RESUMO
The authors determined the circadian rhythm of cortisol expressed as blood 11-hydroxycorticosteroid level (11 OHCS) in group of healthy subjects and in 3 groups of patients after the formation of an artificial oesophagus from the jejunum, large intestine and ileum and caecum. In all examined patients the normal circadian rhythm of 11 OHCS was maintained. In patients with oesophagus made up of jejunum and large intestine mean level 11 OHCS in blood was insignificantly higher in comparison with a group healthy subjects. In group patients with the oesophagus made up of ileum and caecum the 11 OHCS level in blood was significantly lower in comparison to the group of healthy subjects and to patients with oesophagus made up of jejunum and large intestine.
Assuntos
11-Hidroxicorticosteroides/sangue , Ritmo Circadiano/fisiologia , Esôfago/cirurgia , Intestinos/transplante , Adulto , Feminino , Humanos , Masculino , Pessoa de Meia-IdadeRESUMO
Oesophagoplasty from colon and jejunum to exclude the stomach from digestive passage is a cause of Dumping syndrome. Severe postprandial hypoglycaemia occurred, after the stomach had been re-included into food passage. An analysis was made of the behaviour of carbohydrate metabolism and of the humoral factors associated with disorders.