Thune A, Jivegård L, Svanvik J
Department of Surgery, Sahlgrenska Hospital, Gothenburg, Sweden.
Acta Physiol Scand. 1989 Mar;135(3):279-84. doi: 10.1111/j.1748-1716.1989.tb08578.x.
During interdigestive periods, there is a resistance to flow in the biliary tract exerted by the sphincter of Oddi, resulting in a pressure gradient between the common bile duct and the duodenum. In this experimental study, this flow resistance was studied with both a constant-flow and a constant-perfusion technique in fasted, anaesthetized cats. The flow resistance exerted by the sphincter is higher when it is perfused by a constant flow compared to when the common bile duct pressure is kept constant and the flow varies in response to its muscular activity. It was demonstrated with each method that the flow resistance in the choledocho-duodenal junction is reduced in response to distension of the biliary tree and gallbladder and also by distension of the duodenum. Cholecystokinin was shown to reduce the flow resistance in the choledocho-duodenal junction as estimated with either method.
在消化间期,Oddi括约肌对胆道内的胆汁流动产生阻力,导致胆总管和十二指肠之间形成压力梯度。在本实验研究中,采用恒流和恒灌注技术,对禁食、麻醉的猫进行了这种流动阻力的研究。与胆总管压力保持恒定且流量随其肌肉活动而变化时相比,当以恒流灌注时,括约肌产生的流动阻力更高。每种方法都证明,胆总管-十二指肠连接处的流动阻力会因胆道树和胆囊的扩张以及十二指肠的扩张而降低。两种方法均显示,胆囊收缩素可降低胆总管-十二指肠连接处的流动阻力。