• Title/Summary/Keyword: Gastrointestinal transit

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Scintigraphic Evaluation of Gastrointestinal Motility Disorders (기능성 위장관 질환에서 핵의학 검사의 역할)

  • Choe, Jae-Gol
    • The Korean Journal of Nuclear Medicine
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    • v.35 no.1
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    • pp.1-11
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    • 2001
  • Current scintigraphic tests of gastrointestinal motor function provides relevant pathophysiologic information, but their clinical utility is controversial. Many scintigraphic methods are developed to investigate gastrointestinal motility from oral cavity to colon. These are esophageal transit scintigraphy, oropharyngeal transit study, gastric emptying test, small bowel transit time measurement, colon transit study and gastroesopahgeal reflux scintigraphy. Scintigraphy of gastrointestinal tract is the most physiologic and noninvasive method to evaluate gastrointestinal motility disorders. Stomach emptying test is regarded as a gold standard in motility study. Gastrointestinal transit scintigraphy also has a certain role in assessment of drug effect to GI motility and changes alter therapy of motility disorders. Scintigraphy provides noninvasive and quantitative assessment of physiological transit throughout the gastrointestinal tract, and it is extremely useful for diagnosing gastrointestinal motor dysfunction. This article reviews the current procedures, indications, significance and guidelines for gastrointestinal motility measurements by scintigraphy.

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Effects of Chilsun-Whan on Intestinal Mucosa and Gastrointestinal Transit Time in Rats (칠선환이 흰쥐 장점막과 위장관의 통과속도에 미치는 영향)

  • Lee Chang Hyun;Han Woong;Kim Young Soo;Lee Kwang Gyu
    • Journal of Physiology & Pathology in Korean Medicine
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    • v.18 no.1
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    • pp.187-193
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    • 2004
  • Constipation is a common clinical problem that comprises of symptoms that include excessive straining, hard feces, feeling of incomplete evacuation and infrequent defecation. Although many conditions, such as metabolic problems, fiber deficiency, anorectal problem, an drug, can cause constipation. This study was examined the effects of Chilsun-Whan on intestinal mucosa and gastrointestinal transit time and plasma lipids in rats. Adult male rats were fed for weeks on diets containing no addition(basal diet group), 5% cellulose(cellulose group) and 2.5% . Chilsun-Whan group(Chilsun-Whan group). The results were as follows; 1. The fecal weght was significantly increased 2 times in Chilsun-Whan administrated group compare to basal diet group. 2. The gastrointestinal transit times was significantly decreased in Chilsun-Whan administrated group compare to basal diet. 3. Carmine red mixed with Chilsun-Whan, as a marker, was administered through a gastric tube for stomach or intracecally by a chronically implanted catheter for colon transit. Small intestinal transit and large intestinal transit time were significantly decreased in Chilsun-Whan administrated group compare to basal diet. 4. The height of jejunal villi was developed in Chilsun-Whan administrated group compare to basal diet The thickness of mucosa and muscle layer of colonic mucosa were significantly developed in Chilsun-Whan administrated group compare to basal diet group. 5. The change of goblet cell in colonic mucosa was increased acid mucin stained alcian blue in Chilsun-Whan administrated group compare to basal diet and cellulose group. 6. HDL-cholesterol of plasma lipid was increased in Chilsun-Whan administrated group compare to basal diet and cellulose groups. Theses results suggests that Chilsun-Whan may be used in prevention and treatment of constipation resulting in increase of fecal weight, decrease of gastrointestinal transit time. development of intestinal villi, intensify of stainability of acid mucin in colon.

The Effect of Dietary Pectin on the Upper Gastrointestinal Transit Rate in Rats (흰쥐에 있어서 펙틴이 식이의 상부소화관내 이동 속도에 미치는 영향)

  • Kim, Jung-In
    • Journal of the Korean Society of Food Science and Nutrition
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    • v.21 no.6
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    • pp.627-632
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    • 1992
  • The effect of dietary pectin in the upper gastrointestinal transit rate was studied. Rats fed fiber-free diet or 10% pectin diet were offered 51-$CrCl_3,$ a transit marker. The movement of 51-Cr dose through the gastrointestinal tract was measured at intervals from 20 minutes to 6 hours after dosing. pectin significantly increased gastric emptying rate upto 3 hours after dosing. Pectin also increased small intestinal transit rate from 3 hours to 4 hours after dosing. The results suggest that delayed gastric emptying is not likely the important aspect of the mechanism by which pectin could flatten the post-prandial response of serum glucose and insulin.

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Effects of Morphological Changes and Intestinal Transit time After Administration of Daesenggi-Tang in Rats

  • Yang Jun Seok;Shin Hyun Jong;Lee Chang Hyun;Lee Kwang Gyu;Kwon Gang Joo;Woo Won Hong;Kim Young Soo
    • Journal of Physiology & Pathology in Korean Medicine
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    • v.18 no.4
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    • pp.1199-1206
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    • 2004
  • This study was examined the effects of Daesenggi-Tang on intestinal mucosa and gastrointestinal transit time and plasma lipids in rats. Adult male rats were fed four weeks on diets containing no addition(basal diet group), 5% cellulose(cellulose group) and Daesenggi-Tang group(Daesenggi-Tang group). The results were as follows; 1. The gastrointestinal transit times was significantly decreased in Daesenggi-Tang administered group compare to basal diet and cellulose groups. Carmine red mixed with Daesenggi-Tang, as a marker, was administered through a gastric tube for stomach or intracecally by a chronically implanted catheter for colon transit. Small intestinal transit and large intestinal transit time were significantly decreased in Daesenggi-Tang administered group compare to basal diet. 3. The height of jejunal villi was developed in Daesenggi-Tang administered group compare to basal diet. The thickness of mucosa and muscle layer of colonic mucosa were significantly developed in Daesenggi-Tang administered group compare to basal diet group. 4. The numerical change of goblet cell in colonic mucosa was increased acid mucin stained alcian blue in Daesenggi-Tang administered group compare to basal diet and cellulose group. 6. HDL-cholesterol of plasma lipid was increased in Daesenggi-Tang administered group compare to basal diet and cellulose groups. Theses results suggests that Daesenggi-Tang may be used in prevention and treatment of constipation resulting in increase of fecal weight, decrease of gastrointestinal transit time, development of intestinal villi, intensify of stainability of acid mucin in colon.

Medical Treatment of Functional Gastrointestinal Disorders in Children: Prokinetic Agents (소아의 기능성 장질환에서 사용하는 소화기계 약물의 종류: 위장관조절제)

  • Seo, Ji-Hyun
    • Pediatric Gastroenterology, Hepatology & Nutrition
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    • v.11 no.sup1
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    • pp.30-37
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    • 2008
  • The knowledge of motility disorders of the gastrointestinal tract has increased over the past decades. The development of newer therapies for bowel motility disorders has been disappointingly slow. Prokinetic agents are medications that enhance coordinated gastrointestinal motility and transit of material in the gastrointestinal tract. These agents are pharmacologically and chemically diverse. However, life-threatening adverse effects of prokinetic agents such as cisapride was present. In this review, pharmacologic effects and use of prokinetic agents in children was introduced.

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The Effects of Glutamate NMDA Receptor Antagonist MK-801 on Gastrointestinal Motility after Middle Cerebral Artery Occlusion in Rats

  • Ameer, Nasir Hussin;Lee, Jae-Hee;Choi, Myoung-Ae;Jin, Guang-Shi;Kim, Min-Sun;Park, Byung-Rim
    • The Korean Journal of Physiology and Pharmacology
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    • v.14 no.3
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    • pp.151-156
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    • 2010
  • This study was performed to investigate the role of glutamate neurotransmitter system on gastrointestinal motility in a middle cerebral artery occlusion (MCAO) model of rats. The right middle cerebral artery was occluded by surgical operation, and intestinal transit and geometric center as a parameter of gastrointestinal motility and expression of c-Fos protein in the insular cortex and cingulate cortex were measured at 2 and 12 h after MCAO. Intestinal transit was $66.3{\pm}7.5%$ and $62.3{\pm}5.7%$ 2 and 12 h after sham operation, respectively, and MCAO significantly decreased intestinal transit to $39.0{\pm}3.5%$ and $47.0{\pm}5.1%$ at 2 and 12 h after the occlusion, respectively (p<0.01). The geometric center was $5.6{\pm}0.4$ and $5.2{\pm}0.9$ at 2 and 12 h after sham operation, respectively, and MCAO significantly decreased geometric center to $2.9{\pm}0.8$ and $3.0{\pm}0.3$ at 2 and 12 h after the occlusion, respectively (p<0.01). In control animals, injection of atropine decreased intestinal transit to $35.9{\pm}5.2%$, and injection of glutamate NMDA receptor antagonist, MK-801, decreased intestinal transit to $28.8{\pm}9.5%$. Pretreatment with MK-801, a glutamate NMDA receptor antagonist, in the MCAO group decreased intestinal transit to $11.8{\pm}3.2%$, which was significantly decreased compared to MCAO group (p<0.01). MCAO markedly increased the expression of c-Fos protein in the insular cortex and cingulate cortex ipsilateral to the occlusion 2 h after MCAO, and pretreatment with MK-801 produced marked reduction of c-Fos protein expression compared to MCAO group (p<0.01). These results suggest that modulation of gastrointestinal motility after MCAO might be partially mediated through a glutamate NMDA receptor system.

Effect of Indigestible Dextrin on Large Intestinal Functions and Fecal States of Rats (난소화성 덱스트린의 섭취가 흰쥐의 장 기능 및 분변 성상에 미치는 영향)

  • 강현숙;이연숙;박양자
    • Journal of Nutrition and Health
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    • v.31 no.6
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    • pp.991-998
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    • 1998
  • The effects of indigestible dextrin on serum lipid and glucose concentrations, large intestinal functions, feces states, and gastrointestinal transit time were studied with 90 male Sprague-Dawley rats. Diets contained 0.5% cellulose(0.5CL control), 10% cellulose(10CL), and 10% indigestible dextrin I (10ID-I), respectively and were fed to the rats for 3 weeks. Serum cholesterol and LDL-cholesterol concentrations were lower in rats fed the 10ID-I diet. Serum triglyceride concentration was lower in rats fed the 10CL diet. Cecal content and cecum weight significantly increased in the rats fed the 10ID- I diet. Cecal pH of the rats fed the 10ID-I diet was lower than that of the rats fed the 0.5CL diet. Changes of fecal output were not observed in case of 0.5CL and 10ID-I diets but a significant increase was observed in the case of 10CL. Gastrointestinal transit time of 10ID-I was the longest among the three diets. These results demonstrate that indigestible dextrin delivered to the cecum was not digested and increased the cecal mass. Indigestible dextrin improves colonic health of rats by inducing low pH of the cecum. (Korean J Nutrition 31(6) 991-998, 1998)

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Effects of Radish Seed Ethanol Extracts on Gastrointestinal Function in Rats

  • Lee, Chang-Hyun;Lee, Moon-Won;Song, Geun-Seoup;Kim, Young-Soo
    • Food Science and Biotechnology
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    • v.15 no.4
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    • pp.599-602
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    • 2006
  • The effects of ethanol extract from radish seeds on gastrointestinal function in rats were investigated. Rats were divided into 2 groups of 8 rats each, the basal group and the radish seed ethanol extract group. The radish seed ethanol extract group had a significantly decreased gastrointestinal transit time, but a significantly increased fecal weight compared with the basal group. The radish seed ethanol extract group also had significantly higher duodenal villus height and greater colonic mucosal thickness than the basal group. The radish seed ethanol extract group had a greater proliferation of 5-bromo-2-deoxy-uridine (BrdU) immunoreactive cells in the gastric mucosa as well as in the mucosa and submucosa of the small and large intestine than did the basal group. Thus, radish seed ethanol extract may be useful in preventing constipation based on the observation of an increase in fecal weight, a decrease in gastrointestinal transit time, and positive changes in the intestinal mucosa.

Effect on Promoting Gastrointestinal Function and Inhibiting of Decreasing Body Temperature of Ginger Extracts(Zingiber Officinale) (생강(生薑) 추출물의 위장관 기능개선 및 체온저하 억제효과에 대한 실험적 연구)

  • Kim, Nam-Seok;Jeong, Il-Kook;Lee, Chang-Hyun
    • Journal of Physiology & Pathology in Korean Medicine
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    • v.24 no.6
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    • pp.996-1003
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    • 2010
  • This study was performed to investigate the effect of promoting gastrointestinal function and inhibiting of decreasing body temperature of ginger extract(Zingiber officinale) in rats. In order to elucidate the gastrointestinal function and inhibiting effect of body temperature of native ginger and improved ginger, water extracts of ginger were orally administrated into rats. The results are as follows: The gastrointestinal transit time was significantly decreased in native ginger(7.66hrs) and improved ginger(7.72hrs) extract administrated groups compare to control group(8.44hrs). The mean red faecal weight was increased in native ginger(30.6%) and improved ginger(31.1%) extract administrated groups compare to control group(24.9%) for 24hrs. Inhibiting effect of decreasing body temperature induced by serotonin was increased in native ginger($1.116^{\circ}C$) and improved ginger($1.416^{\circ}C$) extract administrated groups compare to positive control group($0.384^{\circ}C$) during 40 minutes. Gastrin and CGRP immunoreactive density was more strongly expressed in native ginger and improved ginger extract administrated groups compare to control group. Serotonin immunoreactive density was more weakly expressed in native ginger and improved ginger extract administrated groups compare to control group. These results suggest that ginger extracts may enhance physiological activity such as gastrointestinal motility, protection of mucosa and gastric acid secretion in gastrointestinal tracts, and inhibits decreasing body temperature

Comparison of Effects of Oriental Medicines from Rutaceae Fruits on Gastric Emptying and Intestinal Transit in Mice (운향과 식물의 과실 유래 한약재들이 마우스의 위 배출 속도 및 장 이송률에 미치는 영향 비교)

  • Lee, Hyun-Tai
    • Journal of Life Science
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    • v.26 no.12
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    • pp.1466-1469
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    • 2016
  • A group of traditional folk medicines obtained from the fruits of Rutaceae plants, such as Ponciri Fructus Immaturus (PFI) from Poncirus trifoliata Raf., Aurantii Fructus Immaturus (AFI) and Aurantii Pericarpium (AP) from Citrus aurantium L., and Aurantii Nobilis Pericarpium (ANP) from Citrus unshiu Marc., has been widely used for improving poor gastrointestinal function in East Asia, including in China and Korea. In the present study, the effects of Rutaceae-fruit-derived folk medicines on gastrointestinal motor function were investigated and compared by measuring in vivo gastric emptying and intestinal transit in mice. Among the aqueous and ethanolic extracts of some Rutaceae-fruit-derived folk medicines, an ethanolic extract of AP (AP-E) significantly accelerated intestinal transit in a dose-dependent manner without affecting gastric emptying. Furthermore, the intestinal transit rate of AP-E was the highest among all extracts examined in this study, including aqueous extracts of PFI, AFI, and ANP, of which the activities of accelerating intestinal transit have been already reported.