Literature DB >> 9544958

Gastric mucosal protection from enteral nutrients: role of motility.

K S Ephgrave1, K J Brasel, J J Cullen, K A Broadhurst.   

Abstract

BACKGROUND: Cold restraint stress increases the force of gastric contractions and produces gastric mucosal injury in rats. The aim of our study was to determine whether enteral glucose or hyperglycemia alone would alter the stress-induced gastric motility pattern and ameliorate the associated gastric mucosal injury.
METHODS: Adult male rats underwent surgical placement of gastric catheters, jugular venous catheters, and gastric strain gauge transducers 5 days before cold restraint. Three groups of rats received different substances during the same cold restraint stress protocol. Group 1 received 0.9% NaCl, 2 mL/h infused both intravenously (i.v.) and intragastrically (i.g.); group 2 received 0.9% NaCl, 2 mL/h i.g. plus 25% glucose, 2 mL/h i.v.; and group 3 received 0.9% NaCl, 2 mL/h i.v. plus 25% glucose i.g. Following baseline gastric motility measurements, all rats were restrained for 2 hours at 20 degrees C followed by 2 hours at 4 degrees C.
RESULTS: Restraint even at room temperature increased the force of gastric contractions; the cold environment gradually prolonged gastric contractions. Enteral glucose blunted the effects of stress on gastric motility, increased gastric residual volume, decreased gastric acidity, and prevented gastric mucosal injury. Parenteral glucose had little effect on any gastric parameters.
CONCLUSIONS: Enteral glucose prevents the abnormal gastric motility pattern that is necessary to produce the gastric mucosal injury associated with cold restraint stress, but hyperglycemia alone has little effect on the pathophysiology of cold restraint.

Entities:  

Mesh:

Substances:

Year:  1998        PMID: 9544958     DOI: 10.1016/s1072-7515(98)00048-9

Source DB:  PubMed          Journal:  J Am Coll Surg        ISSN: 1072-7515            Impact factor:   6.113


  3 in total

1.  Protective effect of palm vitamin E and α-tocopherol against gastric lesions induced by water immersion restraint stress in Sprague-Dawley rats.

Authors:  Ibrahim Abdel Aziz Ibrahim; Kamisah Yusof; Nafeeza Mohd Ismail; Nur Azlina Mohd Fahami
Journal:  Indian J Pharmacol       Date:  2008-03       Impact factor: 1.200

2.  The effects of palm vitamin E on stress hormone levels and gastric lesions in stress-induced rats.

Authors:  Ibrahim Abdel Aziz Ibrahim; Yusof Kamisah; Mohd Ismail Nafeeza; Mohd Fahami Nur Azlina
Journal:  Arch Med Sci       Date:  2012-02-29       Impact factor: 3.318

Review 3.  Early enteral nutrition versus delayed enteral nutrition in patients with gastrointestinal bleeding: A PRISMA-compliant meta-analysis.

Authors:  Hongyan Zhang; Yu Wang; Shujun Sun; Xin Huang; Guangjie Tu; Jingxu Wang; Yun Lin; Haifa Xia; Yin Yuan; Shanglong Yao
Journal:  Medicine (Baltimore)       Date:  2019-03       Impact factor: 1.817

  3 in total

北京卡尤迪生物科技股份有限公司 © 2022-2023.