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Physiologie des tubulären Oesophagus

  • Chapter
Funktionsstörungen der Speiseröhre

Zusammenfassung

Der Transport durch den Oesophagus verläuft rasch, und die Entleerung ist dabei vollständig, so daß der normale Oesophagus im Ruhezustand praktisch leer ist. Das Lumen der Speiseröhre stellt dann einen virtuellen Raum dar. Beim normalen Schluckakt beginnt die Kontraktion hoch im Pharynx, läuft distalwärts über den ganzen Oesophagus weiter und erreicht schließlich die Kardia. Die fortschreitende Kontraktion des tubulären Oesophagus, die durch Schlucken ausgelöst wird, bezeichnet man als „primäre Peristaltik“. Sie gewährleistet den oesophagealen Transport eines festen Bolus und eines flüssigen Schluckes, sofern dieser gegen die Gravitation erfolgt. Für den Transport von Flüssigkeiten bei aufrechter Körperhaltung scheint die Gravitation die Hauptrolle zu spielen.

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Authors
  1. J. Hellemans
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  2. G. Vantrappen
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Editors and Affiliations

  1. Klinik und Poliklinik für Allgemeinchirurgie der Universität Göttingen, D-3400, Göttingen, Goßlerstr. 10, Deutschland

    Rüdiger Siewert

  2. Medizinische Klinik, Stadtspital Triemli, CH-8063, Zürich, Birmensdorfer Str. 497, Schweiz

    André Louis Blum

  3. C. H. Boehringer Sohn, D-6507, Ingelheim, Deutschland

    Franz Waldeck

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Hellemans, J., Vantrappen, G. (1976). Physiologie des tubulären Oesophagus. In: Siewert, R., Blum, A.L., Waldeck, F. (eds) Funktionsstörungen der Speiseröhre. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-66297-3_3

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