AIM: To investigate the hypothesis that duodenal bulb (DB) inhibition on pyloric antrum (PA) contraction is reflex. METHODS: Balloon (condom)-tipped tube was introduced into 1^st duodenum (DD) and a manometr...AIM: To investigate the hypothesis that duodenal bulb (DB) inhibition on pyloric antrum (PA) contraction is reflex. METHODS: Balloon (condom)-tipped tube was introduced into 1^st duodenum (DD) and a manometric tube into each of PA and DD. Duodenal and antral pressure response to duodenal and then PA balloon distension with saline was recorded. These tests were repeated after separate anesthetization of DD and PA. RESULTS: Two and 4 mL of 1^st DD balloon distension produced no pressure changes in DD or PA (10.7±1.2 vs 9.8±1.2, 11.2±1.2 vs 11.3±1.2 on H20 respectively, P〉0.05). Six mL distension effected 1^st DD pressure rise (30.6±3.4 cm H20, P 〈0.01) and PA pressure decrease (6.2±1.4 cm H20, P〈0.05); no response in 2^nd, 3^rd and 4^th DD. There was no difference between 6, 8, and 10 mL distensions. Ten mL PA distension produced no PA or 1^st DD pressure changes (P〉 0.05). Twenty mL distension increased PA pressure (92.4 4±10.7 cm H20, P〈0.01) and decreased 1^st DD pressure (1.6±0.3 cm H20, P〈0.01); 30, 40, and 50 mL distension produced the same effect as the 20 mL distension (P 〉 0.05). PA or DD distension after separate anesthetization produced no significant pressure changes in PA or DD. CONCLUSION: Large volume DD distension produced DD pressure rise denoting DD contraction and PA pressure decline denoting PA relaxation. PA relaxation upon DD contraction is postulated to be mediated through a reflex which we call duodeno-antral reflex. Meanwhile, PA distension effected DD relaxation which we suggest to be reflex and termed antro-duodenal reflex. It is suggested that these 2 reflexes, could act as investigative tools in diagnosis of gastroduodenal motility disorders.展开更多
When a global moving pattern is superimposed on high-contrast stationary or slowly moving stimuli, the stimuli can be perceived as disappearing and reappearing alternately for periods of several sec- onds.This visual ...When a global moving pattern is superimposed on high-contrast stationary or slowly moving stimuli, the stimuli can be perceived as disappearing and reappearing alternately for periods of several sec- onds.This visual illusory phenomenon was named“motion-induced blindness”(MIB)in recent litera- ture.So far there is no consensus on the mechanism of MIB,especially on the role of attention in this phenomenon.To examine the effect of spatial attention on MIB,the present study manipulated the participants’spatial attention by asking them to respond to two targets simultaneously presented in bilateral visual fields(the divided-attention condition)or only respond to one of them(the fo- cused-attention condition).A central arrow was presented as an endogenous cue to index the target visual field in the focused-attention condition,while a point was presented instead in the di- vided-attention condition.The results show that the percentage of accumulated invisibility period was larger for the targets in the focused-attention condition than for those in the divided-attention condition. This effect of attention is significant in upper visual field(UVF)and left lower visual field(left LVF);that is,this effect shows a hemispheric asymmetry in LVF but not in UVF.Furthermore,the percentage of accumulated invisibility period was larger for targets in left LVF than for those in right LVF in the fo- cused-attention condition,but no hemispheric asymmetry was found in the divided-attention condition. In addition,the increased percentage of accumulated invisibility period in the focused-attention condi- tion originated merely in the enhancement of the mean phase duration of disappearance in LVF,while the disappearance occurred more frequently and lasted longer for each occurrence,which led to an increase in the total invisibility period,in the focused-than divided-attention condition in UVF.These results suggest that the modulation of spatial attention on MIB has different patterns in UVF and LVF.展开更多
文摘AIM: To investigate the hypothesis that duodenal bulb (DB) inhibition on pyloric antrum (PA) contraction is reflex. METHODS: Balloon (condom)-tipped tube was introduced into 1^st duodenum (DD) and a manometric tube into each of PA and DD. Duodenal and antral pressure response to duodenal and then PA balloon distension with saline was recorded. These tests were repeated after separate anesthetization of DD and PA. RESULTS: Two and 4 mL of 1^st DD balloon distension produced no pressure changes in DD or PA (10.7±1.2 vs 9.8±1.2, 11.2±1.2 vs 11.3±1.2 on H20 respectively, P〉0.05). Six mL distension effected 1^st DD pressure rise (30.6±3.4 cm H20, P 〈0.01) and PA pressure decrease (6.2±1.4 cm H20, P〈0.05); no response in 2^nd, 3^rd and 4^th DD. There was no difference between 6, 8, and 10 mL distensions. Ten mL PA distension produced no PA or 1^st DD pressure changes (P〉 0.05). Twenty mL distension increased PA pressure (92.4 4±10.7 cm H20, P〈0.01) and decreased 1^st DD pressure (1.6±0.3 cm H20, P〈0.01); 30, 40, and 50 mL distension produced the same effect as the 20 mL distension (P 〉 0.05). PA or DD distension after separate anesthetization produced no significant pressure changes in PA or DD. CONCLUSION: Large volume DD distension produced DD pressure rise denoting DD contraction and PA pressure decline denoting PA relaxation. PA relaxation upon DD contraction is postulated to be mediated through a reflex which we call duodeno-antral reflex. Meanwhile, PA distension effected DD relaxation which we suggest to be reflex and termed antro-duodenal reflex. It is suggested that these 2 reflexes, could act as investigative tools in diagnosis of gastroduodenal motility disorders.
基金Supported by the National Natural Science Foundation of China(Grant Nos.30470570 and 30100053)
文摘When a global moving pattern is superimposed on high-contrast stationary or slowly moving stimuli, the stimuli can be perceived as disappearing and reappearing alternately for periods of several sec- onds.This visual illusory phenomenon was named“motion-induced blindness”(MIB)in recent litera- ture.So far there is no consensus on the mechanism of MIB,especially on the role of attention in this phenomenon.To examine the effect of spatial attention on MIB,the present study manipulated the participants’spatial attention by asking them to respond to two targets simultaneously presented in bilateral visual fields(the divided-attention condition)or only respond to one of them(the fo- cused-attention condition).A central arrow was presented as an endogenous cue to index the target visual field in the focused-attention condition,while a point was presented instead in the di- vided-attention condition.The results show that the percentage of accumulated invisibility period was larger for the targets in the focused-attention condition than for those in the divided-attention condition. This effect of attention is significant in upper visual field(UVF)and left lower visual field(left LVF);that is,this effect shows a hemispheric asymmetry in LVF but not in UVF.Furthermore,the percentage of accumulated invisibility period was larger for targets in left LVF than for those in right LVF in the fo- cused-attention condition,but no hemispheric asymmetry was found in the divided-attention condition. In addition,the increased percentage of accumulated invisibility period in the focused-attention condi- tion originated merely in the enhancement of the mean phase duration of disappearance in LVF,while the disappearance occurred more frequently and lasted longer for each occurrence,which led to an increase in the total invisibility period,in the focused-than divided-attention condition in UVF.These results suggest that the modulation of spatial attention on MIB has different patterns in UVF and LVF.