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J.Jpn. Surg. Soc.. 88(7): 808-815, 1987


Original article

STUDIES ON THE ABSORPTION OF ELEMENTAL DIETS CONTAINED WITH
“SMALL PEPTIDES” AS A NITROGEN SOURCE

First Department of Surgery, Chiba University, School of Medicine, Chiba, Japan

Kazuo Horibe

Previous studies have shown that small peptides (di-or tri-peptide) are more rapidly and more evenly absorbed through the small intestine than free amino acid mixture of the same amino acid composition. Since a method to produce protein hydrolysate rich in di-or tri-peptide (SP) was developed, absorption studies were performed to ascertain if the SP shows superior efficiency in absorption to the free amino acid mixture (AA) and large peptide (LP) of the same amino acid composition. A practical elemental diet which cantained SP as a nitrogen source, was made (SP-ED) and the absorption rates of nitrogen, carbohydrate and water were studied using dog Thiry-Vella loop in comparison with ED prepared with AA (AA-ED) or LP (LP-ED) with the same amino acid composition.
The results are as follows:
1) Absorption rates of nitrogen and water in SP were higher than in AA and LP, when the osmolarities of these solutions were not adjusted to the same level.
2) When the osmolarities of the solutions were adjusted to the same level using mannitol, the absorption rate of nitrogen was still the highest in SP.
3) Nitrogen absorption rate was significantly higher in SP-ED than in AA-ED and LP-ED and carbohydrates were absorbed to a significantly greater extent from the SP-ED than from the AA-ED.
These results indicate that small peptides are suitable for use as the nitrogen source for ED.


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