Abstract
Changes in intragastric pressure after dorsal truncal vagotomy, investigated by stimulation of the surviving vagal branches and by step inflation of the stomach, were divided into an early phase lasting five days, and a late phase continuing for at least three months. During the early phase the amplitude of vagal evoked contraction was diminished but the resting pressure and the response to gastric inflation were increased. After the fifth day vagal evoked contractions doubled in amplitude but the resting pressure and the response to step inflation of the stomach returned to control levels. Ventral vagotomy did not produce any substantial changes. Alterations to gastric and body weight, or to the relation between resting pressure and evoked contraction and relaxation were excluded as causes of the enhanced vagal effectiveness. Sprouting of axons into denervated territory occurred too late to explain the changes, but an increase in synaptic density within the innervated territory has not been ruled out.
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Selected References
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- Adami H. O., Enander L. K., Enskog L., Ingvar C., Rydberg B. Recurrences 1 to 10 years after highly selective vagotomy in prepyloric and duodenal ulcer disease. Frequency, pattern, and predictors. Ann Surg. 1984 Apr;199(4):393–399. doi: 10.1097/00000658-198404000-00004. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Andersen D., Amdrup E., Høstrup H., Sørensen F. H. The Aarhus County Vagotomy Trial: trends in the problem of recurrent ulcer after parietal cell vagotomy and selective gastric vagotomy with drainage. World J Surg. 1982 Jan;6(1):86–92. doi: 10.1007/BF01656378. [DOI] [PubMed] [Google Scholar]
- Andrews P. L., Grundy D., Lawes I. N. The role of the vagus and splanchnic nerves in the regulation of intragastric pressure in the ferret. J Physiol. 1980 Oct;307:401–411. doi: 10.1113/jphysiol.1980.sp013442. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Andrews P. L., Lawes I. N., Bower A. J. Peripheral functional organisation of vagally evoked gastric motor responses in the ferret. Gut. 1980 Oct;21(10):811–817. doi: 10.1136/gut.21.10.811. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Andrews P. L., Lawes I. N. Characteristics of the vagally driven non-adrenergic, non-cholinergic inhibitory innervation of ferret gastric corpus. J Physiol. 1985 Jun;363:1–20. doi: 10.1113/jphysiol.1985.sp015692. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Andrews P. L., Lawes I. N. Gastric tone modifies the responses to extrinsic neural stimuli in the anaesthetized ferret. J Physiol. 1985 Sep;366:1–16. doi: 10.1113/jphysiol.1985.sp015781. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Andrews P. L., Lawes I. N. The role of vagal and intramural inhibitory reflexes in the regulation of intragastric pressure in the ferret. J Physiol. 1982 May;326:435–451. doi: 10.1113/jphysiol.1982.sp014204. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Andrews P. L., Scratcherd T. The gastric motility patterns induced by direct and reflex excitation of the vagus nerves in the anaesthetized ferret. J Physiol. 1980 May;302:363–378. doi: 10.1113/jphysiol.1980.sp013248. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Asala S. A., Bower A. J. An electron microscope study of vagus nerve composition in the ferret. Anat Embryol (Berl) 1986;175(2):247–253. doi: 10.1007/BF00389602. [DOI] [PubMed] [Google Scholar]
- Betz W. J., Caldwell J. H., Ribchester R. R. Sprouting of active nerve terminals in partially inactive muscles of the rat. J Physiol. 1980 Jun;303:281–297. doi: 10.1113/jphysiol.1980.sp013285. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Bortolotti M., Labo G., Serantoni C., Ciani P. Effect of highly selective vagotomy on gastric motor activity of duodenal ulcer patients. Digestion. 1978;17(2):108–120. doi: 10.1159/000198101. [DOI] [PubMed] [Google Scholar]
- Brackett K. A., Crocket A., Joffe S. N. Sequential ultrastructural study of mucosal innervation following parietal cell vagotomy and antrectomy. Experientia. 1984 Aug 15;40(8):850–852. doi: 10.1007/BF01951990. [DOI] [PubMed] [Google Scholar]
- Brown M. C., Ironton R. Sprouting and regression of neuromuscular synapses in partially denervated mammalian muscles. J Physiol. 1978 May;278:325–348. doi: 10.1113/jphysiol.1978.sp012307. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Cotman C. W., Nieto-Sampedro M. Cell biology of synaptic plasticity. Science. 1984 Sep 21;225(4668):1287–1294. doi: 10.1126/science.6382610. [DOI] [PubMed] [Google Scholar]
- Cowley D. J., Vernon P., Jones T., Glass H. I., Cox A. G. Gastric emptying of solid meals after truncal vagotomy and pyloroplasty in human subjects. Gut. 1972 Mar;13(3):176–181. doi: 10.1136/gut.13.3.176. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Daniel E. E., Sarna S. K. Distribution of excitatory vagal fibers in canine gastric wall to control motility. Gastroenterology. 1976 Oct;71(4):608–613. [PubMed] [Google Scholar]
- Diamond J., Cooper E., Turner C., Macintyre L. Trophic regulation of nerve sprouting. Science. 1976 Jul 30;193(4251):371–377. doi: 10.1126/science.935873. [DOI] [PubMed] [Google Scholar]
- Donahue P. E., Bombeck C. T., Condon R. E., Nyhus L. M. Proximal gastric vagotomy versus selective vagotomy with antrectomy: results of a prospective, randomized clinical trial after four to twelve years. Surgery. 1984 Oct;96(4):585–591. [PubMed] [Google Scholar]
- Donovan I. A., Clarke R. J., Gunn I. F., Alexander-Williams J. A comparison of gastric emptying at 3 and 12 months after proximal gastric or selective vagotomy without pyloroplasty. Br J Surg. 1974 Nov;61(11):889–892. doi: 10.1002/bjs.1800611107. [DOI] [PubMed] [Google Scholar]
- Duchen L. W., Tonge D. A. The effects of implantation of an extra nerve on axonal sprouting usually induced by botulinum toxin in skeletal muscle of the mouse. J Anat. 1977 Sep;124(Pt 1):205–215. [PMC free article] [PubMed] [Google Scholar]
- Frank E., Jansen J. K., Lomo T., Westgaard R. H. The interaction between foreign and original motor nerves innervating the soleus muscle of rats. J Physiol. 1975 Jun;247(3):725–743. doi: 10.1113/jphysiol.1975.sp010954. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Gleysteen J. J., Kalbfleisch J. H. Progression of changes in gastric emptying of hypertonic liquids after proximal gastric vagotomy. An experimental study. Dig Dis Sci. 1981 Feb;26(2):119–123. doi: 10.1007/BF01312227. [DOI] [PubMed] [Google Scholar]
- Gleysteen J. J., Sarna S. K., Myrvik A. L. Canine cyclic motor activity of stomach and small bowel: the vagus is not the governor. Gastroenterology. 1985 Jun;88(6):1926–1931. doi: 10.1016/0016-5085(85)90021-6. [DOI] [PubMed] [Google Scholar]
- Gulsrud P. O., Taylor I. L., Watts H. D., Cohen M. B., Elashoff J., Meyer J. H. How gastric emptying of carbohydrate affects glucose tolerance and symptoms after truncal vagotomy with pyloroplasty. Gastroenterology. 1980 Jun;78(6):1463–1471. [PubMed] [Google Scholar]
- Gurney M. E. Suppression of sprouting at the neuromuscular junction by immune sera. Nature. 1984 Feb 9;307(5951):546–548. doi: 10.1038/307546a0. [DOI] [PubMed] [Google Scholar]
- Henderson C. E., Huchet M., Changeux J. P. Denervation increases a neurite-promoting activity in extracts of skeletal muscle. Nature. 1983 Apr 14;302(5909):609–611. doi: 10.1038/302609a0. [DOI] [PubMed] [Google Scholar]
- Hoffmann J., Jensen H. E., Schulze S., Poulsen P. E., Christiansen J. Prospective controlled vagotomy trial for duodenal ulcer: results after five years. Br J Surg. 1984 Aug;71(8):582–585. doi: 10.1002/bjs.1800710803. [DOI] [PubMed] [Google Scholar]
- Holland R. L., Brown M. C. Postsynaptic transmission block can cause terminal sprouting of a motor nerve. Science. 1980 Feb 8;207(4431):649–651. doi: 10.1126/science.6243417. [DOI] [PubMed] [Google Scholar]
- Hollinshead J. W., Debas H. T., Yamada T., Elashoff J., Osadchey B., Walsh J. H. Hypergastrinemia develops within 24 hours of truncal vagotomy in dogs. Gastroenterology. 1985 Jan;88(1 Pt 1):35–40. doi: 10.1016/s0016-5085(85)80129-3. [DOI] [PubMed] [Google Scholar]
- Kelly K. A. Effect of gastrin on gastric myo-electric activity. Am J Dig Dis. 1970 May;15(5):399–405. doi: 10.1007/BF02283864. [DOI] [PubMed] [Google Scholar]
- Koffman C. G., Hay D. J., Ganguli P. C., Elder J. B., Gillespie I. E., Mantoudis S. M., Tweedle D. E., Schofield P. F., Palmer M. A prospective randomized trial of vagotomy in chronic duodenal ulceration: 4-year follow-up. Br J Surg. 1983 Jun;70(6):342–345. doi: 10.1002/bjs.1800700611. [DOI] [PubMed] [Google Scholar]
- Lewis P. R., Scott J. A., Navaratnam V. Localization in the dorsal motor nucleus of the vagus in the rat. J Anat. 1970 Sep;107(Pt 2):197–208. [PMC free article] [PubMed] [Google Scholar]
- Mackay T. W., Andrews P. L. A comparative study of the vagal innervation of the stomach in man and the ferret. J Anat. 1983 May;136(Pt 3):449–481. [PMC free article] [PubMed] [Google Scholar]
- Mayer E. A., Thomson J. B., Jehn D., Reedy T., Elashoff J., Deveny C., Meyer J. H. Gastric emptying and sieving of solid food and pancreatic and biliary secretions after solid meals in patients with nonresective ulcer surgery. Gastroenterology. 1984 Dec;87(6):1264–1271. [PubMed] [Google Scholar]
- Morgan K. G., Schmalz P. F., Go V. L., Szurszewski J. H. Effects of pentagastrin, G17, and G34 on the electrical and mechanical activities of canine antral smooth muscle. Gastroenterology. 1978 Sep;75(3):405–412. [PubMed] [Google Scholar]
- Smith L. M., Petty H. R., Parham P., McConnell H. M. Cell surface properties of HLA antigens on Epstein-Barr virus-transformed cell lines. Proc Natl Acad Sci U S A. 1982 Jan;79(2):608–612. doi: 10.1073/pnas.79.2.608. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Stoddard C. J., Johnson A. G., Duthie H. L. The four to eight year results of the Sheffield trial of elective duodenal ulcer surgery--highly selective or truncal vagotomy? Br J Surg. 1984 Oct;71(10):779–782. doi: 10.1002/bjs.1800711015. [DOI] [PubMed] [Google Scholar]
- Taylor T. V., Gunn A. A., Macleod D. A., MacLennan I. Anterior lesser curve seromyotomy and posterior truncal vagotomy in the treatment of chronic duodenal ulcer. Lancet. 1982 Oct 16;2(8303):846–849. doi: 10.1016/s0140-6736(82)90811-x. [DOI] [PubMed] [Google Scholar]
