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清醒猪胃内液体食物排空期间的幽门运动功能

Pyloric motor function during emptying of a liquid meal from the stomach in the conscious pig.

作者信息

Treacy P J, Jamieson G G, Dent J

机构信息

University Department of Surgery, Royal Adelaide Hospital, South Australia.

出版信息

J Physiol. 1990 Mar;422:523-38. doi: 10.1113/jphysiol.1990.sp017999.

Abstract
  1. In six conscious pigs antral, pyloric and duodenal pressures were recorded with a 5.5 cm sleeve sensor and multiple perfused side holes. The manometric assembly was positioned by dual point transmucosal potential difference measurement. Gastric emptying was measured by drainage of the proximal duodenum through a Thomas cannula. Pressures were correlated with emptying of ingested radiolabelled 5% dextrose. Alteration of emptying was produced by infusion into the more distal duodenum of nutrient and non-nutrient solutions of differing osmolalities. 2. Motor activity of the pylorus and antrum was stimulated by ingestion and modulated by intraduodenal infusion. Duodenal infusion of normal saline was associated with antro-pyloric pressure waves and rapid emptying of the ingested liquid. Duodenal infusion of dextrose, fatty acid, amino acids and hyperosmolar saline was associated with stimulation of isolated pyloric pressure waves, suppression of antral pressure waves and slowing of gastric emptying. 3. The dose-response relationship of these effects was investigated using varying rates of intraduodenal dextrose infusions. The emptying rate of the ingested liquid was inversely related to the rates of delivery of dextrose to the duodenum, directly related to the rate of antro-pyloric pressure waves and inversely related to the rate of isolated pyloric pressure waves. 4. Clearly defined episodes of pulsatile flow produced slightly more than half of the total emptying that occurred. This pulsatile flow was intimately associated in time with antro-pyloric pressure waves. Sequences of isolated pyloric pressure waves were associated with near cessation of emptying. When there were periods of absent pyloric antral pressure waves, flow rates intermediate between the rapid emptying of pulsatile flow during antro-pyloric pressure waves and the near cessation of flow during isolated pyloric pressure waves occurred. 5. The findings suggest a major role for the pylorus in the control of emptying of liquids from the stomach, both as a component of an antro-pyloric peristaltic pump and as a resistor to transpyloric flow during nutrient and hyperosmolar stimulation of duodenal receptors.
摘要
  1. 对6头清醒猪,使用5.5厘米的套袖传感器和多个灌注侧孔记录胃窦、幽门和十二指肠压力。通过双点跨粘膜电位差测量来定位测压组件。通过托马斯套管对十二指肠近端进行引流来测量胃排空。将压力与摄入的放射性标记5%葡萄糖的排空情况进行关联。通过向十二指肠更远端输注不同渗透压的营养和非营养溶液来改变排空情况。2. 幽门和胃窦的运动活性受摄入刺激,并受十二指肠内输注调节。十二指肠输注生理盐水与胃窦 - 幽门压力波及摄入液体的快速排空相关。十二指肠输注葡萄糖、脂肪酸、氨基酸和高渗盐水与孤立幽门压力波的刺激、胃窦压力波的抑制及胃排空减慢相关。3. 使用不同速率的十二指肠内葡萄糖输注来研究这些效应的剂量 - 反应关系。摄入液体的排空速率与葡萄糖输送至十二指肠的速率呈负相关,与胃窦 - 幽门压力波的速率呈正相关,与孤立幽门压力波的速率呈负相关。4. 明确界定的脉动流发作产生了总排空量略多于一半的排空。这种脉动流在时间上与胃窦 - 幽门压力波密切相关。孤立幽门压力波序列与排空几乎停止相关。当没有幽门胃窦压力波的时期出现时,流速介于胃窦 - 幽门压力波期间脉动流的快速排空和孤立幽门压力波期间的近乎停止之间。5. 研究结果表明,幽门在控制胃内液体排空方面起主要作用,既作为胃窦 - 幽门蠕动泵的一个组成部分,又作为十二指肠受体受营养和高渗刺激时经幽门流动的阻力。

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