Kauffman G L, Grossman M I
Gastroenterology. 1979 Jul;77(1):26-30.
These studies were designed to determine whether the intestinal phase of gastric acid secretion is accompanied by an increase in serum gastrin concentration. Seven dogs with a gastric fistula and a duodenal fistula prepared so as to allow perfusion into the duodenum without reflux into the stomach were used. Gastric secretion and blood samples for serum gastrin determination were collected during intestinal perfusion with either 0.15 M NaCl or 5% liver extract at 200 ml hr(-1) for 2 hr. The mean +/- SE gastric acid secretory response during the second hour of perfusion with 0.15 M NaCl was 3.1 +/- 1.0% of the maximal acid output (MAO) to histamine, significantly (P less than 0.05) greater than the control value with no intestinal perfusion (0.18 +/- 0.07%). The mean +/- SE response during the second hour of perfusion with 5% liver extract was 7.4 +/- 2.2% of MAO, significantly (P less than 0.05) greater than both control and NaCl perfusion values. There was no significant change in peripheral serum gastrin concentration during the response to perfusion with either NaCl or liver extract. We conclude that, under the conditions of the present study, the intestinal phase of gastric acid secretion was not accompanied by an increase in serum gastrin concentration.
这些研究旨在确定胃酸分泌的肠期是否伴随着血清胃泌素浓度的升高。使用了7只制备了胃瘘和十二指肠瘘的狗,以便在不反流回胃的情况下向十二指肠灌注。在以200 ml hr(-1)的速度用0.15 M NaCl或5%肝提取物进行肠灌注2小时的过程中,收集胃液分泌液和用于测定血清胃泌素的血样。在灌注0.15 M NaCl的第二小时期间,平均±标准误的胃酸分泌反应为组胺最大酸排出量(MAO)的3.1±1.0%,显著(P<0.05)高于无肠灌注时的对照值(0.18±0.07%)。在灌注5%肝提取物的第二小时期间,平均±标准误的反应为MAO的7.4±2.2%,显著(P<0.05)高于对照值和NaCl灌注值。在用NaCl或肝提取物灌注反应期间,外周血清胃泌素浓度没有显著变化。我们得出结论,在本研究的条件下,胃酸分泌的肠期并不伴随着血清胃泌素浓度的升高。