Besterman H S, Cook G C, Sarson D L, Christofides N D, Bryant M G, Gregor M, Bloom S R
Br Med J. 1979 Nov 17;2(6200):1252-5. doi: 10.1136/bmj.2.6200.1252.
Concentrations of various gut hormones were measured after a test breakfast in eight patients with severe tropical malabsorption and 12 controls. The patients with tropical malabsorption had greatly raised basal plasma motilin and enteroglucagon concentrations, but their postprandial release of both gastric inhibitory polypeptide and insulin was significantly reduced. The pattern of gut hormone release differed from that found in coeliac disease. The measurement of gut hormones, each of which has a specific site and function, thus throws new light on the pathophysiology of tropical malabsorption and may suggest approaches of treatment.
对8名严重热带吸收不良患者和12名对照者在进行试验早餐后测定了各种肠道激素的浓度。热带吸收不良患者的基础血浆胃动素和肠高血糖素浓度大幅升高,但他们餐后胃抑制多肽和胰岛素的释放均显著减少。肠道激素释放模式与乳糜泻不同。由于每种肠道激素都有特定的作用部位和功能,因此对肠道激素的测定为热带吸收不良的病理生理学提供了新的线索,并可能提示治疗方法。