation for the observed increase in output of gastric juice did not materially alter the results.
足以引起胃液分泌变化的肠切除对胃排空的影响尚不清楚。通过改良乔治双样本试验餐对8只恒河猴的胃排空进行了表征。然后进行50%的远端小肠切除。在6周和6个月时再次研究胃排空。早期阶段速率常数从-0.00289±0.000467(±1标准误)降至-0.00232±0.00106,但到6个月时升至-0.00308±0.00186,两个值均与术前值无统计学差异。T1/2在6周时从125.2±19.2分钟升至367±173.4分钟,到实验结束时升至380.9±161.6分钟。T的相应值为:对照期425.8±63.2分钟,早期1223±589分钟,晚期1245.9±529.6分钟。这些变化均无统计学意义。每只动物在术后两个阶段的排空时间变化是一致的。尽管显示排空加速的两只动物是分泌变化最小的,但对观察到的胃液分泌增加的补偿并未实质性改变结果。