Abstract
Duodenal function was studied in 11 healthy volunteers after intragastric instillation of a mixed semi-elemental meal. The duodenum accepted chyme of varying pH, osmolality, and nutrient concentration; and, as a result of biliary, pancreatic, and enteric secretion as well as absorption, it delivered chyme with nearly constant pH, osmolality, and nutrient concentration to the jejunum. The flow rate and nutrient load of jejunal chyme varied. The duodenum absorbed more carbohydrate than lipid and less protein, taking up each nutrient at a constant rate during most of the postprandial period. The percentage of nutrient load absorbed was greatest in the late postprandial period, when flow rate, nutrient load, and concentrations were low.
Full text
PDFSelected References
These references are in PubMed. This may not be the complete list of references from this article.
- ABBOTT W. E., KRIEGER H., LEVEY S., BRADSHAW J. The etiology and management of the dumping syndrome following a gastroenterostomy or subtotal gastrectomy. Gastroenterology. 1960 Jul;39:12–27. [PubMed] [Google Scholar]
- Adibi S. A. Intestinal transport of dipeptides in man: relative importance of hydrolysis and intact absorption. J Clin Invest. 1971 Nov;50(11):2266–2275. doi: 10.1172/JCI106724. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Adibi S. A., Mercer D. W. Protein digestion in human intestine as reflected in luminal, mucosal, and plasma amino acid concentrations after meals. J Clin Invest. 1973 Jul;52(7):1586–1594. doi: 10.1172/JCI107335. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Adibi S. A., Morse E. L., Masilamani S. S., Amin P. M. Evidence for two different modes of tripeptide disappearance in human intestine. Uptake by peptide carrier systems and hydrolysis by peptide hydrolases. J Clin Invest. 1975 Dec;56(6):1355–1363. doi: 10.1172/JCI108215. [DOI] [PMC free article] [PubMed] [Google Scholar]
- BORGSTROM B., DAHLQVIST A., LUNDH G., SJOVALL J. Studies of intestinal digestion and absorption in the human. J Clin Invest. 1957 Oct;36(10):1521–1536. doi: 10.1172/JCI103549. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Brunner H., Northfield T. C., Hofmann A. F., Go V. L., Summerskill W. H. Gastric emptying and secretion of bile acids, cholesterol, and pancreatic enzymes during digestion. Duodenal perfusion studies in healthy subjects. Mayo Clin Proc. 1974 Nov;49(11):851–860. [PubMed] [Google Scholar]
- Clain J. E., Malagelada J. R., Go V. L., Summerskill W. H. Participation of the jejunum and ileum in postprandial gastric secretion in man. Gastroenterology. 1977 Aug;73(2):211–214. [PubMed] [Google Scholar]
- Cohen M., Morgan R. G., Hofmann A. F. One-step quantitative extraction of medium-chain and long-chain fatty acids from aqueous samples. J Lipid Res. 1969 Sep;10(5):614–616. [PubMed] [Google Scholar]
- Cook G. C. Comparison of absorption rates of glucose and maltose in man in vivo. Clin Sci. 1973 Apr;44(4):425–428. doi: 10.1042/cs0440425. [DOI] [PubMed] [Google Scholar]
- Crampton R. F., Gangolli S. D., Simson P., Matthews D. M. Rates of absorption by rat intestine of pancreatic hydrolysates of proteins and their corresponding amino acid mixtures. Clin Sci. 1971 Nov;41(5):409–417. doi: 10.1042/cs0410409. [DOI] [PubMed] [Google Scholar]
- DAHLQVIST A., BORGSTROM B. Digestion and absorption of disaccharides in man. Biochem J. 1961 Nov;81:411–418. doi: 10.1042/bj0810411. [DOI] [PMC free article] [PubMed] [Google Scholar]
- DiMagno E. P., Hermon-Taylor J., Go V. L., Lillehei R. C., Summerskill W. H. Functions of a pancreaticoduodenal allograft in man. Gastroenterology. 1971 Sep;61(3):363–368. [PubMed] [Google Scholar]
- Fordtran J. S., Locklear T. W. Ionic constituents and osmolality of gastric and small-intestinal fluids after eating. Am J Dig Dis. 1966 Jul;11(7):503–521. doi: 10.1007/BF02233563. [DOI] [PubMed] [Google Scholar]
- Go V. L., Poley J. R., Hofmann A. F., Summerskill W. H. Disturbances in fat digestion induced by acidic jejunal pH due to gastric hypersecretion in man. Gastroenterology. 1970 May;58(5):638–646. [PubMed] [Google Scholar]
- Gray G. M., Santiago N. A. Disaccharide absorption in normal and diseased human intestine. Gastroenterology. 1966 Oct;51(4):489–498. [PubMed] [Google Scholar]
- Johnston D., Duthie H. L. Inhibition of histamine-stimulated gastric secretion by acid in the duodenum in man. Gut. 1966 Feb;7(1):58–68. doi: 10.1136/gut.7.1.58. [DOI] [PMC free article] [PubMed] [Google Scholar]
- LOWRY O. H., ROSEBROUGH N. J., FARR A. L., RANDALL R. J. Protein measurement with the Folin phenol reagent. J Biol Chem. 1951 Nov;193(1):265–275. [PubMed] [Google Scholar]
- Malagelada J. R., Longstreth G. F., Summerskill W. H., Go V. L. Measurement of gastric functions during digestion of ordinary solid meals in man. Gastroenterology. 1976 Feb;70(2):203–210. [PubMed] [Google Scholar]
- Meeroff J. C., Go V. L., Phillips S. F. Control of gastric emptying by osmolality of duodenal contents in man. Gastroenterology. 1975 May;68(5 Pt 1):1144–1151. [PubMed] [Google Scholar]
- Windsor C. W., Cockel R., Lee M. J. Inhibition of gastric secretion in man by intestinal fat infusion. Gut. 1969 Feb;10(2):135–142. doi: 10.1136/gut.10.2.135. [DOI] [PMC free article] [PubMed] [Google Scholar]