Al Shamma G A, Fell G S, Joffe S N
Scott Med J. 1979 Jul;24(3):206-10. doi: 10.1177/003693307902400306.
A greater metabolic response developed during a seven day starvation in two morbidly obese patients three months after a 90 per cent jejuno-ileal bypass operation when compared with a similar fast before operation. There was a greater degree of ketosis, a decreased urinary urea excretion and an earlier utilization of ketone bodies. These changes suggest a metabolic adaptation of the body to the semistarvation state caused by the operation with a more rapid utilization of adipose tissue as a fuel and a sparing of lean body mass.
与手术前的类似禁食相比，两名病态肥胖患者在接受90%空肠回肠旁路手术后三个月，在七天饥饿期间出现了更大的代谢反应。酮症程度更高，尿尿素排泄减少，酮体利用更早。这些变化表明身体对手术引起的半饥饿状态有代谢适应，脂肪组织作为燃料的利用更快，瘦体重得到了保留。
