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Published in: BMC Gastroenterology 1/2014

Open Access 01-12-2014 | Research article

Detection of drug effects on gastric emptying and contractility using a wireless motility capsule

Authors: Inna Rozov-Ung, Amjad Mreyoud, John Moore, Gregory E Wilding, Elias Khawam, Jeffrey M Lackner, John R Semler, Michael D Sitrin

Published in: BMC Gastroenterology | Issue 1/2014

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Abstract

Background

A wireless motility capsule is a new method for ambulatory assessment of transit times and motility throughout the gastrointestinal tract. The objective of this study was to evaluate the ability of a wireless motility capsule to detect drug effects on gastric emptying time (GET) and gastric contractility.

Methods

15 healthy adults were administered in random order saline, erythromycin IV 150 mg, or morphine IV 0.05 mg/kg BW. Subjects ate a standard meal after each infusion, and subsequently ingested the motility capsule. Data were recorded for 8 hours, and the results were analyzed using the manufacturer’s software.

Results

GET was significantly faster after erythromycin than either saline or morphine. Morphine tended to delay emptying of the capsule compared to saline. There was a trend toward a greater frequency of gastric contractions with erythromycin and a reduced frequency of gastric contractions with morphine that did not reach statistical significance.

Conclusions

A wireless motility capsule successfully detected acceleration of gastric emptying induced by erythromycin, and retardation of gastric motility caused by morphine. These results indicate that a wireless motility capsule is a promising technique to assess pharmacologic effects on gastric transit and contractility and aid in development of drugs for gastric motor disorders.
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Literature
1.
go back to reference Parkman HP, Hasler WL, Fisher RS: AGA technical review on the diagnosis and treatment of gastroparesis. Gastroenterology. 2004, 127: 1592-1622. 10.1053/j.gastro.2004.09.055.CrossRefPubMed Parkman HP, Hasler WL, Fisher RS: AGA technical review on the diagnosis and treatment of gastroparesis. Gastroenterology. 2004, 127: 1592-1622. 10.1053/j.gastro.2004.09.055.CrossRefPubMed
2.
go back to reference Sarnelli G, Caenepeel P, Geypens B, Janssens J, Tack J: Symptoms associated with impaired gastric emptying of solids and liquids in functional dyspepsia. Am J Gastroenterol. 2003, 98: 783-788. 10.1111/j.1572-0241.2003.07389.x.CrossRefPubMed Sarnelli G, Caenepeel P, Geypens B, Janssens J, Tack J: Symptoms associated with impaired gastric emptying of solids and liquids in functional dyspepsia. Am J Gastroenterol. 2003, 98: 783-788. 10.1111/j.1572-0241.2003.07389.x.CrossRefPubMed
3.
go back to reference Hejazi RA, Patil H, McCallum RW: Dumping syndrome: establishing criteria for diagnosis and identifying new etiologies. Dig Dis Sci. 2010, 55: 117-123. 10.1007/s10620-009-0939-5.CrossRefPubMed Hejazi RA, Patil H, McCallum RW: Dumping syndrome: establishing criteria for diagnosis and identifying new etiologies. Dig Dis Sci. 2010, 55: 117-123. 10.1007/s10620-009-0939-5.CrossRefPubMed
4.
go back to reference Schwartz JG, Green GM, Guan D, McMahan CA, Phillips WT: Rapid gastric emptying of a solid pancake meal in type II diabetic patients. Diabetes Care. 1996, 19: 468-471. 10.2337/diacare.19.5.468.CrossRefPubMed Schwartz JG, Green GM, Guan D, McMahan CA, Phillips WT: Rapid gastric emptying of a solid pancake meal in type II diabetic patients. Diabetes Care. 1996, 19: 468-471. 10.2337/diacare.19.5.468.CrossRefPubMed
5.
go back to reference Pohle T, Domschke W: Gastric function measurements in drug development. J Clin Pharmacol. 2003, 56: 156-164. 10.1046/j.1365-2125.2003.01935.x.CrossRef Pohle T, Domschke W: Gastric function measurements in drug development. J Clin Pharmacol. 2003, 56: 156-164. 10.1046/j.1365-2125.2003.01935.x.CrossRef
6.
go back to reference Guo JP, Maurer AH, Urbain JL, Fisher RS, Parkman HP: Extending gastric emptying scintigraphy from two to four hours detects more patients with gastroparesis. Dig Dis Sci. 2001, 46: 24-29. 10.1023/A:1005697422454.CrossRefPubMed Guo JP, Maurer AH, Urbain JL, Fisher RS, Parkman HP: Extending gastric emptying scintigraphy from two to four hours detects more patients with gastroparesis. Dig Dis Sci. 2001, 46: 24-29. 10.1023/A:1005697422454.CrossRefPubMed
8.
go back to reference Yuan CS, Foss JF, O’Connor M, Toledano A, Roizen MF, Moss J: Methylnaltrexone prevents morphine-induced delay in oral-cecal transit time without affecting analgesia: a double-blind, randomized placebo-controlled trial. Clin Pharmacol Ther. 1996, 59: 469-475. 10.1016/S0009-9236(96)90117-4.CrossRefPubMed Yuan CS, Foss JF, O’Connor M, Toledano A, Roizen MF, Moss J: Methylnaltrexone prevents morphine-induced delay in oral-cecal transit time without affecting analgesia: a double-blind, randomized placebo-controlled trial. Clin Pharmacol Ther. 1996, 59: 469-475. 10.1016/S0009-9236(96)90117-4.CrossRefPubMed
9.
go back to reference Camilleri M, Malagelada JR, Brown ML, Becker G, Zinsmeister AR: Relation between antral motility and gastric emptying of solids and liquids in humans. Am J Physiol. 1985, 249: G580-G585.PubMed Camilleri M, Malagelada JR, Brown ML, Becker G, Zinsmeister AR: Relation between antral motility and gastric emptying of solids and liquids in humans. Am J Physiol. 1985, 249: G580-G585.PubMed
10.
go back to reference Zarate N, Mohammed SD, O’Shaughnessy E, et al: Accurate localization of a fall in pH within the ileocecal region: validation using a dual-scintigraphic technique. Am J Physiol. 2010, 299: G1276-G1286. Zarate N, Mohammed SD, O’Shaughnessy E, et al: Accurate localization of a fall in pH within the ileocecal region: validation using a dual-scintigraphic technique. Am J Physiol. 2010, 299: G1276-G1286.
11.
go back to reference Kuo B, Viazis N, Bahadur S, Sitrin M, Lackner J, Semler J: Non-invasive simultaneous measurement of intra-luminal pH and pressure: assessment of gastric emptying and upper GI manometry in healthy subjects [abstract]. Neurogastroenterology. 2004, 16: 666- Kuo B, Viazis N, Bahadur S, Sitrin M, Lackner J, Semler J: Non-invasive simultaneous measurement of intra-luminal pH and pressure: assessment of gastric emptying and upper GI manometry in healthy subjects [abstract]. Neurogastroenterology. 2004, 16: 666-
12.
go back to reference Kuo B, McCallum RW, Koch KL, et al: Comparison of gastric emptying of a nondigestible capsule to a radio-labelled meal in healthy and gastroparetic patients. Aliment Pharmacol Ther. 2008, 27: 186-196.CrossRefPubMed Kuo B, McCallum RW, Koch KL, et al: Comparison of gastric emptying of a nondigestible capsule to a radio-labelled meal in healthy and gastroparetic patients. Aliment Pharmacol Ther. 2008, 27: 186-196.CrossRefPubMed
13.
go back to reference Kloetgzer L, Chey WD, McCallum RW, et al: Motility of the antroduodenum in healthy and gastroparetics characterized by wireless motility capsule. Neurogastroenterol Motil. 2010, 22: 527-533. Kloetgzer L, Chey WD, McCallum RW, et al: Motility of the antroduodenum in healthy and gastroparetics characterized by wireless motility capsule. Neurogastroenterol Motil. 2010, 22: 527-533.
14.
go back to reference Rao SS, Kuo B, McCallum RW, et al: Investigation of colonic and whole-gut transit with wireless motility capsule and radiopaque markers in constipation. Clin Gastroenterol Hepatol. 2009, 7: 537-544. 10.1016/j.cgh.2009.01.017.CrossRefPubMed Rao SS, Kuo B, McCallum RW, et al: Investigation of colonic and whole-gut transit with wireless motility capsule and radiopaque markers in constipation. Clin Gastroenterol Hepatol. 2009, 7: 537-544. 10.1016/j.cgh.2009.01.017.CrossRefPubMed
15.
go back to reference Maqbool S, Parkman HP, Friedenberg FK: Wireless capsule motility: comparison of the SmartPillR GI monitoring system with scintigraphy for measuring whole gut transit. Digest Dis Sci. 2009, 54: 2167-2174. 10.1007/s10620-009-0899-9.CrossRefPubMed Maqbool S, Parkman HP, Friedenberg FK: Wireless capsule motility: comparison of the SmartPillR GI monitoring system with scintigraphy for measuring whole gut transit. Digest Dis Sci. 2009, 54: 2167-2174. 10.1007/s10620-009-0899-9.CrossRefPubMed
16.
go back to reference Wood JD, Galligan JJ: Function of opioids in the enteric nervous system. Neurogastroenterol Motil. 2004, 16 (Suppl 2): 17-28.CrossRefPubMed Wood JD, Galligan JJ: Function of opioids in the enteric nervous system. Neurogastroenterol Motil. 2004, 16 (Suppl 2): 17-28.CrossRefPubMed
17.
go back to reference Lewis TD: Morphine and gastroduodenal motility. Dig Dis Sci. 1999, 44: 2178-2186. 10.1023/A:1026684132254.CrossRefPubMed Lewis TD: Morphine and gastroduodenal motility. Dig Dis Sci. 1999, 44: 2178-2186. 10.1023/A:1026684132254.CrossRefPubMed
18.
go back to reference Cassilly D, Kantor S, Knight LC, et al: Gastric emptying of a non-digestible solid: assessment with simultaneous SmartPill pH and pressure capsule, antroduodenal manometry, gastric emptying scintigraphy. Neurogastroenterol Motil. 2008, 20: 311-319. 10.1111/j.1365-2982.2007.01061.x.CrossRefPubMed Cassilly D, Kantor S, Knight LC, et al: Gastric emptying of a non-digestible solid: assessment with simultaneous SmartPill pH and pressure capsule, antroduodenal manometry, gastric emptying scintigraphy. Neurogastroenterol Motil. 2008, 20: 311-319. 10.1111/j.1365-2982.2007.01061.x.CrossRefPubMed
19.
go back to reference Annese V, Janssens J, Vantrappen G, et al: Erythromycin accelerates gastric emptying by inducing antral contractions and improved gastroduodenal coordination. Gastroenterology. 1992, 102: 823-828.CrossRefPubMed Annese V, Janssens J, Vantrappen G, et al: Erythromycin accelerates gastric emptying by inducing antral contractions and improved gastroduodenal coordination. Gastroenterology. 1992, 102: 823-828.CrossRefPubMed
20.
go back to reference Tack J, Janssens J, Vantrappen G, et al: Effect of erythromycin on gastric motility in controls and in diabetic gastroparesis. Gastroenterology. 1992, 103: 72-79.CrossRefPubMed Tack J, Janssens J, Vantrappen G, et al: Effect of erythromycin on gastric motility in controls and in diabetic gastroparesis. Gastroenterology. 1992, 103: 72-79.CrossRefPubMed
21.
go back to reference Poitras P, Boivin M, Lahaie RG, Trudel L: Regulation of plasma motilin by opioids in the dog. Am J Physiol. 1989, 257: G41-G45.PubMed Poitras P, Boivin M, Lahaie RG, Trudel L: Regulation of plasma motilin by opioids in the dog. Am J Physiol. 1989, 257: G41-G45.PubMed
22.
go back to reference Kav T, Bayrakt Y: Five years’ experience with capsule endoscopy in a single center. World J Gastroenterol. 2009, 15: 1834-1842.CrossRef Kav T, Bayrakt Y: Five years’ experience with capsule endoscopy in a single center. World J Gastroenterol. 2009, 15: 1834-1842.CrossRef
Metadata
Title
Detection of drug effects on gastric emptying and contractility using a wireless motility capsule
Authors
Inna Rozov-Ung
Amjad Mreyoud
John Moore
Gregory E Wilding
Elias Khawam
Jeffrey M Lackner
John R Semler
Michael D Sitrin
Publication date
01-12-2014
Publisher
BioMed Central
Published in
BMC Gastroenterology / Issue 1/2014
Electronic ISSN: 1471-230X
DOI
https://doi.org/10.1186/1471-230X-14-2

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