Harrington S S, Dodds W J, Mittal R K
Department of Internal Medicine, University of Virginia, Charlottesville 22908.
Am J Physiol. 1991 Dec;261(6 Pt 1):G974-80. doi: 10.1152/ajpgi.1991.261.6.G974.
The aim of this study was to characterize lower esophageal sphincter (LES) longitudinal muscle contraction during changes in LES pressure in opossums. LES pressure was used as a marker of LES circular muscle contraction. Longitudinal muscle contraction was measured by strain gauge transducers. For precise placement of the strain gauge on the LES, the high-pressure zone was identified using a manometric-laser illumination technique. Measurements were made during 1) spontaneous LES pressure fluctuations, 2) LES pressure changes induced by pharmacological agents, and 3) LES relaxation induced by vagal nerve stimulation. These studies show that 1) spontaneous LES pressure fluctuations correlated with spontaneous changes in LES longitudinal muscle contraction; 2) pharmacologically induced contraction and relaxation of LES pressure correlated with contraction and relaxation of LES longitudinal muscle, respectively; 3) a close temporal relationship existed between changes in LES longitudinal muscle contraction and LES pressure that occurred spontaneously or were induced pharmacologically; and 4) vagal stimulation caused LES longitudinal muscle contraction and LES pressure relaxation. We propose that LES longitudinal muscle may play a role in the modulation of intraluminal LES pressure.
本研究的目的是描述负鼠食管下括约肌(LES)压力变化期间LES纵行肌的收缩情况。LES压力被用作LES环行肌收缩的指标。纵行肌收缩通过应变片传感器进行测量。为了将应变片精确放置在LES上,使用测压-激光照明技术确定高压区。在以下情况下进行测量:1)LES压力的自发波动;2)药物引起的LES压力变化;3)迷走神经刺激引起的LES松弛。这些研究表明:1)LES压力的自发波动与LES纵行肌收缩的自发变化相关;2)药物诱导的LES压力收缩和松弛分别与LES纵行肌的收缩和松弛相关;3)LES纵行肌收缩变化与自发或药物诱导的LES压力变化之间存在密切的时间关系;4)迷走神经刺激导致LES纵行肌收缩和LES压力松弛。我们认为LES纵行肌可能在管腔内LES压力的调节中发挥作用。