Skip to main content
Gut logoLink to Gut
. 1985 Jul;26(7):689–693. doi: 10.1136/gut.26.7.689

Altered solid and liquid gastric emptying in patients with duodenal ulcer disease.

G J Maddern, M Horowitz, D J Hetzel, G G Jamieson
PMCID: PMC1433000  PMID: 4018631

Abstract

Alteration in gastric emptying has been implicated in duodenal ulcer disease. The precise abnormalities remain controversial. We have used a radionuclide technique to assess solid and liquid gastric emptying in 14 patients with endoscopically proven duodenal ulcer and 22 healthy controls. Solid gastric emptying values for the patient group fell within the normal range. The median time taken for 50% (T50) of the liquid marker to empty from the stomach was 12 minutes (range 6-23 minutes) which was significantly faster (p less than .005) than controls (median 18 minutes, range 11-35). In 10 of the 14 patients, however, the rate of liquid emptying was within the normal range. There was no significant difference in the T50 for gastric emptying of solids between the groups, but in duodenal ulcer patients food left the stomach significantly earlier than in controls (p less than .05). After this, however, the linear rate at which duodenal ulcer patients emptied solid food from the stomach was a median 0.75%/minutes (range 0.5-1.4 minutes), which was slower (p less than .0005) than controls, median 1.25/minutes (range 0.7-2.3). These results show that the pattern of gastric emptying of digestible solids and liquids in patients with duodenal ulcer disease, as a group, is significantly altered.

Full text

PDF
689

Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Brömster D. Gastric emptying rate in gastric and duodenal ulceration. A clinical study including the changes of the gastric contents after a liquid test meal. Scand J Gastroenterol. 1969;4(2):193–201. doi: 10.3109/00365526909179928. [DOI] [PubMed] [Google Scholar]
  2. Collins P. J., Horowitz M., Cook D. J., Harding P. E., Shearman D. J. Gastric emptying in normal subjects--a reproducible technique using a single scintillation camera and computer system. Gut. 1983 Dec;24(12):1117–1125. doi: 10.1136/gut.24.12.1117. [DOI] [PMC free article] [PubMed] [Google Scholar]
  3. Dalton M. D., Eisenstein A. M., Walsh J. H., Fordtran J. S. Effect of secretin on gastric function in normal subjects and in patients with duodenal ulcer. Gastroenterology. 1976 Jul;71(1):24–29. [PubMed] [Google Scholar]
  4. Dubois A., Castell D. O. Abnormal gastric emptying response to pentagastrin in duodenal ulcer disease. Dig Dis Sci. 1981 Apr;26(4):292–296. doi: 10.1007/BF01308367. [DOI] [PubMed] [Google Scholar]
  5. Griffith G. H., Owen G. M., Campbell H., Shields R. Gastric emptying in health and in gastroduodenal disease. Gastroenterology. 1968 Jan;54(1):1–7. [PubMed] [Google Scholar]
  6. Grimes D. S., Goddard J. Effect of cigarette smoking on gastric emptying. Br Med J. 1978 Aug 12;2(6135):460–461. doi: 10.1136/bmj.2.6135.460. [DOI] [PMC free article] [PubMed] [Google Scholar]
  7. HUNT J. N. Inhibition of gastric emptying and secretion in patients with duodenal ulcer. Lancet. 1957 Jan 19;272(6960):132–134. doi: 10.1016/s0140-6736(57)90203-9. [DOI] [PubMed] [Google Scholar]
  8. Heading R. C., Tothill P., McLoughlin G. P., Shearman D. J. Gastric emptying rate measurement in man. A double isotope scanning technique for simultaneous study of liquid and solid components of a meal. Gastroenterology. 1976 Jul;71(1):45–50. [PubMed] [Google Scholar]
  9. Horowitz M., Maddern G. J., Chatterton B. E., Collins P. J., Harding P. E., Shearman D. J. Changes in gastric emptying rates with age. Clin Sci (Lond) 1984 Aug;67(2):213–218. doi: 10.1042/cs0670213. [DOI] [PubMed] [Google Scholar]
  10. Howlett P. J., Sheiner H. J., Barber D. C., Ward A. S., Perez-Avila C. A., Duthie H. L. Gastric emptying in control subjects and patients with duodenal ulcer before and after vagotomy. Gut. 1976 Jul;17(7):542–550. doi: 10.1136/gut.17.7.542. [DOI] [PMC free article] [PubMed] [Google Scholar]
  11. Hunt J. N., Knox M. T. The slowing of gastric emptying by four strong acids and three weak acids. J Physiol. 1972 Apr;222(1):187–208. doi: 10.1113/jphysiol.1972.sp009793. [DOI] [PMC free article] [PubMed] [Google Scholar]
  12. Lam S. K., Isenberg J. I., Grossman M. I., Lane W. H., Hogan D. L. Rapid gastric emptying in duodenal ulcer patients. Dig Dis Sci. 1982 Jul;27(7):598–604. doi: 10.1007/BF01297215. [DOI] [PubMed] [Google Scholar]
  13. Malagelada J. R., Longstreth G. F., Deering T. B., Summerskill W. H., Go V. L. Gastric secretion and emptying after ordinary meals in duodenal ulcer. Gastroenterology. 1977 Nov;73(5):989–994. [PubMed] [Google Scholar]
  14. Meyer J. H., MacGregor I. L., Gueller R., Martin P., Cavalieri R. 99mTc-tagged chicken liver as a marker of solid food in the human stomach. Am J Dig Dis. 1976 Apr;21(4):296–304. doi: 10.1007/BF01071842. [DOI] [PubMed] [Google Scholar]
  15. Moore J. G., Tweedy C., Christian P. E., Datz F. L. Effect of age on gastric emptying of liquid--solid meals in man. Dig Dis Sci. 1983 Apr;28(4):340–344. doi: 10.1007/BF01324951. [DOI] [PubMed] [Google Scholar]
  16. Read N. W., Al Janabi M. N., Bates T. E., Barber D. C. Effect of gastrointestinal intubation on the passage of a solid meal through the stomach and small intestine in humans. Gastroenterology. 1983 Jun;84(6):1568–1572. [PubMed] [Google Scholar]
  17. Strunz U. Hormonal control of gastric emptying. Acta Hepatogastroenterol (Stuttg) 1979 Aug;26(4):334–341. [PubMed] [Google Scholar]
  18. Stubbs D. F., Hunt J. N. A relation between the energy of food and gastric emptying in men with duodenal ulcer. Gut. 1975 Sep;16(9):693–694. doi: 10.1136/gut.16.9.693. [DOI] [PMC free article] [PubMed] [Google Scholar]
  19. Wormsley K. G. Response to duodenal acidification in man. IV. Effct on gastric emptying. Scand J Gastroenterol. 1972;7(7):631–637. doi: 10.3109/00365527209180968. [DOI] [PubMed] [Google Scholar]
  20. Wormsley K. G. The pathophysiology of duodenal ulceration. Gut. 1974 Jan;15(1):59–81. doi: 10.1136/gut.15.1.59. [DOI] [PMC free article] [PubMed] [Google Scholar]

Articles from Gut are provided here courtesy of BMJ Publishing Group

RESOURCES