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Studies of the dynamics of the “nipple valve” in dogs with continent colostomies

 

作者: H. Säuberli,   S. Geroulanos,   P. Hahnloser,   H. Schauwecker,   N. Kock,  

 

期刊: Diseases of the Colon & Rectum  (OVID Available online 1974)
卷期: Volume 17, issue 6  

页码: 735-740

 

ISSN:0012-3706

 

年代: 1974

 

出版商: OVID

 

数据来源: OVID

 

摘要:

&NA;In five dogs with continent colostomies constructed according to a method described previously the dynamics of the “nipple valve” were studied electromanometrically by recording simultaneously the intracolonic pressure and the “withdrawal” pressure. A high‐pressure zone was recorded in the nipple valve and the length of the zone corresponded roughly to the anatomic nipple length. The maximal pressures in the high‐pressure zones varied considerably in different dogs as well as in the same animal from time to time. When the intraluminal pressure of the bowel was high, as occurs before emptying, the pressure in the high‐pressure zone was higher. After emptying, when the intraluminal pressure was low, the pressure in the high‐pressure zone diminished, but remained higher than the intraluminal pressure. The minimum pressure in the high‐pressure zone always exceeded that simultanously recorded in the bowel lumen. In acute experiments it was found that a nipple length of at least 2.5 cm was necessary for achieving continence for air.

 



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