Xu X, Brining D L, Chen J D Z
Division of Gastroenterology, University of Texas Medical Branch, Galveston, TX 77555, USA.
Neurogastroenterol Motil. 2005 Apr;17(2):236-44. doi: 10.1111/j.1365-2982.2004.00616.x.
The aim of this study was to investigate the effect of vasopressin and long pulse-low frequency gastric electrical stimulation (GES) on gastric emptying, gastric and intestinal myoelectrical activity and symptoms in dogs. The study was performed in eight healthy female dogs implanted with four pairs of gastric serosal electrodes and two pairs of small bowel serosal electrodes, and a duodenal fistula for the assessment of gastric emptying. Each dog was studied in three sessions on three separate days in a randomized order with recordings of gastric and small bowel slow waves. Each study session consisted of 30-min baseline, 30-min stimulation and 30-min recovery period. In sessions 1 and 2, infusion of either saline or vasopressin (0.75 U kg(-1) in 30 mL saline instilled in 30 min) was given during the second 30-min period. The protocol of session 3 was the same as session 2 except long pulse-low frequency GES was performed during the second 30-min period. It was found that: (i) Vasopressin significantly delayed gastric emptying 30 and 45 min after meal and GES did not improve the vasopressin induced delayed gastric emptying; (ii) Vasopressin induced gastric dysrhythmias and GES significantly improved vasopressin induced gastric dysrhythmia; (iii) Vasopressin also induced intestinal slow wave abnormalities but GES had no effect on vasopressin induced small bowel dysrhythmia; (iv) Vasopressin induced symptoms and behaviours suggestive of nausea that were not improved by GES. We conclude that: (i) Vasopressin delays gastric emptying and induces gastric and small bowel dysrhythmias and symptoms in the fed state, and (ii) long pulse-low frequency GES normalizes vasopressin induced gastric dysrhythmia with no improvement in gastric emptying or symptoms.
本研究旨在探讨血管加压素和长脉冲-低频胃电刺激(GES)对犬胃排空、胃和肠肌电活动及症状的影响。该研究在8只健康雌性犬身上进行,这些犬植入了四对胃浆膜电极和两对小肠浆膜电极,并设有十二指肠瘘以评估胃排空情况。每只犬在三天内分三个阶段进行研究,研究顺序随机,记录胃和小肠慢波。每个研究阶段包括30分钟的基线期、30分钟的刺激期和30分钟的恢复期。在第1和第2阶段,在第二个30分钟期间输注生理盐水或血管加压素(0.75 U kg⁻¹,溶于30 mL生理盐水中,30分钟内注入)。第3阶段的方案与第2阶段相同,只是在第二个30分钟期间进行长脉冲-低频GES。结果发现:(i)血管加压素显著延迟餐后30分钟和45分钟的胃排空,GES未能改善血管加压素引起的胃排空延迟;(ii)血管加压素诱发胃节律紊乱,GES显著改善血管加压素诱发的胃节律紊乱;(iii)血管加压素还诱发肠道慢波异常,但GES对血管加压素诱发的小肠节律紊乱无影响;(iv)血管加压素诱发提示恶心的症状和行为,GES未能改善。我们得出结论:(i)血管加压素在进食状态下延迟胃排空,诱发胃和小肠节律紊乱及症状;(ii)长脉冲-低频GES使血管加压素诱发的胃节律紊乱恢复正常,但胃排空或症状未改善。
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