Beneficial effects of continual jejunal interposition after subtotal gastrectomy

来源 :中华医学杂志(英文版) | 被引量 : 0次 | 上传用户:zhaojuan2582
下载到本地 , 更方便阅读
声明 : 本文档内容版权归属内容提供方 , 如果您对本文有版权争议 , 可与客服联系进行内容授权或下架
论文部分内容阅读
Background The ideal post-gastrectomy reconstruction procedure should maintain the normal digestive function and restore intestinal transit to improve the patient quality of life.The aim of this study was to evaluate the effects of integral continual jejunal interposition after subtotal gastrectomy on the nutritional status,glucose levels,and gastric-intestinal motility.Methods The study investigated the effects of the integral continual jejunal interposition,the Billroth Ⅰ and Billroth Ⅱ operations,and the isolated jejunal interposition following subtotal distal gastrectomy on the blood glucose,insulin,routine blood parameters,liver function,and myoelectrical activity in Beagle dogs.Results The weights of the dogs decreased during the first post-operative weeks.Dogs in the integral continual jejunal interposition,Billroth Ⅰ,and Billroth Ⅱ groups gained significantly more weight by 8 weeks.The prognosis nutrition index of the dogs decreased in the first 2 post-operative weeks and increased significantly by 4 weeks in the integral continual jejunal interposition and Billroth Ⅰ groups.The group with duodenal exclusion (Billroth Ⅱ) had significantly higher glucose levels compared to the normal control group.The insulin curve was much higher in dogs that underwent the Billroth Ⅰ,continual jejunal interposition,and isolated jejunal interposition than the Billroth Ⅱ and normal groups.The frequencies of fasting and postprandial jejunal pacesetter potentials (PPs) were greater in the continual jejunal interposition and Billroth Ⅰ groups than that in the isolated jejunal interposition and Billroth Ⅱ groups.The percentage of aboral propagation of PPs was greater in the continual jejunal interposition group than the Billroth Ⅰ,isolated jejunal interposition,and Billroth Ⅱ groups.Conclusion Continual jejunal interposition after subtotal gastrectomy avoids jejunal transection,maintains the duodenal passage and food storage bags,and reduces the influence of blood glucose and insulin.
其他文献
Background The role of gastro-protecting agents on symptomatic chronic gastritis is unclear.This multicenter,open,randomized trial was designed to compare the c
Background Paroxysmal kinesigenic dyskinesia (PKD) is characterized by recurrent brief episodes of chorea and dystonia induced by sudden movement.Whether the c
Background Copernicus optical coherence tomography (SOCT) is a new,ultra high-speed and high-resolution instrument available for clinical evaluation of optic ne
Background Photodynamic therapy (PDT) with 5-aminolevulinic acid (ALA) is an emerging technique for the treatment of genital human papillomavirus (HPV)-induced
该研究简报介绍了用膨胀波管产生高超声速气流的实验结果。用压力传感器测量了激波管内的激波速度,用激光全息摄影拍摄了飞船返回舱模型吹风时的激波形状,证实了在膨胀波管中
We report a 32 year-old Chinese lady with history of tetralogy of Fallot,presented to us with chest pain due to hypocalcemia secondary to hypoparathyroidism.Wit
Background Recurrence or metastasis of myxomas is not rare and can lead to malignancy.We aimed to analyze the risk factors for postoperative cardiac myxoma recu
Background The regulation of endometrial physiology and morphogenesis by the paracrine effectors has been well established using in vivo studies.A more complete
将多重网格法运用于非结构网格 .网格是通过聚合法得到的 ,网格之间是相互关联的 .方程的求解采用Jamson的有限体积法 .给出了二维、三维情况的数值算例 . The multigrid me
首次介绍了采用热线风速仪测量分体式房间空调器室外机组内外流场的方法和流场测试结果。以 KFR70 - LW/Bd某型空调器室外机组为测试对象进行了流场分布测试。根据测试数据 ,