Asala S A, Bower A J, Lawes I N
Department of Anatomy and Cell Biology, University of Sheffield.
Gut. 1987 Dec;28(12):1569-76. doi: 10.1136/gut.28.12.1569.
Changes in intragastric pressure after dorsal truncal vagotomy, investigated by stimulation of the surviving vagal branches and by step inflation of the stomach, were divided into an early phase lasting five days, and a late phase continuing for at least three months. During the early phase the amplitude of vagal evoked contraction was diminished but the resting pressure and the response to gastric inflation were increased. After the fifth day vagal evoked contractions doubled in amplitude but the resting pressure and the response to step inflation of the stomach returned to control levels. Ventral vagotomy did not produce any substantial changes. Alterations to gastric and body weight, or to the relation between resting pressure and evoked contraction and relaxation were excluded as causes of the enhanced vagal effectiveness. Sprouting of axons into denervated territory occurred too late to explain the changes, but an increase in synaptic density within the innervated territory has not been ruled out.
通过刺激残留迷走神经分支以及胃的逐步充气来研究迷走神经干切断术后胃内压的变化,这些变化可分为持续五天的早期阶段和持续至少三个月的后期阶段。在早期阶段,迷走神经诱发收缩的幅度减小,但静息压力和对胃充气的反应增强。第五天后,迷走神经诱发收缩的幅度增加了一倍,但静息压力和对胃逐步充气的反应恢复到对照水平。腹侧迷走神经切断术未产生任何实质性变化。胃和体重的改变,或静息压力与诱发收缩和舒张之间关系的改变被排除为迷走神经效能增强的原因。轴突向去神经支配区域的发芽发生得太晚,无法解释这些变化,但未排除神经支配区域内突触密度的增加。