Murphy R F, Chen M H, Herlin P M, Gallavan R H, Joffe S N, Fischer J E
Digestion. 1985;32(2):106-13. doi: 10.1159/000199226.
Jejuno-ileal bypass (JIB) and resection are associated with hyperplastic and other changes in residual functional gut. In studies on endocrine changes, circulating hormone levels are usually measured. In this study with Sprague-Dawley rats, glucagon, secretin and vasoactive intestinal polypeptide (VIP), immunoreactivities were measured in extracts of gut tissues including formerly adjacent segments of functional and bypassed jejunum and ileum. Young adult (200-220 g) and mature (404-440 g) rats received greater than 90% JIB. Though slight differences were observed in the response of the young and old rats to the operations, and between the effects of JIB and resection, the results do not indicate major involvement of secretin, VIP or gut glucagon-like immunoreactivity in the effects of surgery. Changes include increased immunoreactivity of secretin in the upper and of VIP in the lower functional gut following JIB. N-terminal-to central glucagon immunoreactivity in the functional ileum did not change substantially after operations, but was significantly lower in the non-functional than functional ileum after bypass. Plasma levels of this immunoreactivity were higher following operations and highest following resection.
空肠回肠旁路术(JIB)和切除术与残余功能性肠道的增生及其他变化相关。在内分泌变化的研究中,通常测量循环激素水平。在一项针对斯普拉格-道利大鼠开展的研究中,对包括此前已分隔功能性空肠和回肠以及旁路空肠和回肠相邻节段在内的肠道组织提取物中的胰高血糖素、促胰液素和血管活性肠肽(VIP)免疫反应性进行了测量。年轻成年(200 - 220克)和成熟(404 - 440克)大鼠接受了超过90%的JIB手术。尽管在年轻和年老大鼠对手术的反应以及JIB和切除术的效果之间观察到了细微差异,但结果并未表明促胰液素、VIP或肠道胰高血糖素样免疫反应性在手术效果中起主要作用。变化包括JIB术后功能性肠道上段促胰液素免疫反应性增加以及下段VIP免疫反应性增加。手术后,功能性回肠中从N端到中央的胰高血糖素免疫反应性没有实质性变化,但在旁路术后非功能性回肠中的该反应性显著低于功能性回肠。术后这种免疫反应性的血浆水平升高,切除术后最高。