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清醒负鼠中奥迪括约肌峰暴发放与胃肠肌电活动的关系。

Relationship of sphincter of Oddi spike bursts to gastrointestinal myoelectric activity in conscious opossums.

作者信息

Honda R, Toouli J, Dodds W J, Sarna S, Hogan W J, Itoh Z

出版信息

J Clin Invest. 1982 Apr;69(4):770-8. doi: 10.1172/jci110515.

Abstract

The oppossum sphincter of Oddi (SO) exhibits peristaltic spike bursts with accompanying contraction waves that originate proximally in the sphincter of Oddi and propagate toward the duodenum. In this study we recorded myoelectrical activity of the opossum SO and upper gastrointestinal tract in six conscious animals using chronically implanted electrodes. Biopolar electrodes were implanted in the gastric antrum, duodenum, SO segment, jejunum, and ileum. During fasting the frequency of SO spike bursts, scored as number per minute, showed a cyclic pattern consisting of four phases (A to D). Phase A had a low spike burst frequency of approximately 2/min that lasted approximately 20 min. In phase B, the spike burst frequency increased progressively during a 40-45 min interval culminating in a short interval of phase C activity characterized by a maximal spike burst frequency of approximately 5/min. During phase D, the spike bursts decreased over 15 min to merge with the low frequency of phase A and the cycle repeated. Cycle length of the interdigestive SO cycle, 87+/-11 SD min, was virtually identical with that of the interdigestive migrating myoelectric complex (MMC) of the upper gastrointestinal tract. The onset of phase C activity in the SO began 1-2 min before phase III of the MMC activity in the duodenum. Feeding abolished the cyclic pattern of spike burst activity in the SO as well as in the upper gastrointestinal tract. After feeding the SO spike bursts occurred at a frequency of 5-6/min for at least 3 h. We conclude that: (a) During fasting, the oppossum SO exhibits cyclic changes in its spike burst frequency; (b) Maximal spike burst frequency of the SO occurs virtually concurrent with passage of phase III MMC activity through the duodenum and; (c) Feeding abolishes the interdigestive cyclic spike burst pattern of the SO as well as that of the gastrointestinal tract.

摘要

负鼠的奥迪括约肌(SO)表现出蠕动性尖峰爆发,并伴有收缩波,这些收缩波起源于奥迪括约肌近端,向十二指肠传播。在本研究中,我们使用长期植入电极记录了6只清醒动物的负鼠SO和上消化道的肌电活动。双极电极植入胃窦、十二指肠、SO段、空肠和回肠。禁食期间,SO尖峰爆发的频率(以每分钟次数计分)呈现出由四个阶段(A至D)组成的周期性模式。阶段A的尖峰爆发频率较低,约为2次/分钟,持续约20分钟。在阶段B,尖峰爆发频率在40 - 45分钟的间隔内逐渐增加,在阶段C活动的短暂间隔达到顶峰,其特征是最大尖峰爆发频率约为5次/分钟。在阶段D,尖峰爆发在15分钟内减少,与阶段A的低频合并,然后循环重复。消化间期SO周期的长度为87±11标准差分钟,与上消化道的消化间期移行性肌电复合波(MMC)的长度几乎相同。SO中阶段C活动的开始比十二指肠中MMC活动的第三阶段提前1 - 2分钟。进食消除了SO以及上消化道中尖峰爆发活动的周期性模式。进食后,SO尖峰爆发以5 - 6次/分钟的频率持续至少3小时。我们得出以下结论:(a)禁食期间,负鼠的SO尖峰爆发频率呈现周期性变化;(b)SO的最大尖峰爆发频率几乎与MMC活动的第三阶段通过十二指肠同时发生;(c)进食消除了SO以及胃肠道的消化间期周期性尖峰爆发模式。

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