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Evaluation of impaired gastric peristalsis, ghrelin concentration and effectiveness of Rikkunshito after severe insult

Research Project

Project/Area Number 15K10986
Research Category

Grant-in-Aid for Scientific Research (C)

Allocation TypeMulti-year Fund
Section一般
Research Field Emergency medicine
Research InstitutionSapporo Medical University

Principal Investigator

Tatsumi Hiroomi  札幌医科大学, 医学部, 講師 (70404613)

Co-Investigator(Kenkyū-buntansha) 升田 好樹  札幌医科大学, 医学部, 教授 (10244328)
高橋 科那子  札幌医科大学, 医学部, 助教 (60772316)
赤塚 正幸  札幌医科大学, 医学部, 助教 (60808161)
Project Period (FY) 2015-10-21 – 2018-03-31
Project Status Completed (Fiscal Year 2017)
Budget Amount *help
¥4,680,000 (Direct Cost: ¥3,600,000、Indirect Cost: ¥1,080,000)
Fiscal Year 2017: ¥520,000 (Direct Cost: ¥400,000、Indirect Cost: ¥120,000)
Fiscal Year 2016: ¥2,470,000 (Direct Cost: ¥1,900,000、Indirect Cost: ¥570,000)
Fiscal Year 2015: ¥1,690,000 (Direct Cost: ¥1,300,000、Indirect Cost: ¥390,000)
Keywords六君子湯 / グレリン / 重症患者 / 消化管蠕動
Outline of Final Research Achievements

On the reduction of gastrointestinal peristalsis after invasion, we studied for the purpose of elucidating the mechanism of the effectiveness of rikkunshito. Peritonitis model was prepared and plasma ghrelin concentration involved in gastric peristalsis was measured. We also examined the mechanism of the effectiveness of rikkunshito against the decrease in gastric peristalsis from the viewpoint of the influence on ghrelin concentration. Dietary intake and water intake decreased after invasion recovered early by rikkunshito administration. It was suggested that the recovery of body weight was several days earlier than that of the control group in the group treated with rikkunshito. In the treated group, the concentration of activated ghrelin was high and the inactivated ghrelin concentration tended to be low, suggesting that a shift to activated ghrelin was involved in recovery of oral intake, and rikkunshito was thought to be involved in the increase of activated ghrelin.

Report

(4 results)
  • 2017 Annual Research Report   Final Research Report ( PDF )
  • 2016 Research-status Report
  • 2015 Research-status Report
  • Research Products

    (7 results)

All 2018 2017 2016

All Journal Article (1 results) Presentation (6 results)

  • [Journal Article] 経腸栄養耐性の評価方法と腸管蠕動改善薬の意義と効果2018

    • Author(s)
      巽 博臣、黒田浩光
    • Journal Title

      救急集中治療

      Volume: 30 Pages: 39-46

    • Related Report
      2017 Annual Research Report
  • [Presentation] ICUにおける重症患者の栄養療法戦略と問題点2018

    • Author(s)
      巽 博臣、赤塚正幸、黒田浩光、大槻郁人、豊原 隆、西村実夫、石原悦菜、仲 詩織、白石沙耶可、荒川朋子、升田好樹
    • Organizer
      第21回日本病態栄養学会年次学術集会
    • Related Report
      2017 Annual Research Report
  • [Presentation] 当院ICUにおける重症急性膵炎に対する早期経腸栄養の施行状況2017

    • Author(s)
      巽 博臣
    • Organizer
      第32回日本静脈経腸栄養学会学術集会
    • Place of Presentation
      岡山
    • Year and Date
      2017-02-23
    • Related Report
      2016 Research-status Report
  • [Presentation] 早期経腸栄養を中心とした急性期の重症患者に対する栄養療法の重要性2017

    • Author(s)
      巽 博臣、升田好樹、高橋科那子、黒田浩光、大槻郁人、赤塚正幸、豊原 隆、高桑一登、相坂和貴子、秋月恵美、信岡隆幸、竹政伊知朗
    • Organizer
      日本外科代謝栄養学会第54回学術集会
    • Related Report
      2017 Annual Research Report
  • [Presentation] 経腸栄養に伴う誤嚥を回避するために~ベッドサイドでの内視鏡下経鼻空腸チューブ挿入の安全性・有用性2017

    • Author(s)
      巽 博臣、升田好樹、高橋科那子、相坂和貴子、高桑一登、豊原 隆、赤塚正幸、大槻郁人、黒田浩光
    • Organizer
      第39回日本呼吸療法医学会学術集会
    • Related Report
      2017 Annual Research Report
  • [Presentation] 腸管麻痺を回避するための“安易に腸管を休ませない”管理2017

    • Author(s)
      巽 博臣、高橋科那子、黒田浩光、大槻郁人、赤塚正幸、豊原 隆、升田好樹
    • Organizer
      第45回日本救急医学会総会・学術集会
    • Related Report
      2017 Annual Research Report
  • [Presentation] 血液疾患患者の重症化例に対する経腸栄養管理2016

    • Author(s)
      巽 博臣
    • Organizer
      第31回日本静脈経腸栄養学会学術集会
    • Place of Presentation
      福岡国際会議場(福岡市)
    • Year and Date
      2016-02-25
    • Related Report
      2015 Research-status Report

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Published: 2015-10-21   Modified: 2019-03-29  

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