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Biomedical subjects

A M Connell

Publications and source records attributed to A M Connell.

At least 55 records · Page 3Linked to original sources

Control factors in the release of gastrin by direct electrical stimulation of the vagus.

The release of gastrin by direct electrical stimulation of the vagus was studied together with the relative effects on the response of antral and duodenal acidification. As expected, gastrin levels increased to three times the normal simulated response following antral neutralization. In contrast, duodenal acidification failed to influence the vagal release of gastrin when the antrum was neutralized although it had a minor effect when the antrum was acidified. Thus the antral pH dominates over duodenal pH as a factor in controlling gastrin release. Surprisingly, atropine in doses which blocked acid release and produced marked cardiac effects failed to inhibit the release of gastrin from the antrum on vagal stimulation. This suggests that, using this model, vagal release of gastrin, if cholinergic, is highly resistant to atropine.

Animals↗

Limitations of radiology in the differentiation of diverticulitis and diverticulosis of the colon.

While barium enema is the most useful investigation in the primary diagnosis of diverticular disease of the colon, this paper presents further evidence that the terms "diverticulosis" and "diverticulitis" are unsatisfactory and shows that a radiological classification on the traditional criteria is not accurate in determining whether or not inflammation is associated with colonic diverticula.

Acute Disease↗

The cricopharyngeal sphincter in gastric reflux.

This study was prompted by a clinical association noted between reflux oesophagitis and upper oesophageal disorders. Patients with reflux oesophagitis have been shown to have a significantly raised resting cricopharyngeal pressure. Patients with reflux oesophagitis (36%) complaining of dysphagia localized to the throat also had a high resting cricopharyngeal pressure. Successful repair of a hiatus hernia restored the cricopharyngeal pressure to within the normal range. Four of the five patients studied who had a pharyngeal pouch also had a raised cricopharyngeal pressure.

Deglutition Disorders↗