Abstract
To evaluate the effects of a single oral dose of erythromycin on gastric and gallbladder emptying, 10 volunteers, without a known history of gastrointestinal disease, were investigated. Erythromycin stearate (500 mg) or placebo was given on separate mornings 30 min before a standard solid meal in a randomized, double-blind, crossover study. Gastric and gallbladder emptying rates were simultaneously evaluated by means of real-time ultrasonography. Gastric antral area and gallbladder volume were determined before the meal and 30, 60, 120, 180, 240, and 300 min after commencing eating. Erythromycin, compared to placebo, significantly accelerates and increases the degree of both gastric and gallbladder emptying. As previously reported for intravenous and chronic oral assumption, also a single dose of oral erythromycin is able to accelerate gastric and gallbladder emptying in normal human subjects.
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Kondo Y, Torii K, Umura S, Itoh Z: Erythromycin and its derivatives with motilin like biological activities inhibit the specific binding of125I-motilin to duodenal muscle. Biochem Biophys Res Commun 150:877–882, 1988
Peeters T, Matthijs G, Depoortere I, Cachet T, Hoogmartens J, Vantrappen G: Erythromycin is a motilin receptor agonist. Am J Physiol 257:G470-G474, 1989
Annese V, Janssens J, Vantrappen G, Tack J, Peeters TL, Willemse P, Van Cutsem E: Erythromycin accelerates gastric emptying by inducing antral contractions and improved gastroduodenal coordination. Gastroenterology 102:823–828, 1992
Itoh Z, Nakaya M, Suzuki T, Arai H, Wakabayashi K: Erythromycin mimics exogenous motilin in gastrointestinal contractile activity in the dog. Am J Physiol 247:G688-G694, 1984
Janssen J, Peeters TL, Vantrappen G, Tack J, Urbain JL, De Roo M, Muls E, Buillon R: Improvement of gastric emptying in diabetic gastroparesis by erythromycin. Preliminary studies. N Engl J Med 322:1028–1031, 1990
Urbain JLC, Vantrappen G, Janssen J, Van Custem E, Peeters T, De Roo M: Intravenous erythromycin dramatically accerlerates gastric emptying in gastroparesis diabeticorum and normals and abolishes the emptying discrimination between solids and liquids. J Nucl Med 31:1490–1493, 1990
Fiorucci S, Bosso R, Morelli A: Erythromycin stimulates gallbladder emptying and motilin release by atropinesensitive pathways. Gastroenterology 100:A740, 1991
Catnach SM, Trembath RC, Law P, O'Donnell LJD, McLean AM, Wickham JE, Fairclough PD: Erythromycin: A novel prokinetic agent for the gallbladder. Gastroenterology 98:a245, 1990
Everson GT, Braverman DZ, Johnson ML, Kern FJ: A critical evaluation of real-time ultrasonography for the study of gallbladder volume and contraction. Gastroenterology 79:40–46, 1980
Bolondi L, Bortolotti M, Santi V, Calletti T, Gaiani S, Labo G: Measurement of gastric emptying time by real-time ultrasonography. Gastroenterology 89:752–759, 1985
Marzio L, Giacobbe A, Conoscitore P, Facciorusso D, Frusciante V, Modoni S: Evaluation of the use of ultrasonography in the study of liquid gastric emptying. Am J Gastroenterol 84:496–500, 1989
Holt S, Cervantes J, Wilkinson AA, Wallace JHK: Measurement of gastric emptying rate in humans by real-time ultrasound. Gastroenterology 90:918–923, 1986
Dodds WJ, Groh WJ, Darweesh RMA, Lawson TL, Kishk SMA, Kern MK: Sonographic measurement of gallbladder volume. AJR 145:1009–1011, 1985
Cavalli Sforza L: Analisi Statistica per Medici e Biologi. Torino, Boringhieri, 1983, p 14
Winer BJ: Statistical Principles in Experimental Design. New York, McGraw-Hill, 1962, pp 319–324
Neuman M: Vademecum Degli Antibiotici ed Agenti Chemioterapici Anti-infettivi. Roma, Sigma Tau, 1988, pp 256–280
Wiener I, Kazumoto I, Fagan CF, Lilya P, Watson LC, Thompson JC: Release of cholecystokinin in man. Ann Surg 194:321–327, 1981
Masclee AA, Jansen JB, Driessen WM, Geusken LM, Lamers CB: Plasma cholecystokinin and gallbladder responses to intraduodenal fat in gallstone patients. Dig Dis Sci 34:353–359, 1989
Suzuki T, Takahashi I, Itoh Z: Motilin and gallbladder: New dimension in gastrointestinal physiology. Peptides 2:229–233, 1981
Svenberg T, Christofides ND, Fitzpatrick ML, Areola-Ortiz F, Bloom SR, Welbourn RB: Interdigestive biliary output in man: Relationship to fluctuations in plasma motilin and effect of atropine. Gut 23:1024–1028, 1982
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MIS: Member of Institute of Statisticians.
This work was partially supported by a grant from Ministero dell'Universita e della Ricerca Scientifica e Tecnologica (fondi 60%).
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Arienti, V., Magri, F., Boriani, L. et al. Effect of single dose of oral erythromycin on gastric and gallbladder emptying. Digest Dis Sci 39, 1309–1312 (1994). https://doi.org/10.1007/BF02093798
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DOI: https://doi.org/10.1007/BF02093798