Sakamoto Y, Sekino Y, Yamada E, Higurashi T, Ohkubo H, Sakai E, Endo H, Iida H, Nonaka T, Fujita K, Yoneda M, Koide T, Takahashi H, Goto A, Abe Y, Gotoh E, Maeda S, Nakajima A, Inamori M. Effect of sumatriptan on gastric emptying: A crossover study using the BreathID system.
World J Gastroenterol 2012;
18:3415-9. [PMID:
22807611 PMCID:
PMC3396194 DOI:
10.3748/wjg.v18.i26.3415]
[Citation(s) in RCA: 7] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/11/2011] [Revised: 01/31/2012] [Accepted: 04/10/2012] [Indexed: 02/06/2023] Open
Abstract
AIM: To determine the effect of oral sumatriptan on gastric emptying using a continuous 13C breath test (BreathID system).
METHODS: Ten healthy male volunteers participated in this randomized, 2-way crossover study. The subjects fasted overnight and were randomly assigned to receive a test meal (200 kcal/200 mL) 30 min after pre-medication with sumatriptan 50 mg (sumatriptan condition), or the test meal alone (control condition). Gastric emptying was monitored for 4 h after administration of the test meal by the 13C-acetic acid breath test performed continually using the BreathID system. Then, using Oridion Research Software (β version), the time taken for emptying of 50% of the labeled meal (T1/2) similar to the scintigraphy lag time for 10% emptying of the labeled meal (Tlag), the gastric emptying coefficient (GEC), and the regression-estimated constants (β and κ) were calculated. The statistical significance of any differences in the parameters were analyzed using Wilcoxon’s signed-rank test.
RESULTS: In the sumatriptan condition, significant differences compared with the control condition were found in T1/2 [median 131.84 min (range, 103.13-168.70) vs 120.27 min (89.61-138.25); P = 0.0016], Tlag [median 80.085 min (59.23-125.89) vs 61.11 min (39.86-87.05); P = 0.0125], and β [median 2.3374 (1.6407-3.8209) vs 2.0847 (1.4755-2.9269); P = 0.0284]. There were no significant differences in the GEC or κ between the 2 conditions.
CONCLUSION: This study showed that oral sumatriptan significantly delayed gastric emptying of a liquid meal.
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