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Abdominal distension after eating lettuce: The role of intestinal gas evaluated in vitro and by abdominal CT imaging. 吃莴苣后腹胀:通过体外和腹部 CT 成像评估肠道气体的作用。
IF 3.5 Pub Date : 2019-12-01 Epub Date: 2019-08-11 DOI: 10.1111/nmo.13703
Elizabeth Barba, Borja Sánchez, Emanuel Burri, Anna Accarino, Eva Monclus, Isabel Navazo, Francisco Guarner, Abelardo Margolles, Fernando Azpiroz

Background: Some patients complain that eating lettuce, gives them gas and abdominal distention. Our aim was to determine to what extent the patients' assertion is sustained by evidence.

Methods: An in vitro study measured the amount of gas produced during the process of fermentation by a preparation of human colonic microbiota (n = 3) of predigested lettuce, as compared to beans, a high gas-releasing substrate, to meat, a low gas-releasing substrate, and to a nutrient-free negative control. A clinical study in patients complaining of abdominal distention after eating lettuce (n = 12) measured the amount of intestinal gas and the morphometric configuration of the abdominal cavity in abdominal CT scans during an episode of lettuce-induced distension as compared to basal conditions.

Key results: Gas production by microbiota fermentation of lettuce in vitro was similar to that of meat (P = .44), lower than that of beans (by 78 ± 15%; P < .001) and higher than with the nutrient-free control (by 25 ± 19%; P = .05). Patients complaining of abdominal distension after eating lettuce exhibited an increase in girth (35 ± 3 mm larger than basal; P < .001) without significant increase in colonic gas content (39 ± 4 mL increase; P = .071); abdominal distension was related to a descent of the diaphragm (by 7 ± 3 mm; P = .027) with redistribution of normal abdominal contents.

Conclusion and inferences: Lettuce is a low gas-releasing substrate for microbiota fermentation and lettuce-induced abdominal distension is produced by an uncoordinated activity of the abdominal walls. Correction of the somatic response might be more effective than the current dietary restriction strategy.

背景介绍一些患者抱怨吃莴苣会导致胀气和腹胀。我们的目的是确定患者的说法在多大程度上有证据支持:一项体外研究测量了预消化莴苣与豆类(一种高气体释放基质)、肉类(一种低气体释放基质)和无营养阴性对照组相比,人类结肠微生物群制剂(n = 3)在发酵过程中产生的气体量。一项针对食用莴苣后腹胀患者(12 人)的临床研究测量了在莴苣诱发腹胀期间腹部 CT 扫描中的肠道气体量和腹腔形态构造,并与基础条件进行了比较:主要结果:莴苣体外微生物群发酵产生的气体与肉类相似(P = .44),低于豆类(78 ± 15%; P 结论和推论:莴苣是微生物群发酵的低气体释放基质,莴苣引起的腹胀是由腹壁的不协调活动产生的。纠正躯体反应可能比目前的饮食限制策略更有效。
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引用次数: 10
Computation model of proppant embedment depth based on dimensional analysis 基于量纲分析的支撑剂埋深计算模型
Pub Date : 2013-12-01 DOI: 10.1007/S12404-013-0407-X
Cong Lu, Jianchun Guo
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引用次数: 0
A practical framework for scenario-based optimal decision-making on water-deficient river ecological restoration in mining areas 基于场景的矿区缺水河流生态修复优化决策实用框架
Pub Date : 2013-12-01 DOI: 10.1007/S12404-013-0420-0
Sen Yu, Mingyong Wang
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引用次数: 1
Simulation analysis of ammonia distribution in methanol production from coal water slurry gasification 水煤浆气化制甲醇过程中氨分布的模拟分析
Pub Date : 2013-12-01 DOI: 10.1007/S12404-013-0417-8
Zhong Chen, Zhenghua Dai, Fuchen Wang
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引用次数: 1
Damage, failure and stability control of evolutionary process caused by re-exploitation of the residual resources 剩余资源再开发对演化过程的破坏、失效及稳定性控制
Pub Date : 2013-12-01 DOI: 10.1007/S12404-013-0404-0
X. Feng, D. Duan, Q. Tian, Kai Wang, Li-bin Liu
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引用次数: 0
Co-processing petroleum catalytic slurry with coal 石油催化浆与煤的协同加工
Pub Date : 2013-12-01 DOI: 10.1007/S12404-013-0418-7
Yongbing Xue, Zhi-yu Wang, Bing Li, Keya Zhang
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引用次数: 2
Current situation of simultaneous coal and methane extraction technology in pressure-relieved coalbed group 卸压煤层群煤与甲烷同时抽采技术现状
Pub Date : 2013-12-01 DOI: 10.1007/S12404-013-0410-2
Feng-chun Cai, Zegong Liu, Yi Luo
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引用次数: 1
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Pub Date : 2013-12-01 DOI: 10.1007/S12404-013-0416-9
B. Ma, Xiaosu Zhu, Wen-Bo Li, Xiao-jing Zhang, Shufeng Du
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引用次数: 3
Detonation initiated disintegration of coal particle due to the maximum strain energy theory 根据最大应变能理论,爆轰引起了煤颗粒的崩解
Pub Date : 2013-12-01 DOI: 10.1007/S12404-013-0401-3
D. M. Patadiya, S. Jaisankar, T. Sheshadri
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引用次数: 5
Experimental study on the mechanisms of fault reactivation and coal bumps induced by mining 采动诱发断层再活化及煤体隆起机理试验研究
Pub Date : 2013-12-01 DOI: 10.1007/S12404-013-0411-1
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引用次数: 16
期刊
Journal of Coal Science EngineeringChina
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