Heppell J, Kelly K A, Sarr M G
Am J Physiol. 1983 Jan;244(1):G95-100. doi: 10.1152/ajpgi.1983.244.1.G95.
Our aim was to determine the role of the extrinsic and intrinsic nerves in the regulation of the small intestinal interdigestive myoelectric complex (IMC). In five dogs, the extrinsic nerves of the jejunoileum were divided, but the bowel was left in situ with its wall intact. After recovery, IMCs were detected in the duodenum (mean IMC period +/- SE = 188 +/- 19 min), from where most migrated distally into and through the jejunum (84%). In addition, extra IMCs appeared in the jejunum. Thus, the mean period of the IMCs in the jejunum (134 +/- 10 min) was shorter than in the duodenum (P less than 0.05). In contrast, after enteric transection and reanastomosis at the ligament of Treitz and at a site 75 cm distal to the ligament, fewer duodenal IMCs migrated into the jejunum (only 61%). However, extra IMCs still arose in the jejunum, so that the mean period of IMCs in the jejunum (111 +/- 5 min) was now similar to that in the duodenum (128 +/- 4 min, P greater than 0.05). Our data were consistent with the hypothesis that extrinsic nerves regulate the frequency of the small intestinal IMCs, while an intact enteric wall aids in their distal propagation.
我们的目的是确定肠外神经和肠内神经在小肠消化间期肌电复合波(IMC)调节中的作用。在5只犬中,将空肠回肠的肠外神经切断,但肠管仍保留在原位,肠壁完整。恢复后,在十二指肠检测到IMC(平均IMC周期±标准误=188±19分钟),大部分IMC从十二指肠向远端迁移至空肠并通过空肠(84%)。此外,空肠中出现了额外的IMC。因此,空肠中IMC的平均周期(134±10分钟)短于十二指肠(P<0.05)。相比之下,在Treitz韧带处及该韧带远端75厘米处进行肠切断并重新吻合后,十二指肠IMC向空肠迁移的数量减少(仅61%)。然而,空肠中仍出现额外的IMC,因此空肠中IMC的平均周期(111±5分钟)现在与十二指肠中的平均周期相似(128±4分钟,P>0.05)。我们的数据与以下假设一致:肠外神经调节小肠IMC的频率,而完整的肠壁有助于其向远端传播。