Effect of Inhibition of Prostaglandin Synthesis on Epinephrine-Induced Gastroduodenal Electromechanical Changes in Humans

We conducted a double-blind randomized study to investigate the role of endogenous prostaglandins in epinephrine-induced changes in human gastric electromechanical activity. Intravenous administration of a pharmacologic dosage of epinephrine (222 ng/kg per min) caused gastric dysrhythmia in 8 of 12...

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Veröffentlicht in:Mayo Clinic proceedings 1989-02, Vol.64 (2), p.149-157
Hauptverfasser: KIM, CHUNG H., HANSON, RUSSELL B., ABELL, THOMAS L., MALAGELADA, JUAN-R.
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creator KIM, CHUNG H.
HANSON, RUSSELL B.
ABELL, THOMAS L.
MALAGELADA, JUAN-R.
description We conducted a double-blind randomized study to investigate the role of endogenous prostaglandins in epinephrine-induced changes in human gastric electromechanical activity. Intravenous administration of a pharmacologic dosage of epinephrine (222 ng/kg per min) caused gastric dysrhythmia in 8 of 12 healthy subjects. After indomethacin treatment, the incidence of epinephrine-induced gastric dysrhythmia was reduced to 4 of 12 healthy subjects, which is similar to the incidence of gastric dysrhythmia noted in the placebo group. The difference, however, was not statistically significant (P = 0.2). Epinephrine also substantially inhibited both the amplitude and the frequency of antral contractions. Indomethacin treatment partially reversed the reduction in the amplitude but not the frequency of antral contractions. These results suggest that endogenous prostaglandins may, in part, regulate the amplitude of human antral contractions; however, the role of prostaglandins in epinephrine-induced gastric dysrhythmia in humans remains uncertain.
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Intravenous administration of a pharmacologic dosage of epinephrine (222 ng/kg per min) caused gastric dysrhythmia in 8 of 12 healthy subjects. After indomethacin treatment, the incidence of epinephrine-induced gastric dysrhythmia was reduced to 4 of 12 healthy subjects, which is similar to the incidence of gastric dysrhythmia noted in the placebo group. The difference, however, was not statistically significant (P = 0.2). Epinephrine also substantially inhibited both the amplitude and the frequency of antral contractions. Indomethacin treatment partially reversed the reduction in the amplitude but not the frequency of antral contractions. 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Intravenous administration of a pharmacologic dosage of epinephrine (222 ng/kg per min) caused gastric dysrhythmia in 8 of 12 healthy subjects. After indomethacin treatment, the incidence of epinephrine-induced gastric dysrhythmia was reduced to 4 of 12 healthy subjects, which is similar to the incidence of gastric dysrhythmia noted in the placebo group. The difference, however, was not statistically significant (P = 0.2). Epinephrine also substantially inhibited both the amplitude and the frequency of antral contractions. Indomethacin treatment partially reversed the reduction in the amplitude but not the frequency of antral contractions. 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subjects Adult
Biological and medical sciences
Dose-Response Relationship, Drug
Double-Blind Method
Electrophysiology
Epinephrine - pharmacology
Female
Gastroenterology. Liver. Pancreas. Abdomen
Gastrointestinal Motility - drug effects
Hemodynamics - drug effects
Humans
Indomethacin - pharmacology
Male
Manometry
Mathematical Computing
Medical sciences
Nausea - etiology
Other diseases. Semiology
Prostaglandins - physiology
Random Allocation
Stomach - drug effects
Stomach - physiology
Stomach. Duodenum. Small intestine. Colon. Rectum. Anus
title Effect of Inhibition of Prostaglandin Synthesis on Epinephrine-Induced Gastroduodenal Electromechanical Changes in Humans
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