Takahashi I, Dodds W J, Hogan W J, Itoh Z, Baker K
Department of Radiology, Medical College of Wisconsin, Milwaukee 53226.
Dig Dis Sci. 1988 Apr;33(4):481-9. doi: 10.1007/BF01536036.
In this study, we evaluated the effect of truncal vagotomy in the opossum on changes in gallbladder and sphincter-of-Oddi (SO) contractile activity that occur normally during fasting and after a meal. In six animals, bipolar electrodes were implanted on the SO, gastric antrum, duodenum, and jejunum. A catheter secured in the gallbladder fundus was used to monitor gallbladder volume. After control studies, truncal vagotomy and pyloroplasty were done in each animal. Before vagotomy, the SO exhibited cyclic changes in spike-burst rate, from 2 to 5/min, that were synchronized with corresponding phases of the duodenal MMC cycle. The gallbladder exhibited partial emptying during the second half of the duodenal MMC cycle with refilling during the first half of the next cycle. By two weeks after vagotomy, the MMC-related changes in SO and gallbladder contractile activity were normal. In contrast, vagotomy retarded the increase in SO spike-burst rate and delayed as well as diminished the pronounced gallbladder emptying that normally occurs after a meal. The same effects were observed for changes in SO and gallbladder activity induced by intraduodenal infusion of Isocal. After vagotomy, the SO and gallbladder exhibited exaggerated responses to intravenous infusion of CCK-OP or motilin. We conclude that truncal vagotomy in the opossum does not affect the fasting pattern of SO and gallbladder contractile activity, but it significantly alters the normal postprandial pattern of enhanced SO spike-burst rate and pronounced gallbladder emptying. The precise mechanism(s) whereby vagotomy produces these changes remains to be determined.
在本研究中,我们评估了负鼠行迷走神经干切断术对禁食期间以及进食后胆囊和Oddi括约肌(SO)收缩活动变化的影响。在6只动物身上,将双极电极植入SO、胃窦、十二指肠和空肠。将一根固定在胆囊底部的导管用于监测胆囊容积。在进行对照研究后,对每只动物进行迷走神经干切断术和幽门成形术。在迷走神经切断术前,SO的峰爆发放频率呈现周期性变化,为2至5次/分钟,与十二指肠移行性复合运动(MMC)周期的相应阶段同步。胆囊在十二指肠MMC周期的后半期出现部分排空,在下一个周期的前半期重新充盈。迷走神经切断术后两周,与MMC相关的SO和胆囊收缩活动变化正常。相比之下,迷走神经切断术减缓了SO峰爆发放频率的增加,延迟并减弱了进食后通常发生的明显胆囊排空。十二指肠内输注等热量溶液诱导的SO和胆囊活动变化也观察到了相同的效应。迷走神经切断术后,SO和胆囊对静脉输注胆囊收缩素八肽(CCK-OP)或胃动素表现出过度反应。我们得出结论,负鼠行迷走神经干切断术不影响SO和胆囊收缩活动的禁食模式,但它显著改变了进食后SO峰爆发放频率增加和胆囊明显排空的正常模式。迷走神经切断术产生这些变化的确切机制仍有待确定。