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迷走神经切断术前后犊牛胃(皱胃)排空的放射学研究。

A radiological study of gastric (abomasal) emptying in calves before and after vagotomy.

作者信息

Bell F R, Holbrooke S E, Titchen D A

出版信息

J Physiol. 1977 Nov;272(2):481-93. doi: 10.1113/jphysiol.1977.sp012055.

Abstract
  1. Gastric emptying has been studied in the conscious, standing calf by lateral radiography and fluoroscopy of radiopaque meals instilled into the abomasum before and after vagotomy. 2. Bilateral cervical vagotomy proved to be the only certain way of achieving total vagal transection. By instillation of milk into the abomasum through a cannula calves were maintained in normal, healthy condition for up to 36 days after vagotomy. 3. Motility of the antrum was not impaired by vagotomy so that some movement of gastric chyme to the duodenum occurred within minutes of instillation into the abomasum. Complete transference of the test meal was, however, delayed after vagotomy. 4. The greatest effect of vagotomy appeared to be on the abomasal body so that inadequate amounts of chyme were transferred to the antrum for pumping to the duodenum. 5. Delay in passage of contrast material through the intestine was related to delay in gastric emptying although vagotomy may have affected the intestine directly. 6. Following vagotomy the abomasum showed a resumption of normal motility and emptying after 7-29 days. This effect of vagotomy is similar to that seen in the simple stomach and is probably due to the establishment of intrinsic gastric control.
摘要
  1. 通过对清醒站立的犊牛进行侧位X线摄影和荧光透视,研究了迷走神经切断前后向皱胃内注入不透X线的餐食后的胃排空情况。2. 双侧颈迷走神经切断术被证明是实现完全迷走神经切断的唯一可靠方法。通过套管向皱胃内注入牛奶,犊牛在迷走神经切断术后可保持正常健康状态长达36天。3. 迷走神经切断术并未损害胃窦的运动,因此在向皱胃内注入餐食后的几分钟内,胃内容物会有一些向十二指肠的移动。然而,迷走神经切断术后试验餐的完全转移延迟了。4. 迷走神经切断术的最大影响似乎在皱胃体,以至于转移到胃窦用于泵入十二指肠的食糜量不足。5. 造影剂在肠道内通过的延迟与胃排空延迟有关,尽管迷走神经切断术可能直接影响了肠道。6. 迷走神经切断术后7 - 29天,皱胃的运动和排空恢复正常。迷走神经切断术的这种作用与在单胃中观察到的相似,可能是由于建立了胃的内在控制。
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1d6b/1353569/0b317bb718d3/jphysiol00793-0275-a.jpg

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