Lack E G, Bussmann J F, Leist A, Linder M M
Chir Forum Exp Klin Forsch. 1977 Apr:207-11.
Electrical and mechanical activity of the stomach following selective proximal vagotomy (SPV) were studied with 79 single experiments in 10 awake dogs. The influence of several pharmacological agents and feeding was tested: 1. The AP-Index of the gastric electrical activity rises to 1. 2. High frequency, atypical electrical activity resulting in mechanical inactivity increases with the postop. time interval. It reaches 60% of measured time on the 7th postop. day. 3. Normal electrical coupling of corpus and antrum is lost. 4. Pentagastrin increases the frequency of AP-rhythm only in the denervated corpus. 5. Carbachol and insulin have no such effect. 6. Feeding decreases electrical frequency in the innervated antrum. The altered electrical activity explains the known impairment of gastric emptying following SPV. The electrical desynchronization of corpus and antrum and the increased incidence of high frequency potentials in the antrum seems to overcome the high AP-Index.
在10只清醒犬身上进行了79次单次实验,研究了选择性近端迷走神经切断术(SPV)后胃的电活动和机械活动。测试了几种药物制剂和进食的影响:1. 胃电活动的AP指数升至1。2. 导致机械无活动的高频、非典型电活动随术后时间间隔增加。在术后第7天,其占测量时间的60%。3. 胃体和胃窦的正常电耦合丧失。4. 五肽胃泌素仅在去神经支配的胃体中增加AP节律的频率。5. 卡巴胆碱和胰岛素无此作用。6. 进食降低了受神经支配的胃窦中的电频率。电活动的改变解释了SPV后已知的胃排空受损情况。胃体和胃窦的电不同步以及胃窦中高频电位发生率的增加似乎克服了高AP指数。