Ecknauer R, Feyerabend G, Raffler H
Gut. 1978 Aug;19(8):707-14. doi: 10.1136/gut.19.8.707.
A modified Roux-en-y repositioning of rat proximal small intestine resulted in a gut segment (A) exposed only to digestive secretions, but not to food and a gut segment (B) exposed to food, stomach juice and by reflux only to digestive secretions, and a third segment (C) exposed to both, food and digestive secretions. The changes in segment A were qualitatively very similar to those occurring after removal of luminal nutrition (intravenous feeding, self-emptying blind loop, and Thiry Vella loop). These findings support the hypothesis that the presence of luminal nutrition is a major factor regulating mucosal mass and enzyme activity in rat proximal small intestine. The changes in the luminal environment in segment B caused an increase in mucosal mass (in the proximal half only), an increase in sucrase activity which paralleled the increase in mucosal mass, and no change in activity of alkaline phosphatase which in fact was a decrease in activity ;at the cellular level'. Later on the net absorption of sodium and potassium was improved and the disappearance of galactose was unchanged when referred to unit length of small intestine.In segment C there was a small increase in mucosal mass, an increase in activity only for alkaline phosphatase, and an improvement of the net absorption of sodium without changes in the disappearance of galactose. These changes were compatible with a more proximal promotion of a distal gut segment.
对大鼠近端小肠进行改良的Roux-en-y重定位,形成了一段肠段(A),该肠段仅接触消化液,不接触食物;一段肠段(B),该肠段接触食物、胃液且仅通过反流接触消化液;以及第三段肠段(C),该肠段同时接触食物和消化液。肠段A的变化在性质上与去除腔内营养(静脉内喂养、自排空盲袢和Thiry Vella袢)后发生的变化非常相似。这些发现支持了这样一种假说,即腔内营养的存在是调节大鼠近端小肠黏膜质量和酶活性的主要因素。肠段B腔内环境的变化导致黏膜质量增加(仅在近端一半),蔗糖酶活性增加,且与黏膜质量增加平行,碱性磷酸酶活性没有变化,而实际上在细胞水平上活性降低。后来,当以小肠单位长度衡量时,钠和钾的净吸收得到改善,半乳糖的消失没有变化。在肠段C中,黏膜质量有小幅增加,仅碱性磷酸酶活性增加,钠的净吸收得到改善,而半乳糖的消失没有变化。这些变化与远端肠段更接近近端的促进作用相一致。