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020 _a9783540329480
024 7 _a10.1007/978-3-540-32948-0
_2doi
050 4 _aQL801
_b.E67 vol. 185 EB
082 0 4 _a610
700 1 _aNeuhuber, W. L.
_eeditor literario.
_985397
_0Local
_1http://viaf.org/viaf/72280549
245 0 0 _aInnervation of the Mammalian Esophagus
_cedited by W.L. Neuhuber.
264 1 _aBerlin, Heidelberg
_bSpringer International Publishing
_c2006.
300 _a1 recurso en línea (X, 76 páginas)
_b14 ilustraciones
336 _aTexto (visual)
_btxt
_2rdacontent
337 _aelectrónico
_bc
_2rdamedia
338 _arecurso electrónico
_bcr
_2rdacarrier
490 0 _aAdvances in Anatomy, Embryology and Cell Biology
_x0301-5556
_v185
505 0 _aIntroduction -- Muscle layers of the esophagus -- Materials and Methods. Anterograde WGA-HRP tracing from nodose ganglion. Anterograde DiI tracing from thoracic dorsal root ganglia -- Extrinsic innervation. Vagal innervation -- Spinal innervation. Innervation of esophageal sphincters. Swallowing central pattern generator. Cortical representation of the esophagus in human -- Intrinsic innervation. General organization. Enteric coinnervation -- Functional considerations. General remarks. Cooperation between extrinsic and intrinsic systems -- Concluding remarks -- Summary -- References -- Subject Index.
520 _aUnderstanding the innervation of the esophagus is a prerequisite for successful treatment of a variety of disorders, e.g., dysphagia, achalasia, gastroesophageal reflux disease (GERD) and non-cardiac chest pain. Although, at first glance, functions of the esophagus are relatively simple, their neuronal control is considerably complex. Vagal motor neurons of the nucleus ambiguus and preganglionic neurons of the dorsal motor nucleus innervate striated and smooth muscle, respectively. Myenteric neurons represent the interface between the dorsal motor nucleus and smooth muscle but are also involved in striated muscle innervation. Intraganglionic laminar endings (IGLEs) represent mechanosensory vagal afferent terminals. They also establish intricate connections with enteric neurons. Afferent information is implemented by the swallowing central pattern generator in the brainstem, which generates and coordinates deglutitive activity in both striated and smooth esophageal muscle and orchestrates esophageal sphincters as well as gastric adaptive relaxation. Disturbed excitation/inhibition balance in the lower esophageal sphincter results in motility disorders, e.g., achalasia and gastroesophageal reflux disease. Loss of mechanosensory afferents disrupts adaptation of deglutitive motor programs to bolus variables, eventually leading to megaesophagus. Both spinal and vagal afferents appear to contribute to painful sensations, e.g., non-cardiac chest pain. Extrinsic and intrinsic neurons may be involved in intramural reflexes using acetylcholine, nitric oxide, substance P, CGRP and glutamate as main transmitters. In addition, other molecules, e.g., ATP, GABA and probably also inflammatory cytokines may modulate these neuronal functions.
650 7 _aAnatomía
_2embne
_9138486
856 4 0 _uhttps://go.openathens.net/redirector/universidadeuropea.es?url=https://link.springer.com/book/10.1007/978-3-540-32948-0
_zAcceso a este recurso digital (usuarios Universidad Europea de Madrid)
907 _a.b12819840
_b10-10-17
_c01-10-14
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