Document Detail


Effects of cisapride on postcibal jejunal motor activity.
MedLine Citation:
PMID:  2766908     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
In the jejunum of fasting humans, cisapride induces a phase 2-like, highly propagative motor pattern. This study investigated cisapride's effects on the fed pattern of the jejunum. Starting 5 min after a phase 3 of the migrating motor complex, 18 healthy men received 5 or 10 mg cisapride or placebo orally in random double-blind fashion and ingested meals containing 1000 and 4200 kJ, respectively. Jejunal pressures were recorded pneumohydraulically with five catheter orifices 10-30 cm aboard the ligament of Treitz. After the 4200-kJ meal, total number and number of propagated contractions as well as area under the curve increased significantly more than after 1000 kJ. Following the 1000-kJ but not the 4200-kJ meal, 10 mg cisapride increased total number of contractions, number of propagated contractions, mean amplitude, and area under curve significantly more than placebo. Fed-pattern duration increased with the meal's caloric content but was not influenced systematically by cisapride. In conclusion, cisapride stimulates jejunal motor activity and induces a propagative pattern after a 1000-kJ but not after a 4200-kJ meal, suggesting that it can produce no further stimulation when motor activity is near maximally enhanced already.
Authors:
G Stacher; G Gaupmann; H Steinringer; C Schneider; G Stacher-Janotta; G Steiner-Mittelbach; T A Abatzi
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Publication Detail:
Type:  Clinical Trial; Journal Article; Randomized Controlled Trial    
Journal Detail:
Title:  Digestive diseases and sciences     Volume:  34     ISSN:  0163-2116     ISO Abbreviation:  Dig. Dis. Sci.     Publication Date:  1989 Sep 
Date Detail:
Created Date:  1989-09-25     Completed Date:  1989-09-25     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  7902782     Medline TA:  Dig Dis Sci     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  1405-10     Citation Subset:  AIM; IM    
Affiliation:
Department of Psychiatry, University of Vienna, Austria.
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MeSH Terms
Descriptor/Qualifier:
Adult
Cisapride
Double-Blind Method
Eating
Fasting
Gastrointestinal Motility / drug effects*
Humans
Jejunum / drug effects
Male
Muscle Contraction / drug effects
Piperidines / pharmacology*
Pressure
Random Allocation
Reference Values
Chemical
Reg. No./Substance:
0/Piperidines; 81098-60-4/Cisapride

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


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