Abstract
The buffering activity of the human rectum was evaluated in various pilot studies, using a rectal lumen perfusion method. Quantitative alkaline and acid secretion was measured, respectively, by direct titration according to the pH-stat method. The change in composition of the perfusate with regard to the test drug benzoate and the concentration HCO −3 was detected. The pilot studies suggest that rectal mucosa is capable of neutralizing a pH deviating from the physiological value within a remarkably short time. In the acid region, at least a part of the alkalizing activity is the result of HCO −3 secretion. It has been shown that this process is stimulated by the H− as well as Cl− ions. In the basic region neutralization very likely occurs by means of H− secretion.
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Böttger WM, Schoonen AJM, Visser J, Meijer DKF. Lumen perfusion of the human rectumin situ; a method to study to mechanisms for rectal drug transport in humans. J Pharm Sci 1984;73:95–9.
McNeil NI. Differences in electrolyte handling through the human large intestine. In: Skadhauge E, Heintze K, eds. Intestinal absorption and secretion. Hinghaus: MTP Press Limited, 1984:111–6.
Schurgers N. Mechanistic studies on the absorption of drugs: factors influencing absorption of drugs from the small intestine of the rat. Utrecht: Utrecht University, 1983. Dissertation.
Crommelin DJA, Modderkolk J, De Blaey CJ. pH-Dependence of rectal absorption of theophylline from solutions of aminophyllinein situ in rats. Int J Pharm 1979;3:299–309.
Rask-Madsen J. Simultaneous measurement of electrical polarization and electrolyte transport by the entire normal and inflamed human colon duringin vivo perfusion. Scand J Gastroenterol 1973;8:327–36.
Moolenaar F, Yska JP, Visser J, Meijer DKF. Drastic improvement in the rectal absorption profile of morphine in man. Eur J Clin Pharmacol 1985;29:119–21.
Vromans H, Moolenaar F. Effects of solvents on rectal absorption rate of paracetamol in man: anin vitro approach. Int J Pharm 1985;26:5–13.
Flemström G, Kivilaakso E. Demonstration of a pH gradient at the luminal surface of rat duodenumin vivo and its dependence on mucosal alkaline secretion. Gastroenterology 1983;84:787–94.
Garner A, Flemström G, Allen A. Gastroduodenal alkaline and mucus secretions. Scand J Gastroenterol 1983;18:25–41.
Smeaton LA, Hirst BH, Allen A, Garner A. Gastric and duodenal HCO −3 transportin vivo: influence of prostaglandins. Am J Physiol 1983;245:G751–9.
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Böttger, W.M., Schoonen, B.J.M., Moolenaar, F. et al. A study on the buffering activity of the human rectum. Pharmaceutisch Weekblad Scientific Edition 11, 9–12 (1989). https://doi.org/10.1007/BF01972908
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DOI: https://doi.org/10.1007/BF01972908