Objectives: The demerit of pylorus-preserving gastrectomy (PPG) is gastric stasis in the remnant stomach (GSRS). We investigated the relationship between postgastrectomy disorder (PGD), especially GSRS, and interdiges...Objectives: The demerit of pylorus-preserving gastrectomy (PPG) is gastric stasis in the remnant stomach (GSRS). We investigated the relationship between postgastrectomy disorder (PGD), especially GSRS, and interdigestive migrating complex (IMC) in PPG patients. Background: The cause of GSRS is still unknown. Therefore, we studied relationship between GSRS and IMC. Methods: 24 PPG patients (16 men and 8 women;mean, 61.2 years) were divided into groups A (12 patients without GSRS) and B (12 patients with GSRS). The relationship between GSRS and IMC was studied. Results: Length of the antral cuff (LAC) was significantly longer in group A than group B (P < 0.0001). IMC and appetite were significantly more common in group A than in group B (P = 0.0465, P = 0.0186, respectively). Postprandial abdominal fullness (PAF) was significantly more common in group B than in group A (P = 0.0061). Reflux esophagitis (RE) and body weight loss were found in group B more than in group A. Dumping syndrome was not found in either group. Endoscopic gastritis was found significantly more in group B than in group A (P = 0.0047). Conclusions: In PPG patients with a short LAC, GSRS may occur by the decrease of IMC occurrence.展开更多
3头装有永久性瘤胃瘘管和十二指肠 T 形瘘管的雄性湖羊,每头每天经瘤胃瘘管灌注15mg F89。与对照期相比,灌注期湖羊采食量提高16.41%(P<0.01),进入十二指肠的总氮、微生物蛋白氮、过瘤胃蛋白氮(包括内源氮)、尿素氮、氨氮均高于对照...3头装有永久性瘤胃瘘管和十二指肠 T 形瘘管的雄性湖羊,每头每天经瘤胃瘘管灌注15mg F89。与对照期相比,灌注期湖羊采食量提高16.41%(P<0.01),进入十二指肠的总氮、微生物蛋白氮、过瘤胃蛋白氮(包括内源氮)、尿素氮、氨氮均高于对照期。酸性洗涤纤维(ADF)的复胃消化量提高34.57%,复胃消化率、整体表观消化率及消化量均明显提高(P<0.05)。粗蛋白的消化量提高16.00%(P<0.05),消化率也有提高。瘤胃总挥发性脂肪酸(TVFA)浓度上升(P<0.05),乙酸比例提高,丁酸比例下降,丙酸水平无明显变化。总脱氢酶活力有所上升,pH 值略有提高。展开更多
文摘Objectives: The demerit of pylorus-preserving gastrectomy (PPG) is gastric stasis in the remnant stomach (GSRS). We investigated the relationship between postgastrectomy disorder (PGD), especially GSRS, and interdigestive migrating complex (IMC) in PPG patients. Background: The cause of GSRS is still unknown. Therefore, we studied relationship between GSRS and IMC. Methods: 24 PPG patients (16 men and 8 women;mean, 61.2 years) were divided into groups A (12 patients without GSRS) and B (12 patients with GSRS). The relationship between GSRS and IMC was studied. Results: Length of the antral cuff (LAC) was significantly longer in group A than group B (P < 0.0001). IMC and appetite were significantly more common in group A than in group B (P = 0.0465, P = 0.0186, respectively). Postprandial abdominal fullness (PAF) was significantly more common in group B than in group A (P = 0.0061). Reflux esophagitis (RE) and body weight loss were found in group B more than in group A. Dumping syndrome was not found in either group. Endoscopic gastritis was found significantly more in group B than in group A (P = 0.0047). Conclusions: In PPG patients with a short LAC, GSRS may occur by the decrease of IMC occurrence.
文摘目的运用复杂网络技术,分析针刺治疗胃脘痛的选穴规律。方法检索中国期刊全文数据库(CNKI)、万方数据知识服务平台(Wanfang Data)、中文科技期刊数据库(VIP)、中国生物医学文献服务系统(SinoMed)、PubMed、Embase、Cochrane Library和Web of Science建库至2022年11月30日收录的针刺治疗胃脘痛的临床研究文献,严格按照筛选标准对文献进行筛选,并提取针刺处方。利用Excel2021建立针刺治疗胃脘痛处方数据库,并统计腧穴频次、归经、特定穴及中医证型;运用Gephi0.9.6完成复杂网络建模,并进行拓扑结构分析、核心腧穴分析及社团分析。结果共纳入105篇文献,包含175首针刺处方,涉及83个腧穴,腧穴总频次为1058次。高频腧穴前5位分别为足三里、中脘、内关、胃俞、脾俞,高频组穴前3位为足三里-中脘、足三里-内关、中脘-内关,通过k-core层次分析法筛选出足三里、中脘、内关、胃俞、脾俞、公孙、太冲、天枢、气海及梁丘等24个核心腧穴,采用社团分析法得到4类证-穴社团。结论针刺治疗胃脘痛选穴以特定穴为主,尤以五输穴居多,多运用上下配穴法和俞募配穴法,临证注重辨证论治,可为临床针刺治疗胃脘痛提供参考。
文摘3头装有永久性瘤胃瘘管和十二指肠 T 形瘘管的雄性湖羊,每头每天经瘤胃瘘管灌注15mg F89。与对照期相比,灌注期湖羊采食量提高16.41%(P<0.01),进入十二指肠的总氮、微生物蛋白氮、过瘤胃蛋白氮(包括内源氮)、尿素氮、氨氮均高于对照期。酸性洗涤纤维(ADF)的复胃消化量提高34.57%,复胃消化率、整体表观消化率及消化量均明显提高(P<0.05)。粗蛋白的消化量提高16.00%(P<0.05),消化率也有提高。瘤胃总挥发性脂肪酸(TVFA)浓度上升(P<0.05),乙酸比例提高,丁酸比例下降,丙酸水平无明显变化。总脱氢酶活力有所上升,pH 值略有提高。
