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人体胃窦扩张时的胃酸反应。

Gastric acid response to antrum distension in man.

作者信息

Bergegårdh S, Olbe L

出版信息

Scand J Gastroenterol. 1975;10(2):171-6.

PMID:235787
Abstract

Gastric acid secretion under basal conditions and in response to graded balloon distension (50 ml, 100 ml, 150 ml) of the antrum was determined in healthy subjects and in peptic ulcer patients. In patients with a quiescent duodenal ulcer or a gastric ulcer antrum distension produced slight acid responses. The acid response to antrum distension was of quantitative importance only in patients with an active duodenal ulcer, amounting to 35 percent of the maximal acid response to pentagastrin. The healthy subjects did not respond with acid secretion to antrum distension. The pH of the gastric contents in the present series was 1.8-3.0, being lowest in patients with an active duodenal ulcer. Thus, the acid secretory effect of mechanical stimulation of the antrum seems qualitatively different in healthy subjects and ulcer patients, with a marked acid response in patients with an active duodenal ulcer.

摘要

在健康受试者和消化性溃疡患者中,测定了基础状态下以及胃窦分级球囊扩张(50毫升、100毫升、150毫升)时的胃酸分泌情况。在十二指肠溃疡静止期或胃溃疡患者中,胃窦扩张引起的胃酸反应轻微。胃窦扩张引起的胃酸反应仅在活动性十二指肠溃疡患者中具有定量意义,占对五肽胃泌素最大胃酸反应的35%。健康受试者对胃窦扩张无胃酸分泌反应。本系列研究中胃内容物的pH值为1.8 - 3.0,在活动性十二指肠溃疡患者中最低。因此,胃窦机械刺激的胃酸分泌效应在健康受试者和溃疡患者中似乎存在质的差异,活动性十二指肠溃疡患者有明显的胃酸反应。

相似文献

1
Gastric acid response to antrum distension in man.人体胃窦扩张时的胃酸反应。
Scand J Gastroenterol. 1975;10(2):171-6.
2
The effect of intragastric neutralization on the gastric acid response to antral distension in man.胃内中和对人体胃酸对胃窦扩张反应的影响。
Scand J Gastroenterol. 1975;10(6):625-31.
3
Evidence for a defective inhibition of pentagastrin-stimulated gastric acid secretion by antral distension in the duodenal ulcer patient.十二指肠溃疡患者中,存在胃窦扩张对五肽胃泌素刺激胃酸分泌的抑制作用缺陷的证据。
Gastroenterology. 1978 Sep;75(3):363-7.
4
Gastric acid responses to graded i.v. infusion of pentagastrin and histalog in peptic ulcer patients before and after antrum-bulb resection.胃窦-球部切除术前、后消化性溃疡患者对静脉分次输注五肽胃泌素和组胺的胃酸反应。
Scand J Gastroenterol. 1976;11(4):337-46.
5
The effect of intragastric pH variations on the gastric acid response to sham feeding in duodenal ulcer patients.十二指肠溃疡患者胃内pH值变化对假饲胃酸反应的影响。
Scand J Gastroenterol. 1974;9(4):357-65.
6
The effect of antral distension on acid secretion and plasma gastrin in duodenal ulcer patients.胃窦扩张对十二指肠溃疡患者胃酸分泌及血浆胃泌素的影响。
Scand J Gastroenterol. 1976;11(5):475-9.
7
Studies on vagal activation of gastric acid secretion in man.关于人体迷走神经对胃酸分泌激活作用的研究。
Acta Physiol Scand Suppl. 1979;465:1-31.
8
Gastric acid and plasma gastrin responses to sham feeding in duodenal ulcer patients before and after resection of antrum and duodenal bulb.十二指肠溃疡患者在胃窦和十二指肠球部切除术前、后假饲时胃酸和血浆胃泌素的反应。
Scand J Gastroenterol. 1974;9(4):351-6.
9
The effect of gastric distension on the secretion of acid and pepsin by patients with duodenal ulcer.胃扩张对十二指肠溃疡患者胃酸和胃蛋白酶分泌的影响。
Acta Hepatogastroenterol (Stuttg). 1977 Aug;24(4):271-7.
10
A comparison of basal and stimulated gastric acid and duodenal bicarbonate in patients with and without duodenal ulcer disease.十二指肠溃疡病患者与非十二指肠溃疡病患者基础胃酸及刺激胃酸与十二指肠碳酸氢盐的比较。
Am J Gastroenterol. 1976 Sep;66(3):270-6.

引用本文的文献

1
Relationship among acid secretion, antral distension, and liquid gastric emptying in active and healed duodenal ulcer.活动期和愈合期十二指肠溃疡患者胃酸分泌、胃窦扩张与液体胃排空之间的关系。
Dig Dis Sci. 1997 Dec;42(12):2426-31. doi: 10.1023/a:1018883722181.
2
Alteration of H2 receptor sensitivity in duodenal ulcer patients.十二指肠溃疡患者H2受体敏感性的改变。
Gut. 1989 May;30(5):701-3. doi: 10.1136/gut.30.5.701.
3
Vagal and hormonal influences on gastric secretion in duodenal ulcer disease.迷走神经和激素对十二指肠溃疡病胃分泌的影响。
Klin Wochenschr. 1976 Oct 1;54(19):903-10. doi: 10.1007/BF01469003.
4
Effect of fundic distension on gastric acid secretion in man.胃底扩张对人体胃酸分泌的影响。
Gut. 1977 Feb;18(2):105-10. doi: 10.1136/gut.18.2.105.
5
Osmotic stimulation of pepsin secretion in the rat.大鼠胃蛋白酶分泌的渗透压刺激
Naunyn Schmiedebergs Arch Pharmacol. 1978 Aug;304(1):63-7. doi: 10.1007/BF00501378.