Abstract
Nifedipine, a calcium-blocking agent, inhibits smooth muscle contractions in various organs including gastric muscle in vitro. Despite this, nifedipine has been found to have no effect on gastric emptying in man. We have investigated the effect of nifedipine on gastric emptying of liquids and solids and on gastrointestinal motility in six healthy subjects. For this, isotopic techniques and manometric methods were used. We confirm that nifedipine 30 mg per os does not modify gastric emptying of liquids or solids. By contrast, antra motility was significantly inhibited (P<0.05) and duodenal motility increased. These results could be interpreted as (1) gastroduodenal motility changes are not severe enough to alter emptying or (2) isotopic techniques are not sensitive enough to detect subtle changes in gastric emptying.
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Himori N, Taira N: Differential effects of the calcium-antagonistic vasodilators, nifedipine and verapamil, on the tracheal musculature and vasculature of the dog. Br J Pharmacol 68:595–597, 1980
Weiser HF, Lepsien G, Golehofen K, Siewert R: Clinical and experimental studies on the effect of nifedipine on smooth muscle of the oesophagus and LES.In Gastrointestinal Motility in Health and Disease. HL Duthie (ed). MTP Press, Lancaster, 1978, pp 565–574
Blackwell JN, Holt S, Heading RC: Effect of nifedipine on oseophageal motility and gastric emptying. Digestion 21:5–56, 1981
Hongo M, Traube M, McAllister RG, McCallum RW: Effects of nifedipine on esophageal motor function in humans. Correlation with plasma nifedipine concentration. Gastroenterology 86:8–12, 1984
Ochillo RF, Tsai CS: The influence of verapamil on the amplitude and frequency of cholinergic-initiated contractions of isolated gastric muscularis muscle ofBufo marinus. Pharmacology 24:185–192, 1982
Traube M, Lange RC, McAllister RG, McCallum RW: Effect of nifedipine on gastric emptying in normal subjects. Dig Dis Sci 30:710–712, 1985
Malmud LS, Fisher RS, Knoght LC, Rock E: Scintigraphic evaluation of gastric emptying. Semin Nucl Med 12:116–125, 1982
Tothill P, McLoughlin GP, Heading RC: Techniques and errors in scintigraphic measurement of gastric emptying. J Nucl Med 19:256–261, 1978
Tothill P, McLoughlin GP, Host S, Heading RC: The effect of posture on errors in gastric emptying measurements. Phys Med Biol 25:1071–1077, 1980
Meyer JH, VanDeventer G, Graham LS, Thomson D: Errors and corrections with scintigraphic measurement of gastric emptying of solid foods. J Nucl Med 24:197–203, 1983
Kelly KA: Gastric emptying of liquids and solids: Roles of proximal and distal stomach. Am J Physiol 239:G71-G76, 1980
Malagelada JR, Rees WDW, Mazzotta LJ, Go VLW: Gastric motor abnormalities in diabetic and postvagotomy gastroparesis: Effect of metoclopramide and bethanechol. Gastroenterology 78:286–293, 1980
Telander RL, Morgan KG, Kreulen DL, Schmalz PF, Kelly KA, Szurszewiski JH: Human gastric atony with tachygastria and gastric retention. Gastroenterology 75:497–501, 1978
Scarpignato C, Micali B, Vitulo F, Zimbraro G, Bertaccini G: Inhibition of gastric emptying by bombesin in man. Digestion 23:128–131, 1982
Camilleri M, Brown ML, Malagelada JR: Relationship between impaired gastric emptying and abnormal gastrointestinal motility. Gastroenterology 91:94–99, 1986
Bortoloti M, Pandolfo N, Nebiacolombo C, Labo G, Mattioli F: Modifications in gastroduodenal motility induced by the extramucosal section of circular duodenal musculature in dogs. Gastroenterology 81:910–914, 1981
Dooley CP, Reznick JB, Valenzuela JE: Variations in gastric and duodenal motility during gastric emptying of liquid meals in humans. Gastroenterology 87:1114–1119, 1984
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Santander, R., Mena, I., Gramisu, M. et al. Effect of nifedipine on gastric emptying and gastrointestinal motility in man. Digest Dis Sci 33, 535–539 (1988). https://doi.org/10.1007/BF01798353
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DOI: https://doi.org/10.1007/BF01798353