[Effect of ileocecum interposition graft as pylorus replacement on glycometabolism].
OBJECTIVE
To evaluate the application of ileocecum interposition (ii) graft as pylorus replacement in alimentary reconstruction.


METHODS
Twenty- one minipigs were randomly divided into three groups: sham operation group (control group), B - i group and ii group. The levels of blood glucose were measured by quick blood glucose testing of paper at 0, 30, 60, 90, and 120 minutes of oral glucose after 60 and 120 post- operative days to compare gastric emptying of liquid feeds.


RESULTS
Two months after operation,the peak of blood glucose was (7.8+/- 1.0)mmol/ L, (7.1+/- 0.8)mmol/ L, (4.1+/- 0.4)mmol/ L in B - i, ii group and control group respectively, there were significant differences between the two operation groups and control group (P< 0.01). Four months after operation, the peak of blood glucose was (6.9+/- 1.0) mmol/ L, (5.2+/- 0.8)mmol/ L, (4.2+/- 0.5)mmol/ L, respectively, there was no significant difference between ii group and control group (P > 0.05),but there were significant differences between both of the above two groups and B - i group (P< 0.01).


CONCLUSIONS
The ileocecum interposition graft can offer specific advantages over current reconstruction procedures.
Zhang
Ji-jian
JJ
Department of Surgical Applied Anatomy and Operative Surgery, The Third Military Medical University, Chongqing 400038, China. zhangjijian2004@yahoo.com.cn
Guo
Guang-jin
GJ
Jiang
Deng-jin
DJ
Jiang
Jun
J
Lei
Yan
Y
Zhang
Tian-fei
TF
Zuo
Yan-fang
YF
D000818:Animals; D001786:Blood Glucose / Q000378:metabolism*; D005260:Female; D005746:Gastric Emptying; D005951:Glucose Tolerance Test; D007080:Ileocecal Valve / Q000637:transplantation*; D008297:Male; D011708:Pylorus / Q000601:surgery*; D013552:Swine; D013556:Swine, Miniature
D001786:Blood Glucose