Effect of gastric dysrhythmias on postcibal motor activity of the stomach.

The effect of electrical dysrhythmias on the mechanical activity of the fed stomach was investigated in 5 conscious dogs implanted with Ag-AgCl electrodes and strain gauge force transducers. Each dog was fed 1 can of ALPO and electromechanical activities of the stomach were recorded for the next 120 min. The results show that intraarterial boluses of met-enkephalin (75 micrograms/kg), PGE2 (36 micrograms/kg), and epinephrine (36 micrograms/kg) induced episodes of antral dysrhythmias whereas saline (1 cc) did not. The postcibal antral motility index for the test period was not altered following saline injection, but it was reduced by 61%, 70%, and 81% following the administration of met-enkephalin, epinephrine, and PGE2, respectively (p less than 0.01 vs. baseline period). During periods of normal electrical rhythm, PGE2 and epinephrine significantly reduced the antral motility index (2.07 +/- 0.93 and 3.24 +/- 0.79, respectively) vs. saline (7.92 +/- 0.44) (p less than 0.05 for both drugs) whereas met-enkephalin (4.98 +/- 0.56) did not. In contrast, during episodes of dysrhythmia, met-enkephalin significantly depressed antral motility (1.70 +/- 0.74) (p less than 0.05 vs. periods with normal electrical rhythm) whereas neither epinephrine nor PGE2 caused a further reduction in antral motility from what was seen during periods of normal electrical rhythm (1.84 +/- 0.72 and 1.34 +/- 0.37, respectively). We thus conclude that intraarterial administration of met-enkephalin, PGE2, or epinephrine induce gastric dysrhythmias postcibally and depress antral contractile activity. The relaxatory effect of met-enkephalin on antral contractions is primarily due to its dysrhythmic effect whereas PGE2 and epinephrine inhibit antral motility even when the electrical rhythm is undisturbed.