Duval-Araujo I, Petroianu A, de Oliveira Neto J E, Sabino L O
Departamento de Cirurgia, Universidade Federal de Minas Gerais, Belo Horizonte.
Rev Assoc Med Bras (1992). 1995 Sep-Oct;41(5):325-8.
Absence of bile salts in the intestinal lumen of jaundiced patients is associated to bacterial overgrowth and systemic endotoxemia. These bile salts, however, did not show significant influence on aerobic and facultative intestinal bacteria. The increasing bacterial colonization may be due to depressed intestinal motor response.
To evaluate the influence of bile salts on intestinal motor response in presence of obstructive jaundice.
We studied in vitro the motor response of ileal segments of 30 Holtzman rats divided into three groups (n = 10): washed ileum, intraluminal bile salts and exogenous oral bile salts administred during six days. Five animals of each group were submitted to sham operation and the other five were submitted to ligation and section of the common bile duct. A four centimeter ileal segment was isolated and studied through a dose-response assay with acetylcholine in an organ chamber.
The results showed an increased ileal affinity to acetylcholine in presence of intraluminal bile salts.
The intraluminal bile salts appear to exert in vitro a stimulatory effect on ileal motility.
黄疸患者肠腔内胆汁盐的缺乏与细菌过度生长和全身内毒素血症有关。然而,这些胆汁盐对需氧和兼性肠道细菌没有显著影响。细菌定植增加可能是由于肠道运动反应受抑制。
评估胆汁盐对梗阻性黄疸时肠道运动反应的影响。
我们在体外研究了30只霍尔茨曼大鼠回肠段的运动反应,将其分为三组(n = 10):冲洗回肠、腔内胆汁盐和连续六天给予外源性口服胆汁盐。每组五只动物接受假手术,另外五只接受胆总管结扎和切断术。分离出四厘米长的回肠段,在器官腔室内通过乙酰胆碱剂量反应试验进行研究。
结果显示,腔内存在胆汁盐时回肠对乙酰胆碱的亲和力增加。
腔内胆汁盐在体外似乎对回肠蠕动有刺激作用。