Liu Shi, Wang Lijie, Chen J D Z
Division of Gastroenterology, University of Texas Medical Branch, Galveston, TX 77555-0632, USA.
Am J Physiol Gastrointest Liver Physiol. 2005 Jun;288(6):G1195-8. doi: 10.1152/ajpgi.00554.2004. Epub 2005 Feb 3.
Gastric electrical stimulation (GES) has been shown to alter motor and sensory functions of the stomach. However, its effects on other organs of the gut have rarely been investigated. The study was performed in 12 dogs implanted with two pairs of electrodes, one on the serosa of the stomach and the other on the colon. The study was composed of two experiments. Experiment 1 was designed to study the effects of GES on rectal tone and compliance in nine dogs compared with colonic electrical stimulation (CES). Rectal tone and compliance were assessed before and after GES or CES. Experiment 2 was performed to study the involvement of sympathetic pathway in 8 of the 12 dogs. The rectal tone was recorded for 30-40 min at baseline and 20 min after intravenous guanethidine. GES or CES was given for 20 min 20 min after the initiation of the infusion. It was found that both GES and CES reduced rectal tone with comparable potency. Rectal compliance was altered neither with GES, nor with CES. The inhibitory effect of GES but not CES on rectal tone was abolished by an adrenergic blockade, guanethidine. GES inhibited rectal tone with a comparable potency with CES but did not alter rectal compliance. The inhibitory effect of GES on rectal tone is mediated by the sympathetic pathway. It should be noted that electrical stimulation of one organ of the gut may have a beneficial or adverse effect on another organ of the gut.
胃电刺激(GES)已被证明可改变胃的运动和感觉功能。然而,其对肠道其他器官的影响鲜有研究。该研究在12只植入了两对电极的犬身上进行,一对电极置于胃浆膜,另一对置于结肠。该研究由两个实验组成。实验1旨在研究与结肠电刺激(CES)相比,GES对9只犬直肠张力和顺应性的影响。在GES或CES前后评估直肠张力和顺应性。实验2对12只犬中的8只进行,以研究交感神经通路的参与情况。在基线时记录直肠张力30 - 40分钟,并在静脉注射胍乙啶后20分钟记录。在输注开始20分钟后给予GES或CES 20分钟。结果发现,GES和CES均以相当的效力降低直肠张力。GES和CES均未改变直肠顺应性。肾上腺素能阻滞剂胍乙啶消除了GES而非CES对直肠张力的抑制作用。GES抑制直肠张力的效力与CES相当,但未改变直肠顺应性。GES对直肠张力的抑制作用是由交感神经通路介导的。应当注意的是,对肠道一个器官的电刺激可能对肠道的另一个器官产生有益或不利的影响。