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Arginine effect on the absorption and motor functions of the residual ileum after massive small intestinal resection

Research Project

Project/Area Number 15591884
Research Category

Grant-in-Aid for Scientific Research (C)

Allocation TypeSingle-year Grants
Section一般
Research Field Pediatric surgery
Research InstitutionAkita University

Principal Investigator

HEBIGUCHI Tatsuzo  Akita University, School of Medicine, Associate, 医学部, 助教授 (00124644)

Co-Investigator(Kenkyū-buntansha) KATO Tetsuo  Akita University, School of Medicine, Professor, 医学部, 教授 (20004963)
YOSHINO Hiroaki  Akita University, School of Medicine, Research Associate, 医学部, 助手 (90182807)
Project Period (FY) 2003 – 2004
Project Status Completed (Fiscal Year 2004)
Budget Amount *help
¥3,000,000 (Direct Cost: ¥3,000,000)
Fiscal Year 2004: ¥600,000 (Direct Cost: ¥600,000)
Fiscal Year 2003: ¥2,400,000 (Direct Cost: ¥2,400,000)
Keywordsmassive small intestinal resection / Arginine / intestinal motility / Telemeter system / microdialysis / absorption function / テレメータシステム
Research Abstract

[Objective]The present study was conducted, using our short-small intestine model that is suitable for investigating the importance of arginine in vivo, in order to establish an experiment system that simultaneously assesses the absorption and motor functions of the residual ileum.
[Methods]1)Using 4-week-old male SD rats, 90% of the proximal small intestine was excised and the remaining intestine was anastomosed 5 cm proximal to the ileocecal valve. Either arginine or glycine was administered to rats that underwent this surgery and rats with a normal small intestine. A total of four groups were prepared in this manner.
2)Intestinal motility was analyzed using the Telemeter System. In order to record the motor function of the residual ileum, a 4-mm force transducer (FT) was sutured to the thin and fragile wall of the ileum 2 cm distal to the anastomotic site using 6-0 nylon, after intraperitoneal administration of Nembutal. Before suturing the FT, 0.1 mg/kg of atropine sulfate was admini … More stered subcutaneously. Using a small transmitter (for mice), fixed to the abdominal wall inside the abdominal cavity using 5-0 silk, contraction of the circular muscle was recorded repeatedly from 3 days after the embedding of the FT. At 3 and 6 weeks after 90% proximal small intestinal resection, the integral values for contraction waves before and after 12 or 24 hours of fasting were calculated every hour.
3)Absorption function was assessed at 3 and 6 weeks after surgery by esophageally administering 50 mg of D-xylose and calculating the absorption rate based on urinary excretion using a 10-hour urine sample.
[Results]1)For arginine, the integral values for hourly contraction waves after a meal was smaller than that before fasting ; however, for glycine, no difference between before and after fasting was observed. The number and duration of large contractile motions, that appeared during fasting and were thought to be equivalent to migrating myoelectric (or motor) complexes (MMC), showed no correlation to arginine administration.
2)Absorption function was measured at 3 and 6 weeks after surgery. While arginine administration improved absorption at 3 and 4 weeks after surgery, no further improvement was seen at 6 weeks after surgery.
[Conclusions]Arginine improved the absorption function of the short-small intestine model for only three weeks after surgery. Therefore, further investigations are required in order to ascertain the effects of arginine on intestinal motility. Less

Report

(3 results)
  • 2004 Annual Research Report   Final Research Report Summary
  • 2003 Annual Research Report
  • Research Products

    (5 results)

All 2004 Other

All Journal Article (4 results) Publications (1 results)

  • [Journal Article] 新生児期腸閉塞症術後患児のQOL2004

    • Author(s)
      蛇口 達造, 他
    • Journal Title

      小児看護 27(11)

      Pages: 1476-1480

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2004 Final Research Report Summary
  • [Journal Article] 胎便性腹膜炎の治療方針 : 出生前超音波所見の意義2004

    • Author(s)
      蛇口 達造, 他
    • Journal Title

      小児外科 36(12)

      Pages: 1517-24

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2004 Final Research Report Summary
  • [Journal Article] Postoperative QOL in neonatea with congenital intestinal Obstruction2004

    • Author(s)
      Hebiguchi, T., et al.
    • Journal Title

      Jpn J Child Nursery 27(11)

      Pages: 1476-1480

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2004 Final Research Report Summary
  • [Journal Article] Significance of serial ultrasonography for surgical treatment Of meconium peritonitis.2004

    • Author(s)
      Hebiguchi, T., et al.
    • Journal Title

      Jpn J Pediatr Surg 36(12)

      Pages: 1517-1524

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2004 Final Research Report Summary
  • [Publications] 蛇口 達造: "短小腸モデルにおける脂質代謝におよぼすアルギニンの効果"外科と代謝・栄養. Vol.37 No.3. 96頁 (2003)

    • Related Report
      2003 Annual Research Report

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Published: 2003-04-01   Modified: 2016-04-21  

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