Ohta D, Ozeki K, Ura K, Tsunoda T, Kanematsu T
Second Department of Surgery, Nagasaki University School of Medicine, Japan.
Surg Today. 1995;25(8):717-21. doi: 10.1007/BF00311488.
The role played by extrinsic nerves in colonic motor activity and motor coordination between the small intestine and the colon in the fasting state was investigated in a canine model. To evaluate motor activity before and after celiac and superior mesenteric ganglionectomy (CSMG), seven strain gauge force transducers were implanted in the small and large bowels of five dogs. No significant differences were observed in the frequency, duration, cycle, or migration time of bursts of contractions from the colon (BCC), or in the duration of the quiescent state before and after CSMG. When small intestinal phase III activity reached the ileocecal junction before and after CSMG, a characteristic contractile pattern, namely, small intestinal phase III activity followed by BCC, was observed at the ileocecal junction. Before and after CSMG, 84% and 83% of the small intestinal phase III activity, respectively, was transmitted to the colon as BCC after reaching the ileocecal junction. However, only 19% and 18% of BCC before and after CSMG, respectively, followed small intestinal phase III activity. These results led us to conclude that the extrinsic nerves exert little effect on fasting colonic motor activity and motor transmission from the small intestine to the colon.
在犬类模型中研究了禁食状态下外在神经在结肠运动活动以及小肠与结肠之间运动协调中所起的作用。为了评估腹腔神经节和肠系膜上神经节切除术后(CSMG)结肠运动活动的变化,在5只犬的小肠和大肠中植入了7个应变片式力传感器。CSMG前后,结肠收缩爆发(BCC)的频率、持续时间、周期或迁移时间,以及静息状态的持续时间均未观察到显著差异。当CSMG前后小肠Ⅲ期活动到达回盲部时,在回盲部观察到一种特征性收缩模式,即小肠Ⅲ期活动后跟随BCC。CSMG前后,分别有84%和83%的小肠Ⅲ期活动在到达回盲部后以BCC的形式传递至结肠。然而,CSMG前后分别只有19%和18%的BCC跟随小肠Ⅲ期活动。这些结果使我们得出结论,外在神经对禁食状态下的结肠运动活动以及从小肠到结肠的运动传递影响很小。