The intestinal osmolal physiology and absorption of comparable preparations of polymerized glucose and glucose were evaluated in isolated segments of rat duodenum. The acute rise in the osmolality of the succus entericus after 5% polymer injections (298 mOsm/kg at 3 min, 311 mOsm/kg at 30 min) was significantly less than that noted after 5% glucose (387 mOsm/kg at 3 min, 351 mOsm/kg at 30 min). At 60 min a steady state had been established and no significant difference was found. Ten percent polymer was superior to 10% glucose as it also produced a lower luminal osmolality (351 mOsm/kg versus 427 mOsm/kg at 30 min). Luminal polyethylene glycol concentrations revealed comparable increases in intraluminal water content after 10% polymer and 5% glucose (22% versus 25% ai 30 min). After polymer injections, 4 times as much glucose was present in the mucosa as in the succus, whereas, after 5% glucose injections, a high concentration of glucose remained in the succus. These results indicate that polymer solutions produce lower luminal osmolality than glucose solutions of similar weight. Additionally, enhanced glucose absorption by the mucosal cell is suggested in animals injected with polymer. Polymerized glucose should, therefore, provide twice the calories of glucose without a disparate increase in the intestinal osmolality and intraluminal diffusion of extracellular water. Speculation: A polymerized glucose preparation, when administered orally, produces a lower immediate intraluminal solute content and osmolality than a glucose solution of the same concentration by weight when each has comparable electrolytes. Hydrolysis of the polymer within the intestinal lumen and on contact with the brush border of the intestine provides nutrient without increase in water movement into the proximal small bowel. Because of these properties, such a polymer may be useful in the oral nutritional rehabilitation of neonates and infants with diarrhea. It remains to be seen whether the pathogenesis of the diarrheal state may also prove to be of significance in determining the beneficial effect of this therapy.
ASJC Scopus subject areas
- Pediatrics, Perinatology, and Child Health