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. 1981 Sep;22(9):705–712. doi: 10.1136/gut.22.9.705

Electrical arrhythmias in the human stomach.

C J Stoddard, R H Smallwood, H L Duthie
PMCID: PMC1419876  PMID: 7028578

Abstract

Myoelectrical activity was recorded from the human antrum on 136 occasions using a monopolar mucosal electrode in preoperative and post-vagotomy patients, and bipolar serosal electrodes in post-cholecystectomy patients, and the incidence of antral arrhythmias observed. Arrhythmias of long duration were observed in five out of 62 patients after vagotomy and one out of 10 patients after cholecystectomy, but not in preoperative patients. They were characterised by slow waves with increased frequency, variable period, amplitude, and wave shape and were associated with periods of slow wave inhibition. None of the patients with an arrhythmia had any symptoms of disordered gastric motility. Antral arrhythmias could also be induced in some patients by the administration of insulin, secretin, cholecystokinin-pancreozymin, glucagon, and pentagastrin. The appearance of antral arrhythmias is probably due to a relative increase of sympathetic over parasympathetic activity. The maximal slow wave frequency observed was 8.3 cycles per minute and it is probable that in vivo human antral smooth muscle has a maximum frequency above which it cannot be driven.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Code C. F., Marlett J. A. Canine tachygastria. Mayo Clin Proc. 1974 May;49(5):325–332. [PubMed] [Google Scholar]
  2. Couturier D., Rozé C., Paolaggi J., Debray C. Electrical activity of the normal human stomach. A comparative study of recordings obtained from the serosal and mucosal sides. Am J Dig Dis. 1972 Nov;17(11):969–976. doi: 10.1007/BF02239136. [DOI] [PubMed] [Google Scholar]
  3. GOODMAN E. N., COLCHER H., KATZ G. M., DANGLER C. L. The clinical significance of the electrogastrogram. Gastroenterology. 1955 Oct;29(4):598-608; discussion, 607-8. [PubMed] [Google Scholar]
  4. Kelly K. A., Code C. F. Effect of transthoracic vagotomy on canine gastric electrical activity. Gastroenterology. 1969 Jul;57(1):51–58. [PubMed] [Google Scholar]
  5. Kelly K. A., Code C. F., Elveback L. R. Patterns of canine gastric electrical activity. Am J Physiol. 1969 Aug;217(2):461–470. doi: 10.1152/ajplegacy.1969.217.2.461. [DOI] [PubMed] [Google Scholar]
  6. Kelly K. A., La Force R. C. Pacing the canine stomach with electric stimulation. Am J Physiol. 1972 Mar;222(3):588–594. doi: 10.1152/ajplegacy.1972.222.3.588. [DOI] [PubMed] [Google Scholar]
  7. Kwong N. K., Brown B. H., Whittaker G. E., Duthie H. L. Electrical activity of the gastric antrum in man. Br J Surg. 1970 Dec;57(12):913–916. doi: 10.1002/bjs.1800571211. [DOI] [PubMed] [Google Scholar]
  8. MCCOY E. J., BASS P. CHRONIC ELECTRICAL ACTIVITY OF GASTRODUODENAL AREA: EFFECTS OF FOOD AND CERTAIN CATECHOLAMINES. Am J Physiol. 1963 Sep;205:439–445. doi: 10.1152/ajplegacy.1963.205.3.439. [DOI] [PubMed] [Google Scholar]
  9. MORTON H. S. The potentialities of the electrogastrograph; Hunterian lecture delivered at the Royal College of Surgeons of England on 10th June 1954. Ann R Coll Surg Engl. 1954 Dec;15(6):351–373. [PMC free article] [PubMed] [Google Scholar]
  10. Nelsen T. S., Eigenbrodt E. H., Keoshian L. A., Bunker C., Johnson L. Alterations in muscular and electrical activity of the stomach following vagotomy. Arch Surg. 1967 Jun;94(6):821–835. doi: 10.1001/archsurg.1967.01330120075015. [DOI] [PubMed] [Google Scholar]
  11. Nelsen T. S., Kohatsu S. Clinical electrogastrography and its relationship to gastric surgery. Am J Surg. 1968 Aug;116(2):215–222. doi: 10.1016/0002-9610(68)90496-0. [DOI] [PubMed] [Google Scholar]
  12. SHIRATORI T., SUGAWARA K., KURODA S. SURGICAL SIGNIFICANCE OF PYLOROPLASTY WITH SPECIAL REFERENCE TO ELECTROMYOGRAPHIC FINDINGS. Tohoku J Exp Med. 1965 Mar 25;85:192–200. doi: 10.1620/tjem.85.192. [DOI] [PubMed] [Google Scholar]
  13. Sarna S. K., Daniel E. E., Kingma Y. J. Simulation of the electric-control activity of the stomach by an array of relaxation oscillators. Am J Dig Dis. 1972 Apr;17(4):299–310. doi: 10.1007/BF02231729. [DOI] [PubMed] [Google Scholar]
  14. Stoddard C. J., Brown B. H., Duthie H. L. Proceedings: the effects of varying the extent of vagotomy on the canine gastric and duodenal myoelectrical activity. Br J Surg. 1973 Nov;60(11):913–913. [PubMed] [Google Scholar]
  15. Stoddard C. J., Smallwood R., Brown B. H., Duthie H. L. The immediate and delayed effects of different types of vagotomy on human gastric myoelectrical activity. Gut. 1975 Mar;16(3):165–170. doi: 10.1136/gut.16.3.165. [DOI] [PMC free article] [PubMed] [Google Scholar]
  16. Telander R. L., Morgan K. G., Kreulen D. L., Schmalz P. F., Kelly K. A., Szurszewski J. H. Human gastric atony with tachygastria and gastric retention. Gastroenterology. 1978 Sep;75(3):497–501. [PubMed] [Google Scholar]
  17. You C. H., Lee K. Y., Chey W. Y., Menguy R. Electrogastrographic study of patients with unexplained nausea, bloating, and vomiting. Gastroenterology. 1980 Aug;79(2):311–314. [PubMed] [Google Scholar]

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