EFFECT OF VAGOTOMY ON THE GASTRIC SECRETORY AREA IN DOGS

T. Shiratori, T. Hatafuku, T. Sekine
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Abstract

Direct visualization of the gastric acid secretion as well as pH determination were carried out under several vagal preparations accompanied by maximum histamine stimulation.Under Nembutal anesthesia, canine stomach was opened along the greater curvature and the entire gastric mucosa was exposed for the direct observation of the gastric acid secretion which was possible by applying Congo red-Carbowax on the gastric mucosa.The results obtained are summarized as follows:1. Unilateral vagotomy at the height of the neck resulted in the decrease in the acid secretory areas on both anterior and posterior walls of the stomach, which was later enhanced by bilateral vagotomy. Vagotomy also decreased an acidity of the gastric juice.2. Severance of vagi was attempted supradiaphragmatically and subdiaphragmatically as well. Section of the anterior branch showed an inclination in the reduction of an acid secretory area mostly of the anterior wall, and section of the posterior branch resulted in vice versa. This inclination of limited and partial reduction in the acid secretory area of the gastric mucosa was more predominant in the dogs where the vagus or vagi were severed subdiaphragmatically. Section of the vagus at these levels also reduced an acidity of the gastric juice.3. Out of the results described above, it was shown that the decrease in the acid secretory area well correlated with the vagally denervated area of the gastric mucosa traced anatomically from the site of vagotmy.4. In the reduction of an acid secretory area induced by vagotomy, it was of some interest to notice that the acid secretory area tended to localize to the corpus mucosa adjacent to the antral border. Histologically, this area well coincides with the richly distributed area of the parietal cells.
迷走神经切开术对犬胃分泌区的影响
直接观察胃酸分泌和pH值测定在几种迷走神经制剂伴随最大组胺刺激下进行。在Nembutal麻醉下,犬胃沿大弯曲打开,暴露整个胃黏膜,直接观察胃酸分泌情况,在胃黏膜上涂抹刚果红-碳水蜡即可。所得结果总结如下:1。颈部高度单侧迷走神经切断术导致胃前后壁酸性分泌区减少,后经双侧迷走神经切断术增强。迷走神经切开术也能降低胃液的酸度。在膈上和膈下也尝试过分离迷走神经。前支切片显示大部分前壁的酸分泌区减少倾斜,后支切片显示相反。在迷走神经或迷走神经在膈下切断的犬中,胃粘膜分泌酸区有限和部分减少的倾向更为明显。在这些水平的迷走神经切片也降低了胃液的酸度。上述结果表明,胃酸分泌区减少与从迷走神经部位解剖追踪的胃粘膜迷走神经失神经区密切相关。在迷走神经切开术引起的酸分泌区减少中,值得注意的是,酸分泌区倾向于定位于靠近胃窦边界的体黏膜。组织学上,该区域与壁细胞丰富分布的区域吻合。
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