Effect of gastric acid suppressants on human gastric motility.

Abstract:

BACKGROUND:The effect of histamine H2 receptor antagonists on gastric emptying is controversial. AIMS:To determine the effects of ranitidine, famotidine, and omeprazole on gastric motility and emptying. PATIENTS AND METHODS:Fifteen normal subjects underwent simultaneous antroduodenal manometry, electrogastrography (EGG), and gastric emptying with dynamic antral scintigraphy (DAS). After 30 minutes of fasting manometry and EGG recording, subjects received either intravenous saline, ranitidine, or famotidine, followed by another 30 minutes recording and then three hours of postprandial recording after ingestion of a radiolabelled meal. Images were obtained every 10-15 minutes for three hours to measure gastric emptying and assess antral contractility. Similar testing was performed after omeprazole 20 mg daily for one week. RESULTS:Fasting antral phase III migrating motor complexes (MMCs) were more common after ranitidine (9/15 subjects, 60%), famotidine (12/15, 80%), and omeprazole (8/12, 67%) compared with placebo (4/14, 29%; p < 0.05). Postprandially, ranitidine, famotidine, and omeprazole slowed gastric emptying, increased the amplitude of DAS contractions, increased the EGG power, and increased the antral manometric motility index. CONCLUSIONS:Suppression of gastric acid secretion with therapeutic doses of gastric acid suppressants is associated with delayed gastric emptying but increased antral motility.

journal_name

Gut

journal_title

Gut

authors

Parkman HP,Urbain JL,Knight LC,Brown KL,Trate DM,Miller MA,Maurer AH,Fisher RS

doi

10.1136/gut.42.2.243

subject

Has Abstract

pub_date

1998-02-01 00:00:00

pages

243-50

issue

2

eissn

0017-5749

issn

1468-3288

journal_volume

42

pub_type

临床试验,杂志文章,随机对照试验

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