Seelig L L, Goyal R K
Department of Cell Biology, University of Texas Health Science Center, Dallas 75235.
Gastroenterology. 1978 Jul;75(1):51-8.
Studies were performed in the opossum to evaluate the morphological characteristics of the lower esophageal sphincter. The sphincter and the esophageal body were identified manometrically and fixed in situ by perfusion with aldehyde fixative. Light microscopy revealed that: (1) longitudinal muscle layers of the sphincter and the esophageal body were similar in thickness and compactness, and (2) circular muscle of the sphincter was thicker and was composed of muscle fasciculi with abundant intervening connective tissue as compared to the compact muscle fasciculi of the circular muscle of the esophageal body. Electron microscopy showed the circular muscle fibers of the sphincter to have irregular protuberances from their surfaces, whereas the circular muscle fibers of the esophageal body possessed smooth surfaces. Several types of junctional complexes between adjacent muscle fibers were observed; however, there was no difference in their distribution in the sphincter or esophageal body. The majority of the nerve varicosities contained a mixture of agranular (350 to 450 A) and large dense core vesicles (800 to 1600 A); varicosities containing small granular vesicles were not found in any area of the esophagus. When varicosities were cut along the longitudinal axis of the axon, they often showed grouping of similar vesicle types in different areas along the axon varicosities. There was no difference in the type of varicosities found in the sphincter or the esophageal body. These studies show that: (1) circular muscle of the sphincter can be morphologically distinguished from that of the esophageal body; (2) there is no difference in the morphology of the nerve terminals or the vesicle types in the two areas; and (3) classification of the varicosities based upon the predominance of the vesicle types may be artifactual because of sampling error.
在负鼠身上进行了研究,以评估食管下括约肌的形态特征。通过测压确定括约肌和食管体,并通过灌注醛类固定剂原位固定。光镜检查显示:(1)括约肌和食管体的纵肌层在厚度和紧实度上相似;(2)与食管体环肌紧密的肌束相比,括约肌的环肌更厚,由含有大量间隔结缔组织的肌束组成。电镜检查显示,括约肌的环肌纤维表面有不规则的突起,而食管体的环肌纤维表面光滑。观察到相邻肌纤维之间有几种类型的连接复合体;然而,它们在括约肌或食管体中的分布没有差异。大多数神经膨体含有无颗粒(350至450埃)和大的致密核心囊泡(800至1600埃)的混合物;在食管的任何区域都未发现含有小颗粒囊泡的膨体。当沿着轴突的纵轴切断膨体时,它们在轴突膨体的不同区域经常显示出相似囊泡类型的聚集。在括约肌或食管体中发现的膨体类型没有差异。这些研究表明:(1)括约肌的环肌在形态上可与食管体的环肌区分开来;(2)这两个区域的神经末梢形态或囊泡类型没有差异;(3)由于抽样误差,基于囊泡类型优势对膨体进行分类可能是人为的。