Document Detail


Continuous distal oesophageal acidification decreases postprandial gastric acidity in healthy human subjects.
MedLine Citation:
PMID:  19053984     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: Previously, we hypothesized that exposing the distal oesophagus to acid signals the stomach to decrease gastric acidity. AIM: To test the hypothesis that exposing the distal oesophagus to acid signals the stomach to decrease gastric acidity. METHODS: Twenty-two healthy humans ingested a standard meal containing [(14)C]octanoic acid and [(13)C]glycine over 30 min on 2 separate occasions. Gastric pH was measured for 90 min before and 240 min after the meal. 10 mm HCl was infused continuously at 1 mL/min into either the distal oesophagus or stomach in a 2-way crossover fashion for 60 min before and 240 min after the meal. Gastric emptying of solid and liquid were determined with breath tests. RESULTS: Compared to gastric infusion, oesophageal infusion significantly decreased gastric acidity after the meal, but not before the meal and the magnitude of the decrease varied directly with gastric acidity. Gastric emptying of solid or liquid with oesophageal infusion was not significantly different from that with gastric infusion. CONCLUSIONS: These findings support the hypothesis of the existence of a physiological oesophago-gastric feedback mechanism that might contribute to regulation of postprandial gastric acidity. Oesophageal acidification might decode gastric information and signal the stomach to decrease gastric acidity. Further studies are needed to assess the characteristics of such feedback mechanism in-patients with gastro-oesophageal reflux disease (GERD).
Authors:
K Blondeau; D Sifrim; J D Gardner
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't     Date:  2008-11-28
Journal Detail:
Title:  Alimentary pharmacology & therapeutics     Volume:  29     ISSN:  1365-2036     ISO Abbreviation:  Aliment. Pharmacol. Ther.     Publication Date:  2009 Mar 
Date Detail:
Created Date:  2009-02-03     Completed Date:  2009-07-06     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8707234     Medline TA:  Aliment Pharmacol Ther     Country:  England    
Other Details:
Languages:  eng     Pagination:  561-70     Citation Subset:  IM    
Affiliation:
Center for Gastroenterological Research, Catholic University of Leuven, Leuven, Belgium.
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MeSH Terms
Descriptor/Qualifier:
Feedback / drug effects*,  physiology
Gastric Acid / physiology*
Gastric Acidity Determination
Gastric Emptying / drug effects*
Humans
Hydrogen-Ion Concentration / drug effects
Postprandial Period
Stomach / drug effects*,  physiology
Time Factors

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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