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Effect of single dose of oral erythromycin on gastric and gallbladder emptying

Simultaneous assessment by ultrasound

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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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References

  1. 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

    Google Scholar 

  2. 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

    Google Scholar 

  3. 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

    Google Scholar 

  4. 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

    Google Scholar 

  5. 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

    Google Scholar 

  6. 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

    Google Scholar 

  7. Fiorucci S, Bosso R, Morelli A: Erythromycin stimulates gallbladder emptying and motilin release by atropinesensitive pathways. Gastroenterology 100:A740, 1991

    Google Scholar 

  8. 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

    Google Scholar 

  9. 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

    Google Scholar 

  10. 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

    Google Scholar 

  11. 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

    Google Scholar 

  12. Holt S, Cervantes J, Wilkinson AA, Wallace JHK: Measurement of gastric emptying rate in humans by real-time ultrasound. Gastroenterology 90:918–923, 1986

    Google Scholar 

  13. Dodds WJ, Groh WJ, Darweesh RMA, Lawson TL, Kishk SMA, Kern MK: Sonographic measurement of gallbladder volume. AJR 145:1009–1011, 1985

    Google Scholar 

  14. Cavalli Sforza L: Analisi Statistica per Medici e Biologi. Torino, Boringhieri, 1983, p 14

    Google Scholar 

  15. Winer BJ: Statistical Principles in Experimental Design. New York, McGraw-Hill, 1962, pp 319–324

    Google Scholar 

  16. Neuman M: Vademecum Degli Antibiotici ed Agenti Chemioterapici Anti-infettivi. Roma, Sigma Tau, 1988, pp 256–280

    Google Scholar 

  17. Wiener I, Kazumoto I, Fagan CF, Lilya P, Watson LC, Thompson JC: Release of cholecystokinin in man. Ann Surg 194:321–327, 1981

    Google Scholar 

  18. 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

    Google Scholar 

  19. Suzuki T, Takahashi I, Itoh Z: Motilin and gallbladder: New dimension in gastrointestinal physiology. Peptides 2:229–233, 1981

    Google Scholar 

  20. 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

    Google Scholar 

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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

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