Document Detail


The effect of cisapride and metoclopramide on human digestive and interdigestive antroduodenal motility.
MedLine Citation:
PMID:  7886398     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: To date, there is little information available about the effect of cisapride and metoclopramide on gastroduodenal pressure waves and their space/time orientation. METHODS: Antroduodenal pressures (two antral, three duodenal recording sites) were measured in nine healthy volunteers. Cisapride (10 mg), metoclopramide (10 mg), and placebo were administered intravenously on different days in a randomized manner. RESULTS: During the interdigestive state cisapride increased the motility index significantly in the antrum (p < 0.05) and duodenum (p < 0.005), metoclopramide only in the duodenum (p < 0.01). Antroduodenal coordination was significantly (p < 0.01) improved by cisapride but not by metoclopramide. There is evidence of antroduodenal coordination even during the interdigestive state. After a liquid test meal an increase in the antroduodenal motility index (p < 0.05), in the rate of prograde antroduodenal peristalsis (p < 0.01), and in antroduodenal coordination (p < 0.01) was caused by cisapride but not metoclopramide. Both prokinetics decreased (p < 0.01) retrograde antroduodenal peristalsis. CONCLUSION: Cisapride significantly improves antroduodenal coordination and antroduodenal motility; metoclopramide seems to be less effective.
Authors:
G Lux; M Katschinski; S Ludwig; P Lederer; A Ellermann; W Domschke
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Publication Detail:
Type:  Clinical Trial; Comparative Study; Journal Article; Randomized Controlled Trial    
Journal Detail:
Title:  Scandinavian journal of gastroenterology     Volume:  29     ISSN:  0036-5521     ISO Abbreviation:  Scand. J. Gastroenterol.     Publication Date:  1994 Dec 
Date Detail:
Created Date:  1995-04-13     Completed Date:  1995-04-13     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  0060105     Medline TA:  Scand J Gastroenterol     Country:  NORWAY    
Other Details:
Languages:  eng     Pagination:  1105-10     Citation Subset:  IM    
Affiliation:
Dept. of Medicine, Clinic A, University of Erlangen-Nuremberg, Germany.
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MeSH Terms
Descriptor/Qualifier:
Adult
Cisapride
Digestion / drug effects,  physiology
Double-Blind Method
Duodenum / drug effects,  physiology
Female
Gastrointestinal Motility / drug effects*,  physiology
Humans
Infusions, Intravenous
Male
Manometry
Metoclopramide / administration & dosage,  pharmacology*
Piperidines / administration & dosage,  pharmacology*
Pyloric Antrum / drug effects,  physiology
Serotonin Antagonists / administration & dosage,  pharmacology*
Chemical
Reg. No./Substance:
0/Piperidines; 0/Serotonin Antagonists; 364-62-5/Metoclopramide; 81098-60-4/Cisapride

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


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