Bonfils S, Rougier P
Ann Nutr Aliment. 1976;30(2-3):243-53.
The influence of alimentation on the digestive pathology is very important. In this report the authors review the principal results of epidemiologic studies and animals experimentations. According to this survey of the literature it can be stated that some presumptions exist for: -- the responsibility of diet without vegetal fibers in the frequency of constipation, colonic divercitular disease, piles and hiatal hernia. The comparison of the alimentary habits in the western Europe with rural Africa is very instructive on that matter; -- the responsibility of alcohol consumption, use of hypercaloric regimen and hyperlipidic ingestats as causative factors for chronic pancreatitis; -- the importance of an hypercaloric, hyperlipidic and low residue regimen as etiologic factors in biliary gallstones; -- the role of denutrition and alcoholism in liver steatosis and cirrhosis in developed country; -- more important, perhaps, is the suspicion of the role of nutrition in the development of digestive cancer: alcohol will facilitate oesophageal cancer, alimentary nitrites gastric cancer meanwhile fiberless regimen and biles salts will promote colonic cancer. Impairments of nutrition observed after digestive resections in case of inappropriate alimentation are also analyzed as well as the principal alimentary disturbances related to allergy or enzymatic deficiency.
营养对消化系统病理学的影响非常重要。在本报告中,作者回顾了流行病学研究和动物实验的主要结果。根据对文献的这项调查,可以指出存在一些关于以下方面的推测:——缺乏植物纤维的饮食与便秘、结肠憩室病、痔疮和食管裂孔疝发病频率之间的关联。在这一问题上,西欧与非洲农村饮食习惯的比较很有启发性;——饮酒、高热量饮食和高脂摄入作为慢性胰腺炎致病因素的作用;——高热量、高脂和低残渣饮食作为胆结石病因的重要性;——在发达国家,营养不良和酗酒在肝脂肪变性和肝硬化中的作用;——或许更重要的是,怀疑营养在消化系统癌症发生中的作用:酒精会促进食管癌,食物中的亚硝酸盐会引发胃癌,而无纤维饮食和胆盐会促进结肠癌。还分析了消化切除术后因饮食不当而出现的营养障碍,以及与过敏或酶缺乏相关的主要饮食紊乱情况。