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犬胃对固体食物的筛分及胃手术后的筛分

Sieving of solid food by the canine stomach and sieving after gastric surgery.

作者信息

Meyer J H, Thomson J B, Cohen M B, Shadchehr A, Mandiola S A

出版信息

Gastroenterology. 1979 Apr;76(4):804-13.

PMID:422008
Abstract

Present concepts on the gastric emptying of solid materials derive from experiments with plastic spheres now known to be emptied differently than food. Accordingly, experiments were undertaken with radiolabeled chicken liver to assess (a) the size of meat particles passed by the normal canine stomach and (b) the effects of ulcer surgery on the rate of emptying and the size of emptied meat particles. Control or ulcer-operated dogs were prepared with chronic duodenal fistulas from which chyme was collected after a standard meal of beefsteak + radioliver + water. Collected chyme was sieved over a stack of sieves of decreasing pore size, and the percent of radioactivity recovered on each sieve was determined each postcibal hour for 5 hr. Control dogs emptied the meal slowly, and virtually all recovered meat was emptied in particles equal to or less than 2.0 mm. Dogs with vagotomy (V), pyloroplasty (P), vagotomy + pyloroplasty (V + P), or antrectomy with end-to-end (A-BI) or end-to-side (A-BII) gastroduodenostomy did not empty the meal faster than the control dogs. In all ulcer-operated dogs except those with P, there were significant upward shifts in the size of meat particles emptied from the stomach; but changes were marked only dogs with V + P or A-BII. Although the experiments verify the antral sieving mechanism noted in earlier work with plastic spheres, the trituration of solid food is probably more complex than previously envisioned.

摘要

目前关于固体物质胃排空的概念源于对塑料球的实验,现在已知塑料球的排空方式与食物不同。因此,进行了放射性标记鸡肝的实验,以评估:(a)正常犬胃排出的肉颗粒大小;(b)溃疡手术对排空速率和排出肉颗粒大小的影响。给对照犬或接受溃疡手术的犬制备慢性十二指肠瘘,在给予牛排+放射性肝+水的标准餐后,从瘘管收集食糜。将收集到的食糜通过孔径逐渐减小的一系列筛网进行筛分,在进食后5小时内,每隔一小时测定每个筛网上回收的放射性百分比。对照犬进食排空缓慢,几乎所有回收的肉都是以等于或小于2.0毫米的颗粒排空的。接受迷走神经切断术(V)、幽门成形术(P)、迷走神经切断术+幽门成形术(V+P)或端对端(A-BI)或端侧(A-BII)胃十二指肠吻合术的胃切除术的犬,进食排空速度并不比对照犬快。在所有接受溃疡手术的犬中,除了接受P手术的犬外,从胃中排出的肉颗粒大小都有显著的向上变化;但变化仅在接受V+P或A-BII手术的犬中明显。尽管这些实验证实了早期对塑料球实验中所提到的胃窦筛分机制,但固体食物的研磨过程可能比之前设想的更为复杂。

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