CHARACTERIZATION AND QUANTIFICATION OF A PHARYNGO-UES CONTRACTILE REFLEX IN CATS

被引:49
作者
MEDDA, BK
LANG, IM
LAYMAN, R
HOGAN, WJ
DODDS, WJ
SHAKER, R
机构
[1] MED COLL WISCONSIN, DYSPHAGIA INST, RES LAB, MILWAUKEE, WI 53226 USA
[2] MED COLL WISCONSIN, DEPT MED, MILWAUKEE, WI 53226 USA
[3] MED COLL WISCONSIN, DEPT RADIOL, MILWAUKEE, WI 53226 USA
来源
AMERICAN JOURNAL OF PHYSIOLOGY-GASTROINTESTINAL AND LIVER PHYSIOLOGY | 1994年 / 267卷 / 06期
关键词
PHARYNX; ESOPHAGUS; UPPER ESOPHAGEAL SPHINCTER; VAGUS NERVE; GLOSSOPHARYNGEAL NERVE; SWALLOWING;
D O I
10.1152/ajpgi.1994.267.6.G972
中图分类号
R57 [消化系及腹部疾病];
学科分类号
摘要
We characterized and quantified a reflex from the pharyngeal mucosa to the upper esophageal sphincter (UES). Seventeen cats were decerebrated, and the pharynx was exposed by opening the cricothyroid ligament. UES motor activity was assessed by recording electromyographic (EMG) activity from the pharyngeal constrictors, i.e., the thyropharyngeus (TP) and cricopharyngeus (CP). The pharyngeal mucosa was stimulated by touch or pressure. Both stimuli activated contraction of the CP primarily when applied to the naso-, laryngo-, or hypopharynx, but pressure was more effective. The anteromedial portion of the hypopharynx was the most sensitive zone, but there was no strong stimulus-response relationship. The reflex response to a 1-s stimulus occurred at a delay of 0.46 +/- 0.06 s and lasted 4.5 +/- 0.5 s. This pharyngo-UES reflex was blocked by anesthesia of the mucosa or transection of the glossopharyngeal or pharyngoesophageal nerves but not the vagus nerves. In contrast, the esophago-UES contractile reflex was not blocked by anesthesia of the pharyngeal mucosa or transection of the glossopharyngeal nerves but was blocked by transection of either the vagus or pharyngoesophageal nerves. We concluded that the pharyngo-UES contractile reflex was activated by pharyngeal mucosal mechanoreceptors whose afferent limb was the glossopharyngeal nerve and whose efferent limb was the pharyngoesophageal branch of the vagus nerve.
引用
收藏
页码:G972 / G983
页数:12
相关论文
共 18 条
[1]  
ALI GN, 1993, GASTROENTEROLOGY, V103, pA1904
[2]  
ASOH R, 1978, GASTROENTEROLOGY, V74, P514
[3]  
BARTLETT D, 1986, HDB PHYSL RESPIRATOR, V2, P363
[4]  
BORISON HL, 1953, PHARMACOL REV, V5, P193
[5]   OPENING MECHANISMS OF THE HUMAN UPPER ESOPHAGEAL SPHINCTER [J].
COOK, IJ ;
DODDS, WJ ;
DANTAS, RO ;
MASSEY, B ;
KERN, MK ;
LANG, IM ;
BRASSEUR, JG ;
HOGAN, WJ .
AMERICAN JOURNAL OF PHYSIOLOGY, 1989, 257 (05) :G748-G759
[6]  
DONNER MW, 1985, GASTROINTEST RADIOL, V10, P196
[7]  
Green W E, 1988, Dysphagia, V2, P162, DOI 10.1007/BF02424935
[8]   RECEPTORS RESPONDING TO CHANGES IN UPPER AIRWAY PRESSURE [J].
HWANG, JC ;
STJOHN, WM ;
BARTLETT, D .
RESPIRATION PHYSIOLOGY, 1984, 55 (03) :355-366
[9]   EFFECT OF SLEEP, SPONTANEOUS GASTROESOPHAGEAL REFLUX, AND A MEAL ON UPPER ESOPHAGEAL SPHINCTER PRESSURE IN NORMAL HUMAN VOLUNTEERS [J].
KAHRILAS, PJ ;
DODDS, WJ ;
DENT, J ;
HAEBERLE, B ;
HOGAN, WJ ;
ARNDORFER, RC .
GASTROENTEROLOGY, 1987, 92 (02) :466-471
[10]   UPPER ESOPHAGEAL SPHINCTER FUNCTION DURING DE-GLUTITION [J].
KAHRILAS, PJ ;
DODDS, WJ ;
DENT, J ;
LOGEMANN, JA ;
SHAKER, R .
GASTROENTEROLOGY, 1988, 95 (01) :52-62