Chapter 5

Intestinal Adaptation

The Biology of the Intestinal Response to Resection and Disease

Marc S. Levin MD

Marc S. Levin MD

Associate Professor of Medicine Staff Physician

Division of Gastroenterology, Washington University School of Medicine, USA

St Louis VA Medical Center, St. Louis, Missouri, USA

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Deborah C. Rubin MD

Deborah C. Rubin MD

Professor of Medicine

Molecular Biology and Pharmacology, Washington University School of Medicine, St. Louis, Missouri, USA

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First published: 15 February 2008
Citations: 6

Summary

This chapter contains sections titled:

  • Introduction

  • The adaptive response is biphasic in rodent intestinal resection models

  • Functional response—absorption of fluids, electrolytes and nutrients

  • Mechanisms of adaptation: regulation of crypt cell proliferation and programmed cell death are important mechanisms for intestinal homeostasis and adaptation

  • Stem cell response to intestinal resection

  • Increased enterocyte migration and changes in the ECM contribute to the adaptive response

  • Humoral mediators

  • Neurotensin

  • Nutrient mediators

  • Role of enteric nervous system and submucosa

  • Conclusions

  • References

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