We hypothesized that intraluminal GLN during ischemia would also protect against gut I/R.
Total parenteral nutrition (TPN) alters gut cytokines and mucosal immunity and increases intercellular adhesion molecule-1 (ICAM-1) expression , gut neutrophil levels , and mortality after gut ischemia.
Studies in animal models of inflammatory bowel disease (IBD) suggest that supplementation of total parenteral nutrition with glutamine (gln) , a conditionally essential amino acid in catabolic conditions , increases gln plasma concentrations , reduces intestinal damage , improves nitrogen balance and may improve the course of the disease.
Surrogate markers of bowel inflammation are increasingly being recognized as important , not only as markers of disease activity in inflammatory bowel disease (IBD) but also to differentiate irritable bowel syndrome (IBS) from IBD.