Nilsson L O, Andersson H, Hultén L, Jagenburg R, Kock N G, Myrvold H E, Philipson B
Gut. 1979 Jun;20(6):499-503. doi: 10.1136/gut.20.6.499.
The absorption of fat, bile salts, and vitamin B12 was studied in 14 proctocolectomised patients six to 10 years after construction of a continent ileostomy. All patients were in excellent health and displayed no signs of malnutrition. Schilling test disclosed subnormal absorption of vitamin B12 in one patient and borderline values in five. Faecal loss of bile acid was increased in 12 patients and fat malabsorption occurred in two. Except for slightly pathological liver tests in two patients, routine laboratory tests, including plasma concentration of vitamin B12 and folic acid, were normal. There were no signs of sodium or potassium depletion.
对14例在构建可控回肠造口术后6至10年的直肠结肠切除患者的脂肪、胆盐和维生素B12吸收情况进行了研究。所有患者健康状况良好,未表现出营养不良的迹象。希林试验显示1例患者维生素B12吸收低于正常水平,5例处于临界值。12例患者胆汁酸粪便流失增加,2例出现脂肪吸收不良。除2例患者肝功能检查略有异常外,包括血浆维生素B12和叶酸浓度在内的常规实验室检查均正常。没有钠或钾缺乏的迹象。