Decreased Gastric Motility in Type II Diabetic Patients
Background. To differentiate gastric motility and sensation between type II diabetic patients and controls and explore different expressions of gastric motility peptides. Methods. Eleven type II diabetic patients and health volunteers of similar age and body mass index were invited. All underwent tr...
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description | Background. To differentiate gastric motility and sensation between type II diabetic patients and controls and explore different expressions of gastric motility peptides. Methods. Eleven type II diabetic patients and health volunteers of similar age and body mass index were invited. All underwent transabdominal ultrasound for gastric motility and visual analogue scales. Blood samples were taken for glucose and plasma peptides (ghrelin, motilin, and glucacon-like peptides-1) by ELISA method. Results. Gastric emptying was significantly slower in diabetic patients than controls (T50: 46.3 (28.0–52.3) min versus 20.8 (9.6–22.8) min, P≤0.05) and less antral contractions in type II diabetic patients were observed (P=0.02). Fundus dimensions did not differ. There were a trend for less changes in gastrointestinal sensations in type II diabetic patients especially abdomen fullness, hunger, and abdominal discomfort. Although the serum peptides between the two groups were similar a trend for less serum GLP-1in type II diabetic patients was observed (P=0.098). Conclusion. Type II diabetic patients have delayed gastric emptying and less antral contractions than controls. The observation that there were lower serum GLP-1 in type II diabetic patients could offer a clue to suggest that delayed gastric emptying in diabetic patients is not mainly influenced by GLP-1. |
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To differentiate gastric motility and sensation between type II diabetic patients and controls and explore different expressions of gastric motility peptides. Methods. Eleven type II diabetic patients and health volunteers of similar age and body mass index were invited. All underwent transabdominal ultrasound for gastric motility and visual analogue scales. Blood samples were taken for glucose and plasma peptides (ghrelin, motilin, and glucacon-like peptides-1) by ELISA method. Results. Gastric emptying was significantly slower in diabetic patients than controls (T50: 46.3 (28.0–52.3) min versus 20.8 (9.6–22.8) min, P≤0.05) and less antral contractions in type II diabetic patients were observed (P=0.02). Fundus dimensions did not differ. There were a trend for less changes in gastrointestinal sensations in type II diabetic patients especially abdomen fullness, hunger, and abdominal discomfort. Although the serum peptides between the two groups were similar a trend for less serum GLP-1in type II diabetic patients was observed (P=0.098). Conclusion. Type II diabetic patients have delayed gastric emptying and less antral contractions than controls. The observation that there were lower serum GLP-1 in type II diabetic patients could offer a clue to suggest that delayed gastric emptying in diabetic patients is not mainly influenced by GLP-1.</description><identifier>ISSN: 2314-6133</identifier><identifier>EISSN: 2314-6141</identifier><identifier>DOI: 10.1155/2014/894087</identifier><identifier>PMID: 25147821</identifier><language>eng</language><publisher>Cairo, Egypt: Hindawi Puplishing Corporation</publisher><subject>Abdomen ; Biological control systems ; Biomedical research ; Body Mass Index ; Case-Control Studies ; Clinical Study ; Colleges & universities ; Diabetes ; Diabetes Mellitus, Type 2 - blood ; Diabetes Mellitus, Type 2 - metabolism ; Diabetes Mellitus, Type 2 - physiopathology ; Digestive system ; Female ; Gastric Emptying - physiology ; Gastrointestinal Motility - physiology ; Gastrointestinal system ; Glucagon-Like Peptide 1 - metabolism ; Glucose ; Glucose - metabolism ; Hospitals ; Humans ; Internal medicine ; Male ; Medicine ; Middle Aged ; Motility ; Pathogenesis ; Peptides ; Peptides - blood ; Physiological aspects ; Physiological research ; Physiology ; Plasma ; Quality of life ; Rodents ; Stomach - physiopathology ; Type 2 diabetes ; Ultrasonic imaging</subject><ispartof>BioMed research international, 2014-01, Vol.2014 (2014), p.1-6</ispartof><rights>Copyright © 2014 Yi-Chun Chiu et al.</rights><rights>COPYRIGHT 2014 John Wiley & Sons, Inc.</rights><rights>Copyright © 2014 Yi-Chun Chiu et al. Yi-Chun Chiu et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.</rights><rights>Copyright © 2014 Yi-Chun Chiu et al. 2014</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c527t-dc1130f57d78ae9673a1966812ee468b14fae472ca8cc03f7d73350ac4e111d23</citedby><cites>FETCH-LOGICAL-c527t-dc1130f57d78ae9673a1966812ee468b14fae472ca8cc03f7d73350ac4e111d23</cites><orcidid>0000-0002-5527-256X ; 0000-0002-0267-9841 ; 0000-0002-7356-6705</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC4132491/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC4132491/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,723,776,780,881,27901,27902,53766,53768</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/25147821$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><contributor>Wu, Deng-Chyang</contributor><creatorcontrib>Chiu, Yi-Chun</creatorcontrib><creatorcontrib>Kuo, Ming-Chun</creatorcontrib><creatorcontrib>Rayner, Christopher K.</creatorcontrib><creatorcontrib>Chen, Jung-Fu</creatorcontrib><creatorcontrib>Wu, Keng-Liang</creatorcontrib><creatorcontrib>Chou, Yeh-Pin</creatorcontrib><creatorcontrib>Tai, Wei-Chen</creatorcontrib><creatorcontrib>Hu, Ming-Luen</creatorcontrib><title>Decreased Gastric Motility in Type II Diabetic Patients</title><title>BioMed research international</title><addtitle>Biomed Res Int</addtitle><description>Background. To differentiate gastric motility and sensation between type II diabetic patients and controls and explore different expressions of gastric motility peptides. Methods. Eleven type II diabetic patients and health volunteers of similar age and body mass index were invited. All underwent transabdominal ultrasound for gastric motility and visual analogue scales. Blood samples were taken for glucose and plasma peptides (ghrelin, motilin, and glucacon-like peptides-1) by ELISA method. Results. Gastric emptying was significantly slower in diabetic patients than controls (T50: 46.3 (28.0–52.3) min versus 20.8 (9.6–22.8) min, P≤0.05) and less antral contractions in type II diabetic patients were observed (P=0.02). Fundus dimensions did not differ. There were a trend for less changes in gastrointestinal sensations in type II diabetic patients especially abdomen fullness, hunger, and abdominal discomfort. Although the serum peptides between the two groups were similar a trend for less serum GLP-1in type II diabetic patients was observed (P=0.098). Conclusion. Type II diabetic patients have delayed gastric emptying and less antral contractions than controls. The observation that there were lower serum GLP-1 in type II diabetic patients could offer a clue to suggest that delayed gastric emptying in diabetic patients is not mainly influenced by GLP-1.</description><subject>Abdomen</subject><subject>Biological control systems</subject><subject>Biomedical research</subject><subject>Body Mass Index</subject><subject>Case-Control Studies</subject><subject>Clinical Study</subject><subject>Colleges & universities</subject><subject>Diabetes</subject><subject>Diabetes Mellitus, Type 2 - blood</subject><subject>Diabetes Mellitus, Type 2 - metabolism</subject><subject>Diabetes Mellitus, Type 2 - physiopathology</subject><subject>Digestive system</subject><subject>Female</subject><subject>Gastric Emptying - physiology</subject><subject>Gastrointestinal Motility - physiology</subject><subject>Gastrointestinal system</subject><subject>Glucagon-Like Peptide 1 - metabolism</subject><subject>Glucose</subject><subject>Glucose - metabolism</subject><subject>Hospitals</subject><subject>Humans</subject><subject>Internal medicine</subject><subject>Male</subject><subject>Medicine</subject><subject>Middle Aged</subject><subject>Motility</subject><subject>Pathogenesis</subject><subject>Peptides</subject><subject>Peptides - blood</subject><subject>Physiological aspects</subject><subject>Physiological research</subject><subject>Physiology</subject><subject>Plasma</subject><subject>Quality of life</subject><subject>Rodents</subject><subject>Stomach - physiopathology</subject><subject>Type 2 diabetes</subject><subject>Ultrasonic imaging</subject><issn>2314-6133</issn><issn>2314-6141</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2014</creationdate><recordtype>article</recordtype><sourceid>RHX</sourceid><sourceid>EIF</sourceid><sourceid>BENPR</sourceid><recordid>eNqF0c9rFDEUB_Agii21J8_KgBeprM3L77kIpdW6UNFDPYe3mTdtyuzMmswq-983w9T1x6W5JJAP37y8x9hL4O8BtD4VHNSpqxV39gk7FBLUwoCCp_uzlAfsOOc7XpYDw2vznB0IDco6AYfMXlBIhJma6hLzmGKovgxj7OK4q2JfXe82VC2X1UXEFY3l8huOkfoxv2DPWuwyHT_sR-z7p4_X558XV18vl-dnV4ughR0XTQCQvNW2sQ6pNlYi1MY4EETKuBWoFklZEdCFwGVbnJSaY1AEAI2QR-zDnLvZrtbUhPJ2ws5vUlxj2vkBo__3po-3_mb46RVIoWooAW8fAtLwY0t59OuYA3Ud9jRsswcDpS2gpXycaq2NUFpOZb35j94N29SXTkxKOC1Ls_-oG-zIx74dSolhCvVnSlgulNO6qHezCmnIOVG7_x1wPw3ZT0P285CLfv13Q_b290gLOJnBbewb_BUfSXs1YyqEWtxjzQ13XN4D4baz-g</recordid><startdate>20140101</startdate><enddate>20140101</enddate><creator>Chiu, Yi-Chun</creator><creator>Kuo, Ming-Chun</creator><creator>Rayner, Christopher K.</creator><creator>Chen, Jung-Fu</creator><creator>Wu, Keng-Liang</creator><creator>Chou, Yeh-Pin</creator><creator>Tai, Wei-Chen</creator><creator>Hu, Ming-Luen</creator><general>Hindawi Puplishing Corporation</general><general>Hindawi Publishing Corporation</general><general>John Wiley & Sons, Inc</general><general>Hindawi Limited</general><scope>ADJCN</scope><scope>AHFXO</scope><scope>RHU</scope><scope>RHW</scope><scope>RHX</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7QL</scope><scope>7QO</scope><scope>7T7</scope><scope>7TK</scope><scope>7U7</scope><scope>7U9</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8FD</scope><scope>8FE</scope><scope>8FG</scope><scope>8FH</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>ARAPS</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BENPR</scope><scope>BGLVJ</scope><scope>BHPHI</scope><scope>C1K</scope><scope>CCPQU</scope><scope>CWDGH</scope><scope>DWQXO</scope><scope>FR3</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>H94</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>LK8</scope><scope>M0S</scope><scope>M1P</scope><scope>M7N</scope><scope>M7P</scope><scope>P5Z</scope><scope>P62</scope><scope>P64</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>7X8</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0002-5527-256X</orcidid><orcidid>https://orcid.org/0000-0002-0267-9841</orcidid><orcidid>https://orcid.org/0000-0002-7356-6705</orcidid></search><sort><creationdate>20140101</creationdate><title>Decreased Gastric Motility in Type II Diabetic Patients</title><author>Chiu, Yi-Chun ; Kuo, Ming-Chun ; Rayner, Christopher K. ; Chen, Jung-Fu ; Wu, Keng-Liang ; Chou, Yeh-Pin ; Tai, Wei-Chen ; Hu, Ming-Luen</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c527t-dc1130f57d78ae9673a1966812ee468b14fae472ca8cc03f7d73350ac4e111d23</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2014</creationdate><topic>Abdomen</topic><topic>Biological control systems</topic><topic>Biomedical research</topic><topic>Body Mass Index</topic><topic>Case-Control Studies</topic><topic>Clinical Study</topic><topic>Colleges & universities</topic><topic>Diabetes</topic><topic>Diabetes Mellitus, Type 2 - blood</topic><topic>Diabetes Mellitus, Type 2 - metabolism</topic><topic>Diabetes Mellitus, Type 2 - physiopathology</topic><topic>Digestive system</topic><topic>Female</topic><topic>Gastric Emptying - physiology</topic><topic>Gastrointestinal Motility - physiology</topic><topic>Gastrointestinal system</topic><topic>Glucagon-Like Peptide 1 - metabolism</topic><topic>Glucose</topic><topic>Glucose - metabolism</topic><topic>Hospitals</topic><topic>Humans</topic><topic>Internal medicine</topic><topic>Male</topic><topic>Medicine</topic><topic>Middle Aged</topic><topic>Motility</topic><topic>Pathogenesis</topic><topic>Peptides</topic><topic>Peptides - blood</topic><topic>Physiological aspects</topic><topic>Physiological research</topic><topic>Physiology</topic><topic>Plasma</topic><topic>Quality of life</topic><topic>Rodents</topic><topic>Stomach - physiopathology</topic><topic>Type 2 diabetes</topic><topic>Ultrasonic imaging</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Chiu, Yi-Chun</creatorcontrib><creatorcontrib>Kuo, Ming-Chun</creatorcontrib><creatorcontrib>Rayner, Christopher K.</creatorcontrib><creatorcontrib>Chen, Jung-Fu</creatorcontrib><creatorcontrib>Wu, Keng-Liang</creatorcontrib><creatorcontrib>Chou, Yeh-Pin</creatorcontrib><creatorcontrib>Tai, Wei-Chen</creatorcontrib><creatorcontrib>Hu, Ming-Luen</creatorcontrib><collection>الدوريات العلمية والإحصائية - 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Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>BioMed research international</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Chiu, Yi-Chun</au><au>Kuo, Ming-Chun</au><au>Rayner, Christopher K.</au><au>Chen, Jung-Fu</au><au>Wu, Keng-Liang</au><au>Chou, Yeh-Pin</au><au>Tai, Wei-Chen</au><au>Hu, Ming-Luen</au><au>Wu, Deng-Chyang</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Decreased Gastric Motility in Type II Diabetic Patients</atitle><jtitle>BioMed research international</jtitle><addtitle>Biomed Res Int</addtitle><date>2014-01-01</date><risdate>2014</risdate><volume>2014</volume><issue>2014</issue><spage>1</spage><epage>6</epage><pages>1-6</pages><issn>2314-6133</issn><eissn>2314-6141</eissn><abstract>Background. To differentiate gastric motility and sensation between type II diabetic patients and controls and explore different expressions of gastric motility peptides. Methods. Eleven type II diabetic patients and health volunteers of similar age and body mass index were invited. All underwent transabdominal ultrasound for gastric motility and visual analogue scales. Blood samples were taken for glucose and plasma peptides (ghrelin, motilin, and glucacon-like peptides-1) by ELISA method. Results. Gastric emptying was significantly slower in diabetic patients than controls (T50: 46.3 (28.0–52.3) min versus 20.8 (9.6–22.8) min, P≤0.05) and less antral contractions in type II diabetic patients were observed (P=0.02). Fundus dimensions did not differ. There were a trend for less changes in gastrointestinal sensations in type II diabetic patients especially abdomen fullness, hunger, and abdominal discomfort. Although the serum peptides between the two groups were similar a trend for less serum GLP-1in type II diabetic patients was observed (P=0.098). Conclusion. Type II diabetic patients have delayed gastric emptying and less antral contractions than controls. The observation that there were lower serum GLP-1 in type II diabetic patients could offer a clue to suggest that delayed gastric emptying in diabetic patients is not mainly influenced by GLP-1.</abstract><cop>Cairo, Egypt</cop><pub>Hindawi Puplishing Corporation</pub><pmid>25147821</pmid><doi>10.1155/2014/894087</doi><tpages>6</tpages><orcidid>https://orcid.org/0000-0002-5527-256X</orcidid><orcidid>https://orcid.org/0000-0002-0267-9841</orcidid><orcidid>https://orcid.org/0000-0002-7356-6705</orcidid><oa>free_for_read</oa></addata></record> |
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subjects | Abdomen Biological control systems Biomedical research Body Mass Index Case-Control Studies Clinical Study Colleges & universities Diabetes Diabetes Mellitus, Type 2 - blood Diabetes Mellitus, Type 2 - metabolism Diabetes Mellitus, Type 2 - physiopathology Digestive system Female Gastric Emptying - physiology Gastrointestinal Motility - physiology Gastrointestinal system Glucagon-Like Peptide 1 - metabolism Glucose Glucose - metabolism Hospitals Humans Internal medicine Male Medicine Middle Aged Motility Pathogenesis Peptides Peptides - blood Physiological aspects Physiological research Physiology Plasma Quality of life Rodents Stomach - physiopathology Type 2 diabetes Ultrasonic imaging |
title | Decreased Gastric Motility in Type II Diabetic Patients |
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