Schulze K
Gastroenterology Research, VAMC and University of Iowa, Iowa City, IA 52242, USA.
Neurogastroenterol Motil. 2006 Mar;18(3):172-83. doi: 10.1111/j.1365-2982.2006.00759.x.
Gastroduodenal physiology is traditionally understood in terms of motor-secretory functions and their electrical, neural and hormonal controls. In contrast, the fluid-mechanical functions that retain and disperse particles, expose substrate to enzymes, or replenish the epithelial boundary with nutrients are little studied. Current ultrasound and magnetic resonance imaging allows to visualize processes critical to digestion like mixing, dilution, swelling, dispersion and elution. Methodological advances in fluid mechanics allow to numerically analyse the forces promoting digestion. Pressure and flow fields, the shear stresses dispersing particles or the effectiveness of bolus mixing can be computed using information on boundary movements and on the luminal contents. These technological advances promise many additional insights into the mechanical processes that promote digestion and absorption.
传统上,胃十二指肠生理学是从运动分泌功能及其电、神经和激素控制方面来理解的。相比之下,保留和分散颗粒、使底物接触酶或用营养物质补充上皮边界的流体力学功能却鲜有研究。当前的超声和磁共振成像能够可视化对消化至关重要的过程,如混合、稀释、膨胀、分散和洗脱。流体力学的方法进步使得对促进消化的力进行数值分析成为可能。利用边界运动和管腔内容物的信息,可以计算压力和流场、分散颗粒的剪切应力或食团混合的有效性。这些技术进步有望为促进消化和吸收的机械过程带来许多额外的见解。