Mard Seyyed Ali, Gharib Naseri Mohammad Kazem, Badavi Mohammad
Department of Physiology and Physiology Research Center, School of Medicine, Ahwaz Jundishapour University of Medical Sciences, Ahwaz 61335-189, Iran.
J Gastroenterol. 2009;44(2):132-8. doi: 10.1007/s00535-008-2288-0. Epub 2009 Feb 13.
The effect of esophageal distention (ED) on gastric motility has been well documented, but only a few investigations have been carried out about the effect of ED on gastric secretions. The aim of this study was to investigate the effect of ED on gastric acid and pepsin secretions and the mechanisms involved.
Male adult Wistar rats (200-240 g) were anesthetized by urethane [1.2 g/kg, intraperitoneally (i.p.)] and underwent tracheostomy and laparotomy. A catheter was inserted in the stomach through the duodenum for gastric washout and distention followed by the esophageal distention by a balloon (0.3 ml, 10 min). Gastric acid secretion was stimulated by gastric distension (1.5 ml/100 g body weight), pentagastrin (20 microg/kg, i.p.), or insulin (0.6 IU/kg, i.p.). Pepsin secretion was stimulated by carbachol (20 microg/kg, i.p.). Effects of cervical vagotomy and reserpine (1 mg/kg, i.p.) were also investigated.
Gastric distention-, pentagastrin-, and insulin-stimulated gastric acid secretion was reduced by esophageal distention (P < 0.001, P < 0.05, and P < 0.05, respectively). Carbachol-induced pepsin secretion was also attenuated by esophageal distention (P < 0.05). Cervical vagotomy abolished the inhibitory effect of ED on pentagastrin-induced gastric acid secretion. In reserpinized rats, ED reduced the basal gastric acid secretion (P < 0.05).
These results indicate that the vagus nerves are involved in the inhibitory effect of esophageal distension on gastric secretory function.
食管扩张(ED)对胃动力的影响已有充分记录,但关于ED对胃分泌的影响仅进行了少数研究。本研究的目的是探讨ED对胃酸和胃蛋白酶分泌的影响及其相关机制。
雄性成年Wistar大鼠(200 - 240 g)用氨基甲酸乙酯[1.2 g/kg,腹腔内注射(i.p.)]麻醉,行气管切开术和剖腹术。通过十二指肠插入一根导管至胃内进行洗胃和扩张,随后用球囊扩张食管(0.3 ml,10分钟)。通过胃扩张(1.5 ml/100 g体重)、五肽胃泌素(20 μg/kg,i.p.)或胰岛素(0.6 IU/kg,i.p.)刺激胃酸分泌。用卡巴胆碱(20 μg/kg,i.p.)刺激胃蛋白酶分泌。还研究了颈迷走神经切断术和利血平(1 mg/kg,i.p.)的作用。
食管扩张使胃扩张、五肽胃泌素和胰岛素刺激的胃酸分泌减少(分别为P < 0.001、P < 0.05和P < 0.05)。食管扩张也减弱了卡巴胆碱诱导的胃蛋白酶分泌(P < 0.05)。颈迷走神经切断术消除了ED对五肽胃泌素诱导的胃酸分泌的抑制作用。在利血平化的大鼠中,ED降低了基础胃酸分泌(P < 0.05)。
这些结果表明迷走神经参与了食管扩张对胃分泌功能的抑制作用。