Siewert R
Z Gastroenterol. 1976 Mar;14 Suppl:160-7.
In the gastroesophageal closing mechanism there is a digestive sphincter which as yet has only been identified by its function. This sphincter is subject to the action of gastrointestinal hormones; all hormones, except gastrin and possibly motilin have a relaxing effect. This action sets in only following administration of relatively large doses and thus corresponds to pharmacological effects. The physiological effect of gastrin long under discussion could not be proved in these tests - at least not for antral G 17. Whether or to what extent other hormones - perhaps Big gastrin - have an effect on the control of the lower esophageal sphincter under normal conditions remains yet to be determined.
在胃食管闭合机制中,存在一种消化括约肌,目前仅通过其功能得以识别。该括约肌受胃肠激素的作用影响;除胃泌素以及可能的胃动素外,所有激素均具有松弛作用。这种作用仅在给予相对大剂量后才会出现,因此属于药理效应。长期以来一直存在争议的胃泌素的生理效应在这些试验中未能得到证实——至少对于胃窦G17而言是如此。在正常情况下,其他激素——或许是大胃泌素——是否以及在何种程度上对食管下括约肌的控制产生影响,仍有待确定。