Husemann B, Schück R, Schulz H P
Langenbecks Arch Chir. 1979 Jun 26;348(3):183-90. doi: 10.1007/BF01239446.
In animal experiments (20 mongrel dogs) malabsorption was induced by resection of 100 cm ileum. Subsequently the influence of the ileocoecal valve (Valvula Bauhini) in absorption was studied. In one group of animals intestinal continuity was reestablished by ileoileostomy, in a second by ileocolostomy. The results of the absorption studies were compared with a healthy control group. After ileoileostomy animals do not lose weight, serum cholesterol and protein remain normal. Oral tolerance tests with Triolein-iodine-131 and Cyanocobalamine show results identical with those of the control group. After ileocolostomy all these parameters are lowered--partially to a pathological level. It is concluded that in all operations in the area of the terminal ileum and colon the Valvula Bauhini should be retained if possible.
在动物实验(20只杂种狗)中,通过切除100厘米回肠诱发吸收不良。随后研究了回盲瓣(鲍欣氏瓣)对吸收的影响。在一组动物中,通过回肠回肠吻合术重建肠道连续性,在另一组中通过回肠结肠吻合术重建。将吸收研究的结果与健康对照组进行比较。回肠回肠吻合术后,动物体重不减轻,血清胆固醇和蛋白质保持正常。用三油酸甘油酯-碘-131和氰钴胺进行的口服耐受性试验结果与对照组相同。回肠结肠吻合术后,所有这些参数均降低,部分降至病理水平。得出的结论是,在回肠末端和结肠区域的所有手术中,应尽可能保留鲍欣氏瓣。