Becker J M, Sharp S W
J Surg Res. 1985 Apr;38(4):343-9. doi: 10.1016/0022-4804(85)90047-2.
Ethyl alcohol may adversely affect pancreatic function by perturbing sphincter of Oddi (SO) or duodenal motor activity. The aim of this study was to identify the effect of ingested alcohol on the SO, duodenal, and gastric myoelectric activity in conscious opossums. In five adult opossums bipolar stranded stainless-steel wire electrodes were implanted on the SO, gastric antrum, and duodenum. After a 2-week recovery period, each animal underwent eight 8-hr recording sessions while fasted and awake. After two fasting cycles of the migrating myoelectric complex, animals were randomly fed either 10 ml of a 30% ethyl alcohol solution or 10 ml of water via an esophageal tube, and recordings continued for 4-6 hr. During the control state, cyclical myoelectric spike activity was recorded from the SO, gastric antrum, and duodenum with a mean +/- SD cycle length of 7.35 +/- 15.0 min, 74.3 +/- 10.1 min, and 94.8 +/- 8.7 min, respectively. With alcohol, SO and duodenal cycle lengths were unchanged while gastric cycle length decreased. However, alcohol effected a significant increase in peak SO spike burst frequency with no corresponding change in gastric or duodenal spike burst frequency. An equivalent volume of water had no influence on sphincter of Oddi myoelectric activity. It is concluded that ingested alcohol induces increased myoelectric activity from the opossum SO, independent of changes in activity of the duodenum or stomach. Since the SO plays a major role in metering bile and pancreatic flow into the duodenum, this may be a factor in alcohol-induced pancreatitis.
乙醇可能通过干扰奥迪括约肌(SO)或十二指肠运动活动而对胰腺功能产生不利影响。本研究的目的是确定摄入酒精对清醒负鼠的SO、十二指肠和胃肌电活动的影响。在五只成年负鼠身上,将双股不锈钢丝电极植入SO、胃窦和十二指肠。经过2周的恢复期后,每只动物在禁食且清醒的状态下进行8次8小时的记录。在移行性肌电复合波的两个禁食周期后,通过食管管随机给动物喂食10毫升30%的乙醇溶液或10毫升水,并继续记录4 - 6小时。在对照状态下,从SO、胃窦和十二指肠记录到周期性肌电尖峰活动,平均±标准差周期长度分别为7.35±15.0分钟、74.3±10.1分钟和94.8±8.7分钟。摄入酒精后,SO和十二指肠的周期长度不变,而胃的周期长度缩短。然而,酒精使SO尖峰爆发频率显著增加,而胃或十二指肠尖峰爆发频率没有相应变化。等量的水对奥迪括约肌肌电活动没有影响。得出的结论是,摄入酒精会导致负鼠SO的肌电活动增加,这与十二指肠或胃的活动变化无关。由于SO在调节胆汁和胰液流入十二指肠中起主要作用,这可能是酒精性胰腺炎的一个因素。