Beno I, Rozhold J, Chorváthová V, Prikazská M, Virsik A, Siman J
Dtsch Z Verdau Stoffwechselkr. 1980;40(5):184-91.
Seventy-five patients after jejunoileal bypass for morbid obesity were investigated. The body weight, fat and nitrogen balances were followed. In the second year after operation the stabilization of body weight was observed. The fecal fat excretion was average one third of the ingested amount of fat and the fecal nitrogen loss was twice or three-times higher than normal value. In the first year after operation in many patients the positive nitrogen balance was stated on the ward, caused first of all by decrease of the nitrogen excretion in the urine. Authors conclude that the decrease of body weight is caused on the hand by decrease of oral intake and resorption of nutrients in the shortened small intestine and on the other hand by inadequate physical load after operation.
对75例因病态肥胖接受空肠回肠分流术的患者进行了研究。跟踪记录了他们的体重、脂肪和氮平衡情况。术后第二年观察到体重趋于稳定。粪便脂肪排泄量平均为摄入脂肪量的三分之一,粪便氮损失比正常值高出两倍或三倍。术后第一年,许多患者在病房里出现正氮平衡,这首先是由于尿液中氮排泄量减少所致。作者得出结论,体重减轻一方面是由于口服摄入量减少以及缩短的小肠中营养物质吸收减少,另一方面是由于术后体力活动不足。