Document Detail


Mechanosensory properties in the human gastric antrum evaluated using B-mode ultrasonography during volume-controlled antral distension.
MedLine Citation:
PMID:  16293656     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The aims of this study were to evaluate gastric antral mechanical behavior and distension-induced sensorimotor responses in the human gastric antrum using transabdominal ultrasound scanning. Ten healthy volunteers underwent volume-controlled ramp inflation of a bag located in the antrum with volumes up to 125 ml. The active and passive circumferential tensions and stresses were calculated from measurements of pressure, diameter, and wall thickness before and during the administration of the anticholinergic drug butylscopolamine. The bag distensions elicited contractions in the antrum and sensory responses below the pain threshold. Butylscopolamine abolished the contractions and significantly reduced the sensory response. The length-tension diagram known from in vitro studies of smooth muscle strips could be reproduced as tension-volume diagrams in the human gastric antrum. The number of induced contractions and the contraction pressure amplitude (afterload) showed a parabolic behavior as function of the distension volume (preload), with maximum approximately at 70 ml. At the sensation threshold, the luminal circumference showed the lowest variation coefficient (13-25%), whereas the variation coefficient was more than 100% for the pressure, tensions, and stresses. We conclude that the muscle length-tension diagram and typical preload-afterload curves ad modem the Frank-Starling cardiac law can be obtained in the human gastric antrum. The sensory responses were most closely associated with the luminal circumference, indicating that the sensation during antral distension depends on deformation rather than on tension.
Authors:
H Gregersen; T Hausken; J Yang; S Ødegaard; O H Gilja
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't     Date:  2005-11-17
Journal Detail:
Title:  American journal of physiology. Gastrointestinal and liver physiology     Volume:  290     ISSN:  0193-1857     ISO Abbreviation:  Am. J. Physiol. Gastrointest. Liver Physiol.     Publication Date:  2006 May 
Date Detail:
Created Date:  2006-04-10     Completed Date:  2006-07-13     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  100901227     Medline TA:  Am J Physiol Gastrointest Liver Physiol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  G876-82     Citation Subset:  IM    
Affiliation:
Center for Visceral Biomechanics and Pain, Aalborg Hospital, Hobrovej 42A, DK-9100 Aalborg, Denmark. hag@smi.auc.dk
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MeSH Terms
Descriptor/Qualifier:
Adult
Butylscopolammonium Bromide / pharmacology
Dilatation
Female
Gastrointestinal Motility / physiology
Humans
Male
Middle Aged
Muscle Contraction / physiology*
Peristalsis / drug effects,  physiology
Pressure
Pyloric Antrum / physiology*,  ultrasonography*
Sensation
Stress, Mechanical
Chemical
Reg. No./Substance:
149-64-4/Butylscopolammonium Bromide

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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