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小肠导管形成后的胃酸分泌过多:多种临床状态的一个共同因素。

Gastric hypersecretion after formation of small bowel conduits: a common factor in several clinical states.

作者信息

Forrest J F, Longmire W P

出版信息

Ann Surg. 1979 Mar;189(3):313-6. doi: 10.1097/00000658-197903000-00011.

DOI:10.1097/00000658-197903000-00011
PMID:426562
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC1397096/
Abstract

As a preliminary step in studying the effect on gastric acid secretion in dogs following biliary diversion through isolated intestinal conduits, blind-ended intestinal conduits were constructed and the biliary channel was left undisturbed at this time. The results were surprising in that a significant absolute increase in gastric acid secretion occurred in all dogs, within the range of 65-286%, by merely disconnecting a segment of small bowel from the mainstream of flow of intestinal contents. This effect may be due to the "intestinal phase of gastric secretion hormone" and may in itself provide a partial explanation for the well-documented increase in gastric acid production caused by the Exalto-Mann-Williamson procedure and by choledochoenterostomy utilizing a Roux loop.

摘要

作为研究通过孤立肠管进行胆汁分流对犬胃酸分泌影响的初步步骤,构建了盲端肠管,此时胆管通道未受干扰。结果令人惊讶,仅通过将一段小肠与肠内容物流主流断开,所有犬的胃酸分泌均出现了显著的绝对增加,增幅在65% - 286%之间。这种效应可能归因于“胃分泌激素的肠期”,并且其本身可能为Exalto - Mann - Williamson手术以及利用Roux袢的胆总管空肠吻合术所导致的胃酸分泌增加提供部分解释,这一现象已有充分记录。

相似文献

1
Gastric hypersecretion after formation of small bowel conduits: a common factor in several clinical states.小肠导管形成后的胃酸分泌过多:多种临床状态的一个共同因素。
Ann Surg. 1979 Mar;189(3):313-6. doi: 10.1097/00000658-197903000-00011.
2
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引用本文的文献

1
[Problems of choledochoduodenostomy (author's transl)].
Langenbecks Arch Chir. 1980;351(2):119-23. doi: 10.1007/BF01237618.
2
Further studies on the inhibition of pepsin by bile salts.关于胆盐对胃蛋白酶抑制作用的进一步研究。
Ann Surg. 1986 Jan;203(1):8-12. doi: 10.1097/00000658-198601000-00002.

本文引用的文献

1
THE POTENTIAL OF THE UPPER SMALL BOWEL IN REGULATING ACID SECRETION.上段小肠在调节胃酸分泌方面的潜力。
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Inhibitory effects of hydrochloric acid in the duodenum on gastrin-stimulated gastric secretion in Heidenhain pouch dogs.
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Effect of perfusion of intestinal loops with acid, fat, or dextrose on gastric secretion.用酸、脂肪或葡萄糖灌注肠袢对胃液分泌的影响。
Gastroenterology. 1965 Nov;49(5):481-9.
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The effect of intestinal resection on gastric acidity in the rat.肠切除对大鼠胃酸的影响。
Surg Forum. 1970;21:312-3.
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Disappearance of gastrin and pentagastrin in the portal circulation.胃泌素和五肽胃泌素在门静脉循环中的消失。
Gut. 1971 May;12(5):372-6. doi: 10.1136/gut.12.5.372.
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Intestinal control of gastric acid secretion in rats.大鼠胃酸分泌的肠道调控
Surg Forum. 1972;23(0):331-2.
8
Effect of small bowel bypass on gastric secretory function: postintestinal exclusion hypersecretion, a phenomenon in search of a syndrome.小肠旁路手术对胃分泌功能的影响:肠排除术后分泌过多,一种有待明确综合征的现象。
Surgery. 1974 Jun;75(6):821-8.
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Studies on the effect of small bowel bypass for massive obesity on gastric secretory function.小肠旁路手术治疗重度肥胖对胃分泌功能影响的研究。
Ann Surg. 1976 Mar;183(3):259-62. doi: 10.1097/00000658-197603000-00007.
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The influence of resection of the small intestine on gastrin levels.
Surg Gynecol Obstet. 1975 Jan;140(1):27-9.