Imaging and modelling of digestion in the stomach and the duodenum

被引:196
作者
Schulze, K
机构
[1] VAMC, Iowa City, IA 52242 USA
[2] Univ Iowa, Iowa City, IA 52242 USA
关键词
chyme; duodenal bulb; duodenal motility and absorption; gastric motility and emptying; gastric secretion; intestinal peristalsis and absorption; particle dispersion; pylorus; terminal antral contraction; trituration;
D O I
10.1111/j.1365-2982.2006.00759.x
中图分类号
R57 [消化系及腹部疾病];
学科分类号
摘要
Gastroduodenal physiology is traditionally understood in terms of motor-secretory functions and their electrical, neural and hormonal controls. In contrast, the fluid-mechanical functions that retain and disperse particles, expose substrate to enzymes, or replenish the epithelial boundary with nutrients are little studied. Current ultrasound and magnetic resonance imaging allows to visualize processes critical to digestion like mixing, dilution, swelling, dispersion and elution. Methodological advances in fluid mechanics allow to numerically analyse the forces promoting digestion. Pressure and flow fields, the shear stresses dispersing particles or the effectiveness of bolus mixing can be computed using information on boundary movements and on the luminal contents. These technological advances promise many additional insights into the mechanical processes that promote digestion and absorption.
引用
收藏
页码:172 / 183
页数:12
相关论文
共 105 条
[1]   MECHANICS OF PULSATILE TRANSPYLORIC FLOW IN THE PIG [J].
ANVARI, M ;
DENT, J ;
JAMIESON, GG .
JOURNAL OF PHYSIOLOGY-LONDON, 1995, 488 (01) :193-202
[2]  
Armand M, 1999, AM J CLIN NUTR, V70, P1096
[3]   DIETARY-FAT MODULATES GASTRIC LIPASE ACTIVITY IN HEALTHY HUMANS [J].
ARMAND, M ;
HAMOSH, M ;
DIPALMA, JS ;
GALLAGHER, J ;
BENJAMIN, SB ;
PHILPOTT, JR ;
LAIRON, D ;
HAMOSH, P .
AMERICAN JOURNAL OF CLINICAL NUTRITION, 1995, 62 (01) :74-80
[4]   Physicochemical characteristics of emulsions during fat digestion in human stomach and duodenum [J].
Armand, M ;
Borel, P ;
Pasquier, B ;
Dubois, C ;
Senft, M ;
Andre, M ;
Peyrot, J ;
Salducci, J ;
Lairon, D .
AMERICAN JOURNAL OF PHYSIOLOGY-GASTROINTESTINAL AND LIVER PHYSIOLOGY, 1996, 271 (01) :G172-G183
[5]   CHARACTERIZATION OF EMULSIONS AND LIPOLYSIS OF DIETARY LIPIDS IN THE HUMAN STOMACH [J].
ARMAND, M ;
BOREL, P ;
DUBOIS, C ;
SENFT, M ;
PEYROT, J ;
SALDUCCI, J ;
LAFONT, H ;
LAIRON, D .
AMERICAN JOURNAL OF PHYSIOLOGY, 1994, 266 (03) :G372-G381
[6]   ORIGIN AND SPREAD OF SLOW WAVES IN CANINE GASTRIC ANTRAL CIRCULAR MUSCLE [J].
BAUER, AJ ;
PUBLICOVER, NG ;
SANDERS, KM .
AMERICAN JOURNAL OF PHYSIOLOGY, 1985, 249 (06) :G800-G806
[7]   Neuroanatomy of extrinsic afferents supplying the gastrointestinal tract [J].
Berthoud, HR ;
Blackshaw, LA ;
Brookes, SJH ;
Grundy, D .
NEUROGASTROENTEROLOGY AND MOTILITY, 2004, 16 :28-33
[8]   Video-based spatio-temporal maps for analysis of gastric motility in vitro:: effects of vagal stimulation in guinea-pigs [J].
Berthoud, HR ;
Hennig, G ;
Campbell, M ;
Volaufova, J ;
Costa, M .
NEUROGASTROENTEROLOGY AND MOTILITY, 2002, 14 (06) :677-688
[9]  
BIANCANI P, 1980, GASTROENTEROLOGY, V78, P301
[10]   LOCALLY AND REFLEXLY MEDIATED EFFECTS OF CHOLECYSTOKININ-OCTAPEPTIDE ON THE FERRET STOMACH [J].
BLACKSHAW, LA ;
GRUNDY, D .
JOURNAL OF THE AUTONOMIC NERVOUS SYSTEM, 1991, 36 (02) :129-138