• Title/Summary/Keyword: Intestinal motility

Search Result 133, Processing Time 0.029 seconds

Enteral Nutrition and Its Clinical Application (장관 영양제의 임상적 적용)

  • Kim, Yong Joo
    • Pediatric Gastroenterology, Hepatology & Nutrition
    • /
    • v.12 no.sup1
    • /
    • pp.27-36
    • /
    • 2009
  • Some pediatric patients who can not eat orally depend on enteral tube feedings, and some patients require more nutrients and calories to achieve the catch-up growth. If a patient is counting on the parenteral nutrition, early initiation of enteral feeding, orally or enterally, is a very good for the intestinal mucosal maturity and motility. There are numerous kinds of formulas and supplements for the enteral feeding for neonates, infants, and children. Depending on the intestinal symptoms, allergic symptoms, requirement of special nutrients, we can choose regular infant formula (milk-based, soy-based), protein hydrolysate formula, amino acid hydrolysate formula, elemental formula. Proper use of these formulas would help for the pediatric patients to recover from their diseases, to facilitate the intestinal mucosal maturity and to achieve their goal of growth.

Neonatal Intestinal Pseudo-obstruction Associated with Deficiency of the Interstitial Cells of Cajal in a Premature Infant (카할세포 결핍과 연관된 미숙아 가성 장폐쇄 1례)

  • Lee, Soo-Jung;Lee, Woo-Ryoung
    • Neonatal Medicine
    • /
    • v.15 no.2
    • /
    • pp.196-199
    • /
    • 2008
  • The interstitial cells of Cajal are the pacemakers in the gastrointestinal tract that modulate gastrointestinal motility. A case of a neonate with intestinal pseudo-obstruction caused by a decreased number of the interstitial cells of Cajal is presented. A premature male infant born at 32 weeks of gestation showed progressive abdominal distention beginning 3 days after initiation of enteral feeding at 15 days of life. No etiologic factors were identified on radiologic studies, a gastrographin enema, and an intestinal biopsy other than a markedly decreased number of the intestinal cells of Cajal. An ileostomy, followed by repair of the ileostomy was done, which resulted in but a limited improvement of the abdominal gas pattern. Respiratory distress, pancytopenia, and abdominal distention persisted, and the infant expired on 142 days of life.

Development of Pressure Sensor for Identifying Guinea Pig's Large Intestinal Motility Caused by Drug (약물 투여에 따른 기니피그 대장 운동 측정을 위한 압력센서 개발)

  • Park, Jae-Soon;Park, Jung-Ho;Kim, Eung-Bo;Cho, Sung-Hwan;Jang, Su-Jeong;Joung, Yeun-Ho
    • Journal of the Korean Institute of Electrical and Electronic Material Engineers
    • /
    • v.29 no.1
    • /
    • pp.23-29
    • /
    • 2016
  • In this paper, in order to quantify the peristalsis occurrence in a guinea pig's large intestine, a miniaturized air-gap capacitive pressure sensor was fabricated through micro-electro-mechanical system (MEMS). The proposed pressure sensor is a two-layered biocompatible polyimide substrate consisting of an air-gap capacitive plates between the substrates. The proposed pressure sensor was designed with a careful consideration of the structure and motility mechanism of the guinea pig's large intestine. Artificial pellets were mounted on a prototype pressure sensor to provide some redundancies in the form of size and shape of the guinea pig feces. Capacitance of a prototype sensor was recorded to be 2.5 ~ 3 pF. This capacitance value was later converted to count value using a lab fabricated data conversion system. Sensitivity of the pressure sensor was recorded to be below 1 mmHg per atmospheric pressure. During in vivo testing, artificial peristalsis caused by drug injection was measured by inserting the prototype pressure sensor into the guinea pig's large intestine and pressure data obtained due to artificial peristalsis was graphed using a labview program. The proposed pressure sensor could measure the pressure changes in the proximal, medial, and distal parts of the large intestine. The results of the experiment confirmed that pressure changes of guinea pig's large intestine was proportional to the degree of drug injection.

Motility and Absorptive Capacity of the Ileum in Acute Hemorrhage (급성실혈시의 회장운동과 흡수기능)

  • Hwang, Jeong-Woon
    • The Korean Journal of Physiology
    • /
    • v.7 no.2
    • /
    • pp.39-47
    • /
    • 1973
  • The influences of the acute hemorrhage on the intestinal functions were studied in the rabbits subjected to acute bleeding, amounting 1.5-2% of the body weight. The motility and the absorptive capacity of the ileum were compared before and after the bleeding. Transfusion of shed blood was also performed in order to see whether the deteriorations were reversible or not. The tension developed in the direction of the longitudinal axis of the ileum was recorded through an appropriate transducer, and the frequency of the rhythmic contraction was counted throughout the procedure. Test solution, 10ml in amount, was placed in the loop of the ileum, and the samples were drawn at zero time and at 20 minutes. Triplicated procedures were repeated on the same loop;namely, before and after bleeding and after transfusion. The test solution was composed of 200 mg% urea, 218 mEq/l of NaCl and 150 mg% of polyethylene glycol (PEG) No. 4,000 in distilled water. The latter substance was used as a marker substance for the volume change of the loop. The results obtained were as follows; 1. The motility of the ileum suffered little effects by acute hemorrhage. However, minor fluctuations were seen in the frequency of the rhythm, showing a slight tendency of decreasing rhythmicity, and it was reversed by transfusion. 2. Diminution of absorptive capacity of urea was noticed in acute hemorrhage and it was interpreted as the consequence of the secondary effect of the retardation of the active transport mechanism governing the sodium transport 3. Absorption rate of the sodium ion was dropped in the hemorrhage, suggesting the indispensable need of the blood supply. 4. Osmolarity of the luminal fluid remained higher in the case of acute hemorrhage. 5. There was a tendency of retaining more fluid in the intestinal lumen in acute hemorrhage, comparing with that observed prior to the bleeding. 6. The deteriorations in the absorptive capacity were restored by transfusion of shed blood.

  • PDF

Involvement of Thromboxane $A_2$ in the Modulation of Pacemaker Activity of Interstitial Cells of Cajal of Mouse Intestine

  • Kim, Jin-Ho;Choe, Soo-Jin;Yeum, Cheol-Ho;Yoon, Pyung-Jin;Choi, Seok;Jun, Jae-Yeoul
    • The Korean Journal of Physiology and Pharmacology
    • /
    • v.12 no.1
    • /
    • pp.25-30
    • /
    • 2008
  • Although many studies show that thromboxane $A_2\;(TXA_2)$ has the action of gastrointestinal (GI) motility using GI muscle cells and tissue, there are no reports on the effects of $TXA_2$ on interstitial cells of Cajal (ICC) that function as pacemaker cells in GI tract. So, we studied the modulation of pacemaker activities by $TXA_2$ in ICC with whole cell patch-clamp technique. Externally applied $TXA_2\;(5{\mu}M)$ produced membrane depolarization in current-clamp mode and increased tonic inward pacemaker currents in voltage-clamp mode. The tonic inward currents by $TXA_2$ were inhibited by intracellular application of GDP-${\beta}$-S. The pretreatment of ICC with $Ca^{2+}$ free solution and thapsigargin, a $Ca^{2+}$-ATPase inhibitor in endoplasmic reticulum, abolished the generation of pacemaker currents and suppressed the $TXA_2$-induced tonic inward currents. However, chelerythrine or calphostin C, protein kinase C inhibitors, did not block the $TXA_2$-induced effects on pacemaker currents. These results suggest that $TXA_2$ can regulate intestinal motility through the modulation of ICC pacemaker activities. This modulation of pacemaker activities by $TXA_2$ may occur by the activation of G protein and PKC independent pathway via extra and intracellular $Ca^{2+}$ modulation.

Effect of Ethanol Extract of Dried Chinese Yam (Dioscorea batatas) Flour Containing Dioscin on Gastrointestinal Function in Rat Model

  • Jeon Jeong-Ryae;Lee Ji-Seon;Lee Chu-Hee;Kim Jong-Yeon;Kim Soon-Dong;Nam Doo-Hyun
    • Archives of Pharmacal Research
    • /
    • v.29 no.5
    • /
    • pp.348-353
    • /
    • 2006
  • In this study, a 40% ethanol extract of Chinese yam flour (Dioscoreae rhizoma), containing $177{\pm}58{\mu}g/mL$ of dioscin, was tested in order to evaluate its pharmacological effects on the gastrointestinal tracts of Sprague-Dawley rats. Via the ingestion of the Chinese yam extract, the secretion of gastric acid was suppressed in the rats, and gastrointestinal motility increased by as much as 10%. The fecal quantity of rats fed on the Chinese yam extract also increased, by more than 40% as compared with that of the controls. The Chinese yam extract was found not to affect the growth of normal intestinal bacteria. However, a great deal of lactose-fermenting bacteria was observed in the fecal samples of rats fed for 6 weeks on 2% Chinese yam extract. This finding would appear to suggest that Chinese yam extract not only induces an improvement in digestive capability, but also affects the conversion of some intestinal flora to helpful bacteria. Our serochemical analyses indicated that serum glucose, neutral lipid, and total cholesterol levels were reduced to some degree by long-term feeding on Chinese yam extract. This finding bolsters the notion that Chinese yam extract may prove helpful as a digestion-aiding agent for patients suffering from hyperglycemia or hyperlipidemia.

Diagnostic Imaging of Solitary Nodular Cecal Lymphoma in a Dog (맹장에 발생한 단일성 결절형 소화관 림프종의 영상 진단 증례)

  • Jung, Joo-Hyun;Kwon, Do-Hyoung;Lee, Seung-Hee;Chang, Jin-Hwa;Oh, Sun-Kyoung;Yoon, Jung-Hee;Choi, Min-Cheol
    • Journal of Veterinary Clinics
    • /
    • v.26 no.1
    • /
    • pp.81-85
    • /
    • 2009
  • A spayed female, 8-year-old, maltese, weighing 1.84 kg with a history of acute severe vomiting, anorexia, depression for 2 day was referred. An abdominal mass was palpated with abdominal pain on physical examination. Radiographic findings included two soft tissue density masses in the mid-abdominal cavity and gas dilated colon. Ultrasonographs showed one heterogeneous hypoechoic round mass including intestinal wall. There were loss of normal wall layering and motility and absence of internal lumen of the intestinal wall. And another heterogeneous hyperechoic mass was identified to the medial side of the intestinal mass. Based on clinical signs, image findings, and the result of fine needle aspiration, intestinal obstruction due to alimentary lymphoma was diagnosed. On surgery, a cecal lymphoma and mesenteric lymphadenopathy were confirmed and the cecal mass was resected.

Studies on the Efficacy of Combined Preparations of Crude Drug(XXXIX). -Effect of Hyangsayangwee-Tang on the Stomach and Intestinal Disorder- (생약복합제제(生藥複合製劑)의 약효연구(藥效硏究) 제39보(第39報) -향사양위탕(香沙養胃湯)이 소화기계(消化器系)에 대한 작용-)

  • Hong, Nam-Doo;Chang, In-Kyu;Kim, Nam-Jae;Lee, In-Sun
    • Korean Journal of Pharmacognosy
    • /
    • v.20 no.3
    • /
    • pp.188-195
    • /
    • 1989
  • Hyangsayangwee-Tang, a combined preparation of crude drugs, which has been used for stomach and intestinal disorder, was examined for anti-spasmodic, anti-ulcerative and anti-emetive effects. Spontaneous motility of isolated ileum was strongly suppressed and inhibitory effects against contraction of isolated ileum induced by acetylcholine and barium chloride were shown in mice. And, contraction of isolated guinea-pig ileum by histamine was inhibited. In rats fundus preparations, Hyangsayangwee-Tang elicited strong relaxation and had antagonist effects against the spasm induced by acetylcholine and barium chloride. A significant inhibitory effect on the intestinal propulsion of barium sulfate in mice was shown. In pylorus-ligated rats, Hyangsangwee-Tang inhibited gastric secretion and showed a strong anti-peptic activity. Protective effects against gastric ulceration induced by pyloric ligation, water-immersion stress, histamine and aspirin were significantly recognized in mice and rats. Hyangsayangwee-Tang decreased cupric sulfate-induced vomitting in frogs.

  • PDF

Studies on the Efficacy of Combined Preparations of Crude Drugs (IX) -Effect of 'Jakyakgamcho-Tang' on Anti-inflammatory and Antiulcerative Actions, and Motility of Isolated Intestine- (생약복합제제(生藥複合劑制)의 약효연구(藥效硏究) 제9보(第9報) -작약감초탕(芍藥甘草湯)이 장관(腸管), 위궤양(胃潰瘍), 부종(浮腫)에 대(對)한 영향(影響)-)

  • Hong, N.D.;Kim, J.W.;Jeong, G.M.;Kim, N.J.
    • Korean Journal of Pharmacognosy
    • /
    • v.13 no.2
    • /
    • pp.87-91
    • /
    • 1982
  • This study was undertaken to investigate the effect of 'Jakyakgamcho-Tang' and parched 'Jakyakgamcho-Tang' on anti-inflammatory and antiulcerative actions, and motility of isolated intestine of mice. The results of this study were summarized as follows; Anti-inflammatory effect was showed markedly by the administration of water extract of 'Jakyakgamcho-Tang' and parched 'Jakyakgamcho-Tang'. Isolated intestine of mice was relaxed with the treatment of 'Jakyakgamcho-Tang' and parched 'Jakyakgamcho-Tang' and intestinal contraction induced by $BaCl_2$ and acetylcholine was also inhibited. The water extract of 'Jakyakgamcho-Tang' and parched 'Jakyakgamcho-Tang' were significantly inhibited Shay's ulceration in rats.

  • PDF

Preliminary pharmacological evaluation of an Ayurvedic formulation Dasamularista

  • Rajia Sultana;Choudhuri M Shahabuddin Kabir;Sattar Mafruhi;Shahriar Masum
    • Advances in Traditional Medicine
    • /
    • v.6 no.3
    • /
    • pp.208-214
    • /
    • 2006
  • In this study the Ayurvedic formulation Dasamularista was studied for its preliminary pharmacological properties using laboratory mice. Dasamularista showed a decrease in food intake and stool formation, while the water content of stool and water intake was higher and the volume of the urine was less. Dasamularista in a slight extent reduced the intestinal motility. This constipating effect was further supported by the significant anti-diarrhoeal property of the formulation in castor oil induced dairrhoea. The tested formulation markedly increased the latent period of diarrhoea and reduced the purging index value. Dasamularista did not alter the acetic acid induced abdominal writhing. Significant reduction on the onset of sleeping time and increased duration of sleep was observed in pentobarbital induced sleeping time test.