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Interdigestive motilin secretion and gallstone disease

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Summary

Plasma motilin concentrations were measured in eight controls and 11 patients with radiolucent gallstones over a period of 3–4 h following an overnight fast. In five of these patients the interdigestive motor complex (IDMC) was studied simultaneously. The results indicate: a) cyclical changes of plasma motilin concentrations (mean cycle duration 110±9.9 and 102±8.4 min,\(\bar x\)±SEM) and a significant correlation between the basal intercyclical motilin concentrations and the age (p<0.02) in the controls and the gallstone patients studied, and b) a significant correlation between the maximal motilin increase and the age in the controls (p<0.01) but not in the gallstone patients. The results therefore suggest a different behaviour of the interdigestive motilin patterns in controls and gallstone patients. As the motilin cycles were accompanied in 90% with an IDMC in the five patients studied this conclusion might include an abnormal interdigestive motor activity within the intestinal tract in gallstone patients.

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References

  1. Bloom SR, Adrian TE, Mitchenere P, Sagor GR, Christofides ND (1981) Motilin-induced gallbladder contraction-a new mechanism. Gastroenterology 80:1113

    Google Scholar 

  2. Domschke W (1977) Motilin: spectrum and mode of gastrointestinal actions. Dig Dis Sci 22:454–461

    Google Scholar 

  3. Dowling RH, Mack E, Small DM (1971) Biliary lipid secretion and bile composition after acute and chronic interruption of the enterohepatic circulation in the rhesus monkey. J Clin Invest 50:1917–1926

    Google Scholar 

  4. Itoh Z, Takeuchi S, Aizawa I, Mori K, Taminoto T, Seino Y, Imura H, Yanaihara N (1978) Changes in plasma motilin concentration and gastrointestinal contractile activity in conscious dogs. Dig Dis Sci 23:929–935

    Google Scholar 

  5. Klapdor R, Schliewe J, Valerius H (1975) Zur Physiologie der Gallesekretion beim Zwergschwein. Res Exp Med (Berl) 166:241–251

    Google Scholar 

  6. Klapdor R, Jenniches J, Humke R (1975) Zur Bedcutung der intestinalen Passagezeit für die biliäre Gallensäurensekretion und die Lithogenität des Gallensaftes. Verh Dtsch Ges Inn Med 81:1302–1305

    Google Scholar 

  7. Klapdor R, Jenniches J, Humke R (1978) Inhibition of bile salt excretion and bile flow by spasmolytic drugs. Drug Res 28:46–47

    Google Scholar 

  8. Lee KY, Dhey WY, Tai HH, Yajima H (1978) Radioimmunoassay of motilin. Validation and studies on the relationship between plasma motilin and interdigestive myoelectric activity of the duodenum of dogs. Dig Dis Sci 23:789–795

    Google Scholar 

  9. Lux G, Strunz U, Domschke S, Femppel J, Mitznegg P, Rösch W, Domschke W (1978) Motilin and interdigestive myoelectric and motor activity of the small intestine in man: lack of causal relationship. Scand J Gastroenterol [Suppl 49] 13:118

    Google Scholar 

  10. Lux G, Femppel J, Lederer P, Rösch W, Domschke W (1979) Increased duodenal alkali load associated with the interdigestive myoelectric complex. Acta Hepato-Gastroenterol 26:166–169

    Google Scholar 

  11. Mok HYI, Bergmann K, Grundy SM (1980) Kinetics of biliary lipid secretion and gallbladder storage. Gastroenterology 78:1023–1033

    Google Scholar 

  12. Northfield TC, Hofmann AF (1975) Biliary output during three meals and an overnight fast. I. Relationship to bile acid pool size and cholesterol saturation of bile in gallstone and control subjects. Gut 16:1–17

    PubMed  Google Scholar 

  13. Ruppin II, Sturm G, Westhoff D, Domschke S, Domschke W, Wünsch E, Demling L (1976) Effect of 13-nle-motilin on small intestinal transit time in healthy subjects. Scand J Gastroenterol 11 [Suppl 39]:85–88

    Google Scholar 

  14. Track NS, Watters LM, Gauldie J (1979) Motilin, human pancreatic polypeptide (HPP) and gastrin plasma concentrations in fasting subjects. Clin Biochem 12:1149

    Google Scholar 

  15. Vantrappen G, Janssens J, Peeters TL, Bloom S, van Tongeren J, Hellemans J (1978) Does motilin have a role in eliciting the interdigestive migrating motor complex (MMC) in man? Gastroenterology 74:1149

    Google Scholar 

  16. Vantrappen G, Janssens J, Peeters TL, Bloom SR, Christofides ND, Hellemans J (1979) Motilin and the interdigestive migrating motor complex in men. Dig Dis Sci 24:497–500

    Google Scholar 

  17. van der Waerden BC (1957) Mathematische Statistik. Springer, Berlin Göttingen Heidelberg

    Google Scholar 

  18. Wheeler HO (1971) Concentrating function of the gallbladder. Am J Med 51:588–597

    PubMed  Google Scholar 

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Klapdor, R., Hammer, E. Interdigestive motilin secretion and gallstone disease. Klin Wochenschr 61, 251–253 (1983). https://doi.org/10.1007/BF01496131

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