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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Veröffentlicht in:BioMed research international 2014-01, Vol.2014 (2014), p.1-6
Hauptverfasser: Chiu, Yi-Chun, Kuo, Ming-Chun, Rayner, Christopher K., Chen, Jung-Fu, Wu, Keng-Liang, Chou, Yeh-Pin, Tai, Wei-Chen, Hu, Ming-Luen
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container_issue 2014
container_start_page 1
container_title BioMed research international
container_volume 2014
creator Chiu, Yi-Chun
Kuo, Ming-Chun
Rayner, Christopher K.
Chen, Jung-Fu
Wu, Keng-Liang
Chou, Yeh-Pin
Tai, Wei-Chen
Hu, Ming-Luen
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 &amp; 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 &amp; 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 &amp; 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 &amp; 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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.</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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