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壁细胞迷走神经切断术及选择性迷走神经切断术加幽门成形术对体重及饮食习惯的影响。一项前瞻性随机研究。

The effect of parietal cell vagotomy and selective vagotomy with pyloroplasty on body weight and dietary habits. A prospective randomized study.

作者信息

Faxén A, Rossander L, Kewenter J

出版信息

Scand J Gastroenterol. 1979;14(1):7-11. doi: 10.3109/00365527909179839.

DOI:10.3109/00365527909179839
PMID:424690
Abstract

Body weight and dietary habits were studied in 32 male patients in a consecutive randomized series of parietal cell vagotomy (PCV) and selective vagotomy with pyloroplasty (SV + P). There were 16 patients in each group. One month after surgery all patients had lost weight. During the first 2 postoperative years following PCV most patients regained their preoperative weight. SV + P led to an impaired ability to gain weight. Following PCV the consumption of fat was reduced but the carbohydrate consumption increased, leading to an unchanged total daily energy intake. The daily energy intake decreased following SV + P in spite of an increased consumption of protein-rich foods such as meat, fish, and eggs. The decreased energy intake was due to a reduced intake of fat, sugar, and milk following SV + P. It is concluded that dumping is a contributory cause of the reduced energy intake following SV + P.

摘要

对32名男性患者进行了连续随机分组的壁细胞迷走神经切断术(PCV)和选择性迷走神经切断术加幽门成形术(SV + P),并研究了他们的体重和饮食习惯。每组有16名患者。术后1个月所有患者体重均减轻。在PCV术后的头2年里,大多数患者恢复到了术前体重。SV + P导致体重增加能力受损。PCV术后脂肪摄入量减少,但碳水化合物摄入量增加,导致每日总能量摄入量不变。尽管SV + P术后富含蛋白质的食物(如肉、鱼和蛋)摄入量增加,但每日能量摄入量仍减少。能量摄入量减少是由于SV + P术后脂肪、糖和牛奶摄入量减少。得出的结论是,倾倒综合征是SV + P术后能量摄入减少的一个促成因素。

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