Weiner R, Hartig W, Matkowitz R
Z Gesamte Inn Med. 1978 Apr 1;33(7):218-20.
An extreme diminution of the absorption surface by resection or exclusion of the small intestine leads to the clinical picture of the short-intestine-syndrome. The absorption effect of the proximal small intestine can be exactly established with the help of the modified D-xylose-test. On the basis of three typical examples the high evidence of this functional test can be demonstrated. The pathophysiological principles of the intestinal adaptation after by-pass-operations and resections of the small intestine are discussed.
小肠切除或旷置导致吸收面积极度减少,从而引发短肠综合征的临床表现。借助改良的D-木糖试验可准确确定近端小肠的吸收功能。通过三个典型病例可证明该功能试验的高度可靠性。本文还讨论了小肠旁路手术和切除术后肠道适应的病理生理机制。