Matsubara Y
Nihon Heikatsukin Gakkai Zasshi. 1976 Jun;12(2):59-75. doi: 10.1540/jsmr1965.12.59.
The gastric and intestinal motor function following pylorus preserving gastrectomy with jejunal interposition were studied electromyographically in dogs. The action potentials were recorded from the interposed jejunal segment, the preserving pylorus and the duodenum before and after insertion of warm water. Studies were made on the frequency, the propagation velocity of the spike-bursts in the portions mentioned above, and the incidence of the spike-bursts which propagated from the distal porition of the interposed jejunal segment to the preserving pylorus, and from the preserving pylorus to the proximal portion of the duodenum. The results obtained are as follows: 1) The frequency of the spike-bursts found in the interposed jejunal segment, the preserving pylorus, and the duodenum showed a remarkable increase after insertion of warm water. 2) The propagation velocity of the spike-bursts in the interposed jejunal segment, the preserving pylorus, and the duodenum were accelerated after insertion of warm water. 3) There were observed a moderate increase in the incidence of the spike-bursts which propagated from the distal portion of the interposed jejunal segment to the preserving pylorus, and from the preserving pylorus to the proximal portion of the duodenum after insertion of warm water. These findings suggested that the motor function of the interposed jejunal segment, that of the preserving pylorus, and that of the duodenum after pylorus preserving gastrectomy with jejunal interposition might be kept not yet injured enough to transport the contents from the interposed jejunal segment into the duodenum.
对行保留幽门胃切除术并插入空肠的犬的胃肠运动功能进行了肌电图研究。在注入温水前后,记录插入空肠段、保留的幽门和十二指肠的动作电位。对上述部位棘波爆发的频率、传播速度,以及从插入空肠段远端向保留的幽门、从保留的幽门向十二指肠近端传播的棘波爆发发生率进行了研究。结果如下:1)注入温水后,插入空肠段、保留的幽门和十二指肠中发现的棘波爆发频率显著增加。2)注入温水后,插入空肠段、保留的幽门和十二指肠中棘波爆发的传播速度加快。3)注入温水后,观察到从插入空肠段远端向保留的幽门、从保留的幽门向十二指肠近端传播的棘波爆发发生率有适度增加。这些发现表明,行保留幽门胃切除术并插入空肠后,插入空肠段、保留的幽门和十二指肠的运动功能可能尚未受到足够损伤,以将内容物从插入空肠段输送至十二指肠。