Håkanson R, Vallgren S, Ekelund M, Rehfeld J F, Sundler F
Gastroenterology. 1984 Jan;86(1):28-32.
Bilateral subdiaphragmatic truncal vagotomy results in great functional changes in the stomach although the changes in the gastric mucosal architecture are small. A trophic effect of the vagus on the stomach is revealed after unilateral vagal sectioning, taking advantage of the fact that, in the rat, each vagal trunk innervates only one side of the stomach, and that denervation of one side does not impair the functional capacity of the other. The denervated side of the stomach displayed atrophy that was reflected in reduced weight and height of the oxyntic mucosa and a reduced density of argyrophil cells. The lack of atrophy after bilateral vagotomy can be explained by counteracting forces, in that the subsequent rise in gastrin secretion (due to lack of acid feedback inhibition of gastrin release) probably masks antitrophic effects of the vagotomy per se. Interestingly, the number of somatostatin cells in the oxyntic mucosa was not reduced after unilateral vagotomy, nor was the weight of the antral mucosa or the density of enterochromaffin and gastrin cells in the antrum on the denervated side.
双侧膈下迷走神经干切断术会导致胃部出现巨大的功能变化,尽管胃黏膜结构的变化很小。利用大鼠中每条迷走神经干仅支配胃的一侧且一侧去神经支配不会损害另一侧功能能力这一事实,单侧迷走神经切断术后可揭示迷走神经对胃的营养作用。胃的去神经支配侧出现萎缩,表现为胃底黏膜重量和高度降低以及嗜银细胞密度降低。双侧迷走神经切断术后缺乏萎缩现象可以用相互抵消的力量来解释,即随后胃泌素分泌增加(由于缺乏胃酸对胃泌素释放的反馈抑制)可能掩盖了迷走神经切断术本身的抗萎缩作用。有趣的是,单侧迷走神经切断术后胃底黏膜中生长抑素细胞的数量并未减少,去神经支配侧胃窦黏膜的重量以及胃窦中肠嗜铬细胞和胃泌素细胞的密度也未减少。