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迷走神经干切断术对十二指肠-胃反流所致功能和形态学改变的影响。

Effect of truncal vagotomy on functional and morphological changes produced by duodenogastric reflux.

作者信息

Thomas W E

出版信息

Dig Dis Sci. 1982 Jul;27(7):609-14. doi: 10.1007/BF01297217.

DOI:10.1007/BF01297217
PMID:7083998
Abstract

The effects of truncal vagotomy on the functional and morphological changes produced by duodenogastric reflux have been studied in the dog. Duodenogastric reflux caused progressive damage to gastric mucosa, hypersecretion of acid to pentagastrin, and a hypergastrinemic response to a standard meal. Truncal vagotomy barely altered the mucosal changes produced by reflux, but it did prevent antral gland hyperplasia and reduced the acid and gastrin secretory responses. These findings are clinically reassuring in that vagotomy effectively prevented the hypersecretory state produced by duodenogastric reflux.

摘要

已在犬身上研究了迷走神经干切断术对十二指肠-胃反流所产生的功能和形态学变化的影响。十二指肠-胃反流导致胃黏膜进行性损伤、对五肽胃泌素的胃酸分泌过多,以及对标准餐的高胃泌素血症反应。迷走神经干切断术几乎未改变反流所引起的黏膜变化,但确实可防止胃窦腺增生,并降低胃酸和胃泌素分泌反应。这些发现从临床上看令人安心,因为迷走神经切断术有效地预防了十二指肠-胃反流所产生的分泌过多状态。

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1
Effect of truncal vagotomy on functional and morphological changes produced by duodenogastric reflux.迷走神经干切断术对十二指肠-胃反流所致功能和形态学改变的影响。
Dig Dis Sci. 1982 Jul;27(7):609-14. doi: 10.1007/BF01297217.
2
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引用本文的文献

1
Suppression of somatostatin release by duodenogastric reflux in dogs.犬十二指肠-胃反流对生长抑素释放的抑制作用。
Gut. 1984 Nov;25(11):1230-3. doi: 10.1136/gut.25.11.1230.

本文引用的文献

1
Release of gastrin from the pyloric antrum following vagal stimulation by sham feeding in dogs.在狗身上,假饲通过迷走神经刺激引起幽门窦释放胃泌素。
J Physiol. 1959 Oct;148(2):291-305. doi: 10.1113/jphysiol.1959.sp006289.
2
The mechanism of vagal stimulation of gastric acid secretion.迷走神经刺激胃酸分泌的机制。
Gastroenterology. 1955 Apr;28(4):493-9; discussion, 531-5.
3
EFFECT OF RESECTION OF GASTRIN RELEASING REGIONS ON ACID RESPONSE TO SHAM FEEDING AND INSULIN HYPOGLYCEMIA IN PAVLOV POUCH DOGS.切除胃泌素释放区域对巴甫洛夫小胃犬假饲和胰岛素低血糖酸反应的影响
Acta Physiol Scand. 1964 Sep-Oct;62:169-75. doi: 10.1111/j.1748-1716.1964.tb03965.x.
4
EFFECT OF VAGAL INNERVATION ON ACID AND PEPSIN RESPONSE TO HISTAMINE AND GASTRIN.迷走神经支配对组胺和胃泌素引起的胃酸及胃蛋白酶反应的影响
Am J Physiol. 1964 May;206:1068-76. doi: 10.1152/ajplegacy.1964.206.5.1068.
5
A prime physiologic mechanism responsible for the failure of gastrojejunostomy in the treatment of peptic ulcer disease.一种导致胃空肠吻合术治疗消化性溃疡疾病失败的主要生理机制。
Surgery. 1958 May;43(5):781-6.
6
Heidenhain pouch secretory response as affected by gastrojejunostomy to the main stomach.海登海因小胃的分泌反应受胃空肠吻合术对主胃影响的情况。
Proc Soc Exp Biol Med. 1952 Oct;81(1):170-2. doi: 10.3181/00379727-81-19813.
7
Functional changes in acid secretion produced by duodenogastric reflux.十二指肠-胃反流引起的胃酸分泌功能变化。
Gut. 1980 May;21(5):413-7. doi: 10.1136/gut.21.5.413.
8
Pyloric regurgitation and gastric ulcer.
Gut. 1970 Sep;11(9):735-7. doi: 10.1136/gut.11.9.735.
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Radioimmunoassay of gastrin.胃泌素的放射免疫测定
Gastroenterology. 1970 Jan;58(1):1-14.
10
Effect of truncal vagotomy on acid and pepsin responses to histamine and gastrin in dogs.迷走神经干切断术对犬胃酸及胃蛋白酶对组胺和胃泌素反应的影响。
Am J Physiol. 1967 May;212(5):1007-12. doi: 10.1152/ajplegacy.1967.212.5.1007.