Tanaka M, Senninger N, Runkel N, Herfarth C
Department of Surgery, University of Heidelberg, Federal Republic of Germany.
Gastroenterology. 1990 Feb;98(2):347-52. doi: 10.1016/0016-5085(90)90824-k.
The role of myoneural continuity between the sphincter of Oddi and duodenum in coordinating sphincter cyclic motility and the duodenal migrating myoelectric complex was studied in conscious opossums. Five animals underwent implantation of the duodenal papilla into the jejunum. Myoelectric recording was obtained from the sphincter, duodenum, and jejunum in these animals and from 5 other animals as controls. The mean spike frequency of the sphincter of controls was 1.6 per min during phase I, 4.2 per min during phase II, 11.0 per min during phase III, and 3.6 per min during phase IV of the duodenal migrating myoelectric complex. After translocation of the papilla, the spike rates during phase II (2.2 per min) and phase III (2.8 per min) were lower than in controls (p less than 0.02), while those during phases I and IV remained unchanged. Feeding disrupted the migrating myoelectric complex and increased sphincter spike activity in both groups; however, the plateau frequency after feeding was lower after the translocation. These data suggest that the duodenum does not control cyclicity of sphincter motility but sphincter-duodenal intrinsic myoneural continuity is important in the increase in sphincter spike activity during phases II and III and after feeding.
在清醒的负鼠身上研究了奥迪括约肌与十二指肠之间的肌神经连续性在协调括约肌周期性运动和十二指肠移行性肌电复合波方面的作用。对5只动物进行十二指肠乳头移植到空肠的手术。从这些动物的括约肌、十二指肠和空肠以及另外5只作为对照的动物身上获取肌电记录。在十二指肠移行性肌电复合波的I期,对照动物括约肌的平均锋电位频率为每分钟1.6次,II期为每分钟4.2次,III期为每分钟11.0次,IV期为每分钟3.6次。乳头移位后,II期(每分钟2.2次)和III期(每分钟2.8次)的锋电位频率低于对照动物(p<0.02),而I期和IV期的锋电位频率保持不变。进食会扰乱移行性肌电复合波并增加两组动物的括约肌锋电位活动;然而,乳头移位后进食后的平台频率较低。这些数据表明,十二指肠并不控制括约肌运动的周期性,但括约肌 - 十二指肠内在的肌神经连续性在II期和III期以及进食后括约肌锋电位活动增加中很重要。