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The Pyloric Sphincteric Cylinder in Health and Disease (Paperback, Softcover reprint of the original 1st ed. 1993)
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Discovery Miles 28 280
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The Pyloric Sphincteric Cylinder in Health and Disease (Paperback, Softcover reprint of the original 1st ed. 1993)
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There has long been disagreement about various aspects of the
structure and function of the "gatekeeper" (Greek pyloros, from
pyle = gate and ouros = guard). In recent years the problem has
often been mentioned in anatomy, physiology, gastroenterology,
radiology and even in nuclear medicine. For instance, while
referring to manometric and gastric emptying studies, Schu- urkes
and van Nuenten (1984 ) pointed out that there was considerable
contro- versy as to whether a true pyloric sphincter existed in
most species, and espe- cially in man. According to Reeve (1981)
many functional aspects of sphincters are poorly understood; the
exact mechanism of control of the transfer of chyme from stomach to
duodenum through the pylorus is still not clear. Malagelada (1983)
states that controversy surrounds the motor activity and function
of the antro- duodenal junction; there is disagreement as to
whether the pylorus functions as or as an integral part of the
distal antrum. Ehrlein et al. (1984) a separate unit reiterate that
pyloric motility is poorly understood, and according to Funch-
Jensen (1987) there are many unsolved questions. Malagelada (1990)
states that the stomach performs multiple functions with a
deceivingly simple anat- omy; this is regarded as the key to the
investigator's frustration when trying to uncover its secrets. One
source of the many controversies surrounding the pylorus may be
species differences, according to Schulze-Delrieu et al. (1984).
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