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G M Frigo

Publications and source records attributed to G M Frigo.

At least 91 records · Page 5Linked to original sources

Some observations on the intrinsic nervous mechanism in Hirschsprung's disease.

Both at rest and during transmural stimulation acetylcholine output from isolated longitudinal and circular muscle strips is significantly higher in the spastic segment than in the proximal dilated bowel. No difference has been found in the tissue concentration of acetylcholine between ganglionic and aganglionic specimens. The pattern of response to transmural stimulation is also similar in the spastic and dilated bowel. However, after cholinergic and adrenergic blockade transmural stimulation fails to induce relaxation in aganglionic specimens, as it does in normal colon. The hypotheses are advanced that the increase in acetylcholine output may be partly dependent on a failure of the intrinsic modulating mechanisms and that an alteration of the non-adrenergic inhibitory neurons may be involved in the motor disturbances of the aganglionic tract.

Acetylcholine↗

A pharmacological analysis of the peristaltic reflex in the isolated colon of the guinea-pig or cat.

1. The peristaltic reflex in the colon was elicited by a localized intraluminal stimulus. The contractile response of the longitudinal coat, which consists of two phases, begins before the start of propulsion. Although the contractions of the longitudinal and circular musculature are usually associated, they may be independent of each other. In particular, the longitudinal contraction does not seem to be necessary for propulsion.2. Both the longitudinal reflex contraction and the segmental responses of the circular muscle to distension, namely a contraction above and a relaxation below the bolus, are abolished by tetrodotoxin and ganglion blocking agents.3. In the guinea-pig, longitudinal and circular reflex contractions are usually resistant to antimuscarine, antihistamine and antitryptamine drugs but in the cat they are abolished by antimuscarine drugs. In both species, however, atropine and hyoscine can impair propulsion by blocking selectively the descending inhibition. In the cat, it is possible to find doses which abolish the descending inhibition without affecting the contractile responses of the longitudinal and circular muscle.4. Sympathetic denervation and pretreatment with reserpine do not affect the propulsive activity. The maintenance of the descending inhibition in denervated organs suggests that the inhibitory neurones to the circular muscle are not adrenergic.5. On the basis of the effects of drugs, the possible nervous mechanism subserving the polarity of propulsion has been examined. Such a mechanism seems to require an inhibitory pathway involving muscarinic receptors at some point.6. Pelvic nerve stimulation facilitates propulsive activity. The effect of transmural stimulation is different at low and at high frequencies of stimulation. The inhibitory effect of sympathetic stimulation on the reflex responses seems to be due mainly to an action on intrinsic nervous structures.

Acetylcholine↗

An improved method for studying the peristaltic reflex in the isolated colon.

1. A method is described for studying the peristaltic reflex in the guinea-pig or cat isolated colon, using a graded localized intraluminal stimulus consisting of a solid bolus.2. The method gives an easy evaluation of propulsive activity and makes it possible to record simultaneously the segmental activity of the circular muscle in relation to the site of stimulation and the contractions and relaxations of the longitudinal muscle coat.3. The velocity of propulsion, which is a reliable measure of propulsive activity, is dependent on the degree of distension and is easily affected by physical agents and nervous stimulation. A solid bolus is propelled only when there is simultaneous ascending contraction and descending inhibition of the circular musculature.4. Since the peristaltic reflex could not be elicited from areas from which the mucosal and submucosal layers had been removed, these layers are essential for the triggering of the peristaltic reflex and for the propulsion of solid contents in the colon.

Animals↗