2012
DOI: 10.3748/wjg.v18.i44.6357
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Intestinal mucosal atrophy and adaptation

Abstract: Mucosal adaptation is an essential process in gut homeostasis. The intestinal mucosa adapts to a range of pathological conditions including starvation, short-gut syndrome, obesity, and bariatric surgery. Broadly, these adaptive functions can be grouped into proliferation and differentiation. These are influenced by diverse interactions with hormonal, immune, dietary, nervous, and mechanical stimuli. It seems likely that clinical outcomes can be improved by manipulating the physiology of adaptation. This review… Show more

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Cited by 111 publications
(102 citation statements)
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“…As a result growth may be affected and linked to this is a decline in feed efficiency (Bedford, 2006). This is attributed to the fact that nutrients will first be directed towards maintenance of the chicken's current biological state (Dibner & Richards, 2004;Watson, 2009, Shaw, Gohil, & Basson, 2012 and only after that will any additional nutrients be directed towards growth. Thus, at 10% inclusion of the leaf meal, although the digestive and absorptive capacities of the intestines increased, beyond two weeks of age, carcass weights were negatively affected.…”
Section: Discussmentioning
confidence: 99%
“…As a result growth may be affected and linked to this is a decline in feed efficiency (Bedford, 2006). This is attributed to the fact that nutrients will first be directed towards maintenance of the chicken's current biological state (Dibner & Richards, 2004;Watson, 2009, Shaw, Gohil, & Basson, 2012 and only after that will any additional nutrients be directed towards growth. Thus, at 10% inclusion of the leaf meal, although the digestive and absorptive capacities of the intestines increased, beyond two weeks of age, carcass weights were negatively affected.…”
Section: Discussmentioning
confidence: 99%
“…A chronic decrease in proliferation can lead to mucosal atrophy, malabsorption, and diarrhea. 24 In contrast, a chronic increase in proliferation may lead to increased epithelial cell numbers, excessive nutrient absorption, 25,26 and the development of tumors. 27 Thus, identifying whether intestinal epithelial regeneration is able to recover chronically after ANS denervation is important for determining whether these surgeries should be used in medicine.…”
Section: Introductionmentioning
confidence: 99%
“…Intestinal adaptation is a well-known phenomenon that increases the absorptive capacity following surgical resection of the small intestine. The most prominent feature of intestinal adaptation is the proliferation of intestinal cells that increases crypt depth and enlarges the length and width of the villi (3). It is known that micronutrients affect several aspects of intestinal adaptation.…”
Section: Introductionmentioning
confidence: 99%