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空肠回肠旁路术对遗传性肥胖和瘦大鼠进食模式的影响。

Effects of jejunoileal bypass on meal patterns in genetically obese and lean rats.

作者信息

Kissileff H R, Nakashima R K, Stunkard A J

出版信息

Am J Physiol. 1979 Sep;237(3):R217-24. doi: 10.1152/ajpregu.1979.237.3.R217.

Abstract

Jejunoileal bypass surgery, designed to reproduce the human operation (long bypass) was contrasted with a short bypass of only a few centimeters of ileum in both genetically obese rats and their lean littermates. In comparison with the short-bypassed rats, long-bypassed rats of both genotypes lost weight and reduced food intake. When adjustments were made for group differences before surgery, no significant differences were detected in the effectiveness of the operation on the two genotypes. The reduction in food intake was accomplished by a decrease in meal size and an increase in intermeal interval. Food intake gradually returned in the long-bypassed rats toward its level in the short-bypassed rats. This increase was accomplished by an increase in meal size alone. Intermeal intervals remained prolonged. In the long-bypassed rats, compared with the short, meal duration was initially elevated and gradually increased more than did meal size, indicating a great slowing of eating rate. Water intake was unaffected, but water-to-food ratio was elevated initially and gradually declined in the long-bypassed rats. Learned food aversion, dehydration, and gastrointestinal and metabolic alterations due to malabsorption are mentioned as possible contributors to the reduction in food intake, but none of these alone can account for all the changes in meal pattern by which intake reduction is accomplished.

摘要

空肠回肠旁路手术旨在重现人体手术(长旁路),在基因肥胖大鼠及其瘦的同窝仔鼠中,将其与仅几厘米回肠的短旁路进行对比。与短旁路大鼠相比,两种基因型的长旁路大鼠体重减轻且食物摄入量减少。在对手术前的组间差异进行调整后,未检测到该手术对两种基因型的有效性存在显著差异。食物摄入量的减少是通过餐量减少和餐间间隔增加实现的。长旁路大鼠的食物摄入量逐渐恢复到短旁路大鼠的水平。这种增加仅通过餐量增加来实现。餐间间隔仍保持延长。与短旁路大鼠相比,长旁路大鼠的进餐持续时间最初升高,且比餐量增加得更多,表明进食速度大幅减慢。水摄入量未受影响,但长旁路大鼠的水与食物的比例最初升高,随后逐渐下降。习得性食物厌恶、脱水以及由于吸收不良导致的胃肠道和代谢改变被认为可能是食物摄入量减少的原因,但这些因素单独都无法解释实现摄入量减少的进餐模式的所有变化。

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