Intestinal glutamine metabolism after massive small bowel resection.

Abstract:

:Gut glutamine utilization after massive small bowel resection was studied to gain further insight into the alterations and adaptations in intestinal glutamine metabolism that occur during the development of post-resectional hyperplasia. After resection of the middle 60% of the small intestine in the rat, gut glutamine metabolism was studied immediately and 1, 2, and 3 weeks later. Whole gut glutamine extraction was 22% in sham controls and it acutely declined to 12% (p less than 0.01) after bowel resection. Extraction increased to 31% 1 week later (p less than 0.05) and then returned to normal by week 2. Gut ammonia release decreased after massive small bowel resection, whereas intestinal alanine release increased. The increase in gut glutamine extraction at 1 week occurred at a time when jejunal and ileal DNA and protein content were markedly increased (p less than 0.01). Intestinal glutaminase content declined initially and then increased by the third week after bowel resection (p less than 0.01). With time, increases in gut cellularity and glutaminase content are associated with gut glutamine utilization in the shortened small bowel that is equal to that of the intact unresected intestine.

journal_name

Am J Surg

authors

Klimberg VS,Souba WW,Salloum RM,Holley DT,Hautamaki RD,Dolson DJ,Copeland EM 3rd

doi

10.1016/s0002-9610(05)80603-8

subject

Has Abstract

pub_date

1990-01-01 00:00:00

pages

27-32; discussion 32-3

issue

1

eissn

0002-9610

issn

1879-1883

pii

S0002-9610(05)80603-8

journal_volume

159

pub_type

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