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大鼠移行性肌电复合波推进功能的证据。

Evidence for a propulsive function of the migrating myoelectric complex in rats.

作者信息

Wilén T, Gustavsson S, Jung B

出版信息

Eur Surg Res. 1984;16(2):113-9. doi: 10.1159/000128396.

Abstract

In order to investigate the relation between myoelectric activity and the transport of small bowel luminal contents, recordings of migrating myoelectrical complexes (MMCs) were combined with studies of the propulsion of a bile-excreted radioactive test substance. At laparotomy, rats were provided with three pairs of bipolar electrodes, sewn to the seromuscular layer of the small bowel 15, 30 and 45 cm distal to the pylorus. After recovery for 1 week MMCs were recorded with the animal fasted for 18 h and in light barbiturate anesthesia. Concurrently, the bile-excreted radiopharmaceutic, 99mTc-Solco-HIDA, was infused intravenously. At the end of the experiment the rats were sacrificed and the distribution of 99mTc activity was recorded from the excised bowel specimen. In 12 animals with a typical MMC activity recurring every 20 min, the small bowel radioactivity was distributed into discrete portions, separated by fairly long empty segments. In 6 animals the experiments were terminated when an MMC activity front had reached one of the electrodes and in all, a portion of radioactivity was found to be located immediately distal to the position of that particular electrode. 6 control animals were killed when about 10 min had elapsed since the MMC front passed one of the electrode sites. In all these cases the electrode position was found to correspond to empty bowel segments. These data obtained from animals with permanent electrodes but an otherwise intact small bowel strongly support the notion that MMCs result in propulsion of luminal contents.

摘要

为了研究肌电活动与小肠腔内内容物转运之间的关系,将移行性肌电复合波(MMCs)的记录与一种经胆汁排泄的放射性测试物质推进情况的研究相结合。在剖腹手术时,给大鼠植入三对双极电极,缝于幽门远端15、30和45厘米处的小肠浆肌层。恢复1周后,在动物禁食18小时并处于轻度巴比妥类麻醉状态下记录MMCs。同时,静脉注射经胆汁排泄的放射性药物99mTc-Solco-HIDA。实验结束时,处死大鼠,记录切除的肠标本中99mTc活性的分布。在12只每20分钟出现一次典型MMC活动的动物中,小肠放射性分布于离散的部分,被相当长的无放射性段隔开。在6只动物中,当MMC活动前沿到达其中一个电极时终止实验,在所有这些动物中,发现一部分放射性位于该特定电极位置的紧邻远端。在MMC前沿经过其中一个电极位置约10分钟后,处死6只对照动物。在所有这些情况下,发现电极位置对应于无内容物的肠段。从带有永久电极但小肠其他部分完整的动物获得的这些数据有力地支持了MMCs导致腔内内容物推进的观点。

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