Liu S, Liu J, Chen J D Z
Division of Gastroenterology, University of Texas Medical Branch, Galveston, USA.
Neurogastroenterol Motil. 2006 Jan;18(1):62-8. doi: 10.1111/j.1365-2982.2005.00739.x.
The effects and mechanisms of intestinal electrical stimulation (IES) with long pulses on intestinal motility were investigated in conscious dogs. Eighteen dogs were equipped with serosal electrodes and an intestinal cannula in the small bowel. The first experiment was designed to study the effect of one-channel IES on intestinal motility and the extent of this effect. The second experiment was conducted to study the effect of IES on intestinal motility and the involvement of neural pathway. The IES with long pulses significantly inhibited intestinal motility. Intestinal motility of the entire measured segment (40-220 cm distal to the stimulation electrodes) was inhibited by 60-74% with the single-channel IES with long pulses. Hexamethonium, guanethidine, phentolamine, propranolol partially, but not N(omega)-nitro-L-arginine (L-NNA), ondansetron and naloxone prevented the inhibitory effect of IES on intestinal motility. We conclude that single-channel IES inhibits intestinal motility within a distance of at least 2 m. This inhibitory effect induced by IES with long pulses is mediated via sympathetic but not nitrergic, serotoninergic 5-HT(3) and opiate pathway.
在清醒犬中研究了长脉冲肠道电刺激(IES)对肠道运动的影响及机制。18只犬在小肠安装了浆膜电极和肠套管。第一个实验旨在研究单通道IES对肠道运动的影响及其作用程度。第二个实验旨在研究IES对肠道运动的影响以及神经通路的参与情况。长脉冲IES显著抑制肠道运动。使用长脉冲单通道IES时,整个测量段(刺激电极远端40 - 220 cm)的肠道运动被抑制60 - 74%。六甲铵、胍乙啶、酚妥拉明、普萘洛尔部分地,但N(ω)-硝基-L-精氨酸(L-NNA)、昂丹司琼和纳洛酮不能阻止IES对肠道运动的抑制作用。我们得出结论,单通道IES在至少2 m的距离内抑制肠道运动。长脉冲IES诱导的这种抑制作用是通过交感神经介导的,而非通过一氧化氮能、5-羟色胺能5-HT(3)和阿片途径。