Department of Internal Medicine, University of Iowa, Iowa City, IA, USA; VAMC, Iowa City, IA, USA.
Acta Physiol (Oxf). 2015 Feb;213(2):394-405. doi: 10.1111/apha.12407. Epub 2014 Nov 15.
The mechanical activity of the gastro-intestinal tract serves to store, propel and digest food. Contractions disperse particles and transform solids and secretions into the two-phase slurry called chyme; movements of the intestine deliver nutrients to mucosal sites of absorption, and from the submucosa into the lymphatic and portal venous circulation. Colonic motor activity helps to extract fluid and electrolytes from chyme and to compound and compact luminal debris into faeces for elimination. We outline how dynamic imaging by ultrasound and magnetic resonance can demonstrate intestinal flow processes critical to digestion like mixing, dilution, swelling, dispersion and elution. Computational fluid mechanics enables a numerical rendition of the forces promoting digestion: pressure and flow fields, the shear stresses dispersing particles or the effectiveness of bolus mixing can be calculated. These technologies provide new insights into the mechanical processes that promote digestion and absorption.
胃肠道的机械活动有助于储存、推进和消化食物。收缩作用将颗粒分散,并将固体和分泌物转化为称为食糜的两相糊状物;肠道的运动将营养物质输送到吸收的黏膜部位,并从黏膜下层输送到淋巴和门静脉循环。结肠的运动活动有助于从食糜中提取液体和电解质,并将腔内碎片组合并压实成粪便以排出体外。我们概述了超声和磁共振的动态成像如何展示对消化至关重要的肠道流动过程,如混合、稀释、膨胀、分散和洗脱。计算流体力学可以对促进消化的力进行数值表示:可以计算压力和流场、分散颗粒的剪切应力或团块混合的效率。这些技术为促进消化和吸收的机械过程提供了新的见解。