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Gastroenterologic Research Laboratories, Veterans Affairs Medical Center, Iowa City, Iowa 52242
How the movements of the intestinal walls
relate to luminal pressures and outflow remains incompletely
understood. We triggered the peristaltic reflex in the isolated ileum
of the guinea pig and quantified wall movements through computerized
measurements of diameter changes. Contractions developed as
indentations close to the upstream end of the loop. The indentations
deepened and expanded in length. The downstream shoulder of
contractions started and stopped to propagate before the upstream
shoulder. Shoulders differed in their length and gradient over most of
the duration of the contraction, and this gives the contraction an
axial asymmetry. Over the course of individual contractions, the length
of the indented segment correlated well with the luminal pressure.
Contractions in response to large volumes generated long indented
segments and high luminal pressures. The onset and the end of pressure waves and of outflow did not necessarily coincide with the onset and
end of visual parameters of contractions. These findings indicate that
objective visual parameters might be useful to describe and to classify contractions.
peristaltic reflex; intestinal flow; intestinal obstruction
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