By G. Vantrappen, J. Janssens, J. Hellemans, N. Christofides, S. Bloom (auth.), H. L. Duthie (eds.)
Read Online or Download Gastrointestinal Motility in Health and Disease: Proceedings of the 6th International Symposium on Gastrointestinal Motility, held at the Royal College of Surgeons of Edinburgh, 12–16th September, 1977 PDF
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Additional info for Gastrointestinal Motility in Health and Disease: Proceedings of the 6th International Symposium on Gastrointestinal Motility, held at the Royal College of Surgeons of Edinburgh, 12–16th September, 1977
The spike activity of the duodenum exceeds by about 70% that of the normal duodenum. The spike activity of the duodenum following antrectomy increases also. I expected this in man too. It is another question if the antrectomy is made 1-2 cm above the sphincter pylori. We performed transection of the stomach at the level of the incisura angularis followed by anastomosis. This results in a slowing of the slow potential rhythm of the distal segment. The spike potentials burst in this slowed rhythm, and in the same rhythm they appeared with the duodenal slow waves.
The antral slow waves varied in amplitude during the recording period but did not tend to disappear as time passed. It is interesting that the maximal amplitude of the gastric slow waves was recorded during phase 2 activity of a myoelectrical complex in the duodenum. We think that this could be due to phase 3 activity in the antrum at this stage but do not have any electrical records to substantiate this theory. We have previously recorded antral activity in the proximal duodenum using mucosal electrodes in patients who have not had surgery, and do not think that the antral waves here reported were related to the surgery.
Myoelectrical complex 2. Minute-rhythm 3. '1",,,l~ ..... ~-.. ,.... ~ ... ~ ",~. . .. ·III "" • . :, --_.. _ _. -:-:::=-=-=-=-=-~~= , '. -. _•• ,_ • .. • . ••. _ __ - -_. 2 Consecutive recordings of a migrating myoelectrical complex from eight pairs of bipolar elecRodes placed at intervals of 10 cm in the upper human small intestine. Note the similar appearance of spike potentials from the various leads. 015 s 21 GASTROINTESTINAL MOTILITY IN HEALTH AND DISEASE 1. 2). 3 gives a schematic representation of a myoelectrical complex from the most proximal 100 cm of the small intestine.