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Published on: July 13, 2016
Duodenal nutrient exposure contributes to enhancing gastric accommodation
Florencia Carbone1, Sofie Verschueren1, Alessandra Rotondo1
1Translational Research Centre for Gastrointestinal Disorders, University of Leuven, Leuven, Belgium.
Duodenal nutrient exposure enhances gastric accommodation. Blocking nutrient passage to the duodenum reduces accommodation and increases fullness and nausea, impacting meal-induced satiation.
Area of Science:
- Gastroenterology
- Digestive Physiology
Background:
- Gastric accommodation is a reflex allowing stomach relaxation to hold ingested food.
- The precise mechanisms controlling gastric accommodation remain incompletely understood.
- This study investigates the role of duodenal nutrient sensing in gastric accommodation and satiation.
Purpose of the Study:
- To determine the contribution of duodenal nutrient exposure to gastric accommodation.
- To assess the impact of duodenal nutrient exposure on meal-induced satiation.
- To investigate the relationship between pyloric function and epigastric symptom perception.
Main Methods:
- Intragastric pressure (IGP) was measured in 11 healthy subjects during nutrient drink infusion.
- Pyloric balloon obstruction was used to prevent duodenal nutrient passage.
- Subjects reported satiation and epigastric symptoms using Likert scales and visual analogue scales.
Main Results:
- Pyloric obstruction significantly reduced IGP drop and area under the curve compared to control.
- Nutrient tolerance was decreased with pyloric obstruction (787.9 mL vs 970.9 mL).
- Pyloric obstruction exacerbated symptoms of bloating, fullness, and nausea.
Conclusions:
- Duodenal nutrient exposure is crucial for enhancing gastric accommodation.
- Inhibiting duodenal nutrient passage impairs gastric accommodation.
- Blocking duodenal nutrient flow increases satiation, bloating, nausea, and fullness.
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