Prokinetic effect of cisapride on pedicled stomach, small bowel and colon grafts replacing the esophagus after esophageal resection

SUMMARY  Cisapride is a potent third generation prokinetic agent acting on postganglionic receptors by increasing the release of acetylcholine. In a prospective, self‐controlled study the prokinetic action of cisapride was tested on pedicled stomach, jejunum and colon grafts used for substitute afte...

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Veröffentlicht in:Diseases of the esophagus 2003-01, Vol.16 (4), p.291-294
Hauptverfasser: Kalmár, K., Vereczkei, Zámbó, K., Pótó, L., Horváth, Ö. P.
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container_end_page 294
container_issue 4
container_start_page 291
container_title Diseases of the esophagus
container_volume 16
creator Kalmár, K.
Vereczkei
Zámbó, K.
Pótó, L.
Horváth, Ö. P.
description SUMMARY  Cisapride is a potent third generation prokinetic agent acting on postganglionic receptors by increasing the release of acetylcholine. In a prospective, self‐controlled study the prokinetic action of cisapride was tested on pedicled stomach, jejunum and colon grafts used for substitute after esophageal resection. Between 1995 and 1998 15 patients with gastric pull up, 10 patients with colon replacement or bypass and eight patients with free jejunum transplant or jejunum replacement were evaluated. Esophageal transit scintigraphy was performed before and after cisapride administration. From the time–activity curves, the half‐life of radiolabeled bolus in the esophagus was calculated and preadministration and postadministration half‐lives were compared. Cisapride significantly reduced the half‐life of radiolabeled bolus in the substitute in the case of stomach and jejunum replacement, while for colon replacement the results were dispersed too widely to yield significant difference. Cisapride exerts prokinetic effect on pedicled stomach and jejunum substitutes after esophageal resection.
doi_str_mv 10.1111/j.1442-2050.2003.00349.x
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P.</creatorcontrib><title>Prokinetic effect of cisapride on pedicled stomach, small bowel and colon grafts replacing the esophagus after esophageal resection</title><title>Diseases of the esophagus</title><addtitle>Dis Esophagus</addtitle><description>SUMMARY  Cisapride is a potent third generation prokinetic agent acting on postganglionic receptors by increasing the release of acetylcholine. In a prospective, self‐controlled study the prokinetic action of cisapride was tested on pedicled stomach, jejunum and colon grafts used for substitute after esophageal resection. Between 1995 and 1998 15 patients with gastric pull up, 10 patients with colon replacement or bypass and eight patients with free jejunum transplant or jejunum replacement were evaluated. Esophageal transit scintigraphy was performed before and after cisapride administration. From the time–activity curves, the half‐life of radiolabeled bolus in the esophagus was calculated and preadministration and postadministration half‐lives were compared. Cisapride significantly reduced the half‐life of radiolabeled bolus in the substitute in the case of stomach and jejunum replacement, while for colon replacement the results were dispersed too widely to yield significant difference. Cisapride exerts prokinetic effect on pedicled stomach and jejunum substitutes after esophageal resection.</description><subject>Adult</subject><subject>Cisapride - pharmacology</subject><subject>cisaprode</subject><subject>Colon - transplantation</subject><subject>deglutition</subject><subject>Deglutition - drug effects</subject><subject>Esophagectomy</subject><subject>Esophagus - diagnostic imaging</subject><subject>Esophagus - physiology</subject><subject>Esophagus - surgery</subject><subject>Female</subject><subject>Gastrointestinal Agents - pharmacology</subject><subject>half life</subject><subject>Humans</subject><subject>Intestine, Small - transplantation</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Postoperative Period</subject><subject>Radionuclide Imaging</subject><subject>Stomach - transplantation</subject><subject>Transplants</subject><issn>1120-8694</issn><issn>1442-2050</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2003</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqNkU1v1DAQhiMEoqXwF5BPnEjwZ-wcOKBtaZFWdA9FPVqOM9n11omDnVW3Z_44XnYpVyxZM9Y874z8TlEggiuSz6dtRTinJcUCVxRjVuXLm2r_ojh_LrzMOaG4VHXDz4o3KW0xJpLV6nVxRnjNCW3IefFrFcODG2F2FkHfg51R6JF1yUzRdYDCiCbonPXQoTSHwdjNR5QG4z1qwyN4ZMYO2eAzt46mnxOKMHlj3bhG8wYQpDBtzHqXUC5C_PsG4zOY8jgXxrfFq974BO9O8aL48fXqbnFTLm-vvy2-LEvLBWtKLkX-FlWUWqHapmM5UtWZuhY17nvJW0FozWvZCNkqpoBx1nJFJGWUMm7ZRfHh2HeK4ecO0qwHlyx4b0YIu6Ql4VQQzDOojqCNIaUIvc5mDCY-aYL1YQF6qw8-64PP-rAA_WcBep-l708zdu0A3T_hyfEMfD4Cj87D03831pe3d1c5y_ryqHdphv2z3sQHXUsmhb7_fq2XNyu1Eguu79lvUSSjbQ</recordid><startdate>20030101</startdate><enddate>20030101</enddate><creator>Kalmár, K.</creator><creator>Vereczkei</creator><creator>Zámbó, K.</creator><creator>Pótó, L.</creator><creator>Horváth, Ö. 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source MEDLINE; Wiley Online Library All Journals; Oxford Journals
subjects Adult
Cisapride - pharmacology
cisaprode
Colon - transplantation
deglutition
Deglutition - drug effects
Esophagectomy
Esophagus - diagnostic imaging
Esophagus - physiology
Esophagus - surgery
Female
Gastrointestinal Agents - pharmacology
half life
Humans
Intestine, Small - transplantation
Male
Middle Aged
Postoperative Period
Radionuclide Imaging
Stomach - transplantation
Transplants
title Prokinetic effect of cisapride on pedicled stomach, small bowel and colon grafts replacing the esophagus after esophageal resection
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