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非胃泌素的肠期分泌。犬实验证实。

Non-gastrin, intestinal-phase secretion. Experimental confirmation in the dog.

作者信息

Grabner P, Donahue P E, Grabner E T, Kalahanis N G, Bombeck C T, Nyhus L M

出版信息

Scand J Gastroenterol. 1980;15(2):165-70. doi: 10.3109/00365528009181449.

Abstract

Four mongrel dogs were prepared with a Heidenhain pouch, a gastric fistula, and a 90-cm-long Thiry-Vella loop. After recovery, dose-response curves were obtained with different doses of pentagastrin, and the maximal acid output was determined. The jejunal loop was perfused for 3 h with either 5% liver extract or with 0.15 M NaCl at a rate of 114 ml/h. To verify that the stomach could release gastrin and that the assay could detect that change, antral perfusion with liver extract was performed. Serum gastrin levels and acid output were measured every 30 min. Perfusion of the jejunal loop with liver extract resulted in a significant increase in acid output from the Heidenhain pouch and the gastric fistula, whereas perfusion with saline solution failed to show any changes. The magnitude of acid response from the Heidenhain pouch and gastric fistula was 11% and 18%, respectively, as compared with maximal pentagastrin stimulation. The serum gastrin levels remained unchanged during both liver extract and saline perfusion of the jejunal loop, in contrast to the marked increase in serum gastrin level after antral perfusion. The results confirm the existence of the intestinal phase of gastric acid stimulation in dogs as an entity and show that the magnitude of this phase is significantly lower than has been suggested by results of earlier studies. Furthermore, the results suggest that the intestinal phase of gastric secretion in dogs is most probably elicited through a humoral agent other than gastrin.

摘要

选用4只杂种犬,制作海登海因小胃、胃瘘和一个90厘米长的蒂里-韦拉肠袢。恢复后,用不同剂量的五肽胃泌素获得剂量-反应曲线,并测定最大胃酸分泌量。空肠袢以114毫升/小时的速率用5%肝提取物或0.15摩尔/升氯化钠灌注3小时。为了验证胃能否释放胃泌素以及该检测方法能否检测到这种变化,进行了用肝提取物灌注胃窦的实验。每30分钟测量一次血清胃泌素水平和胃酸分泌量。用肝提取物灌注空肠袢导致海登海因小胃和胃瘘的胃酸分泌量显著增加,而用盐溶液灌注则未显示任何变化。与最大五肽胃泌素刺激相比,海登海因小胃和胃瘘的酸反应幅度分别为11%和18%。与胃窦灌注后血清胃泌素水平显著升高相反,在空肠袢用肝提取物和盐溶液灌注期间,血清胃泌素水平保持不变。结果证实犬胃酸刺激的肠期作为一个实体存在,并表明该期的幅度明显低于早期研究结果所提示的。此外,结果表明犬胃分泌的肠期很可能是由胃泌素以外的一种体液因子引起的。

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Non-gastrin, intestinal-phase secretion. Experimental confirmation in the dog.
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