Suzuki E
1st Department of Surgery, Hyogo College of Medicine.
J Smooth Muscle Res. 1991 Jun;27(3):139-47. doi: 10.1540/jsmr.27.139.
Interdigestive contractile activity of the gastric body, antrum, pyloric ring and duodenum was recorded by means of chronically implanted force transducers in 5 conscious dogs. In accordance with interdigestive phase III contractions in the gastroduodenal region, a burst of strong contractions and remarkable relaxations were observed to occur in the pyloric ring. In accordance with the intense phase III contractions in the antrum, the pyloric ring was relaxed and duodenal contractions declined and ceased as if the passage of gastric contents expelled by the strong contractions in the antrum were being done smoothly. With the termination of the antral contractions, it was observed that the duodenal contractions were initiated and followed immediately by tonal increase in the pyloric ring super-imposed with phasic contractions. These coordinated contractions between the pyloric ring and the duodenum appear to prevent reflux of duodenal contents to the stomach. Bilateral vagal cooling blockade abolished this coordination. As the gastric contractions ceased completely during vagal cooling blockade, irregular phasic contractions were initiated and no relaxation was observed on the pylorus. In conclusion, the pyloric ring is a true functional sphincter which regulates gastric emptying and prevents reflux from the duodenum in the interdigestive state, and these coordinated contractions are regulated by the vagal nerves.
通过长期植入的力传感器,记录了5只清醒犬胃体、胃窦、幽门环和十二指肠的消化间期收缩活动。与胃十二指肠区域的消化间期Ⅲ期收缩一致,观察到幽门环出现一阵强烈收缩和显著舒张。与胃窦强烈的Ⅲ期收缩一致,幽门环舒张,十二指肠收缩减弱并停止,就好像胃窦强烈收缩排出的胃内容物顺利通过一样。随着胃窦收缩的终止,观察到十二指肠收缩开始,随后幽门环立即出现张力增加并叠加有相位性收缩。幽门环与十二指肠之间的这些协调性收缩似乎可防止十二指肠内容物反流至胃。双侧迷走神经冷却阻断消除了这种协调性。由于迷走神经冷却阻断期间胃收缩完全停止,开始出现不规则的相位性收缩,幽门未观察到舒张。总之,幽门环是一个真正的功能性括约肌,在消化间期调节胃排空并防止十二指肠反流,这些协调性收缩受迷走神经调节。