Document Detail


Duodenogastric reflux in humans: its relationship to fasting antroduodenal motility and gastric, pancreatic, and biliary secretion.
MedLine Citation:
PMID:  7262517     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Duodenogastric reflux may have pathophysiologic importance, but its mechanism is poorly understood. We propose that duodenogastric reflux and periodic changes in motor and secretory activity of the upper gut during fasting may be related. Therefore we determined the relationships between duodenogastric reflux and interdigestive motor-secretory cycles in a group of 6 healthy individuals, on each of whom we performed three 7-h studies in random order on separate days. In all studies gastric intubation and antral pressure recordings were performed. However, in design 1 we used a slow duodenal perfusion rate of [14C]PEG in saline (0.25 ml/min) while in design 3 we used a fast perfusion rate (3.0 ml/min). Duodenal pressures were also recorded during these designs. In design 2 no transpyloric tubes were present. Our study shows that, in humans, fasting duodenogastric reflux of bile and pancreatic juice is cyclic and closely related to the interdigestive migrating motor complex. Reflux is highest during late phase II (when secretory activity is also on the rise) and lowest after phase III. One of the important functions of the migrating motor complex in humans may be to clear the stomach of refluxed duodenal secretions.
Authors:
F B Keane; E P Dimagno; J R Malagelada
Related Documents :
3221107 - Pressure of papillary sphincter zone and pancreatic main duct in patients with alcoholi...
9793467 - Effect of some gastrointestinal hormones on antral, small intestinal and caecal myoelec...
16504467 - Behavior of the cricopharyngeal segment during esophageal phonation in laryngectomized ...
3815457 - Effects of pinaverium bromide on oddi's sphincter.
22559577 - High-pressure cell for neutron reflectometry of supercritical and subcritical fluids at...
7263397 - Regular fetal breathing induced by pilocarpine infusion in the near-term fetal lamb.
Publication Detail:
Type:  Clinical Trial; Journal Article; Randomized Controlled Trial; Research Support, U.S. Gov't, P.H.S.    
Journal Detail:
Title:  Gastroenterology     Volume:  81     ISSN:  0016-5085     ISO Abbreviation:  Gastroenterology     Publication Date:  1981 Oct 
Date Detail:
Created Date:  1981-10-25     Completed Date:  1981-10-25     Revised Date:  2007-11-14    
Medline Journal Info:
Nlm Unique ID:  0374630     Medline TA:  Gastroenterology     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  726-31     Citation Subset:  AIM; IM    
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:
Adult
Bile / secretion*
Duodenum / physiology*,  secretion
Fasting
Gastric Acid / secretion*
Gastrointestinal Motility*
Humans
Middle Aged
Pancreas / secretion*
Perfusion
Stomach / physiology*
Grant Support
ID/Acronym/Agency:
AM 26428/AM/NIADDK NIH HHS; CA 25064/CA/NCI NIH HHS

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


Previous Document:  Indomethacin produces gastric antral ulcers in the refed rat.
Next Document:  Patterns of spike burst spread and flow in the canine small intestine.