Biomedical subjects

H J Ehrlein

Publications and source records attributed to H J Ehrlein.

At least 19 recordsLinked to original sources

PubMed2001

Motility of the large intestine and flow of digesta in pigs.

The motor function of the large intestine of pigs is incompletely understood. Here the ileo-caecal-colonic motility is investigated by means of chronically implanted extraluminal strain gauge transducers and simultaneous videofluoroscopy in six pigs. Motility parameters were evaluated by computer and manually. The dominant feature of the ileal motility were aborally propagating giant contractions (velocity: 3.9 (0.7) cm sec(-1)) occurring at intervals of 7-12 minutes. They pushed the ileal digesta into the caecum. Despite a fed-state, migrating motor complexes occurred at intervals of 131.5 (8.1) minutes consisting of repetitive peristaltic waves. The motility of the caecum showed clustered contractions representing haustral movements. Transfer of caecal digesta and gas into the colon was caused by peristaltic contractions. The motility of the proximal colon was characterised by long peristaltic waves resulting in a rapid aboral transport of gas and a slow aboral flow of digesta. The propagation velocities along the centripetal and centrifugal loops of the colonic coil were 2.8 (0.6) and 5.7 (0.8) cm sec(-1), respectively. About half of the colonic waves were coordinated with the ileal giant contractions and the caecal peristaltic waves. The contraction parameters showed pronounced differences between the ileum and large intestine. The contraction rise time of the caecal and colonic contractions was about twice that of the ileal contractions (5.1 (0.2) and 4.4 (0.6) seconds versus 2.2 (0.1) seconds). Consequently, the maximal frequencies of the caecal and colonic contractions were about half compared with the ileal contractions (5.3 (0.4) and 6.1 (0.1) contractions min(-1) versus 11.8 (0.3) contractions min(-1)). Results show that the contractile patterns and motor functions of the individual intestinal segments differ markedly.

Animals↗

PubMed1999

Composition of enteral diets and meals providing optimal absorption rates of nutrients in mini pigs.

BACKGROUND: Commercial enteral diets differ widely in nutrient composition. It is unknown whether the nutrient composition of the diets influences intestinal absorption. OBJECTIVE: The objective of this study was to investigate the effects of different enteral diets providing 60% of energy as carbohydrate, protein, or fat or 33.3% of energy from each nutrient on intestinal absorption in mini pigs. DESIGN: Kinetics of nutrient absorption were determined by perfusing a 150-cm jejunal segment. The kinetics of absorption were used to determine optimal relations between the absorption and recovery of each nutrient. From these data, the optimal nutrient composition of the diets providing complete absorption of the macronutrients in the shortest intestinal length was evaluated. Absorption of nutrients was further determined after oral administration of 4 corresponding meals. RESULTS: With all enteral diets, the absorption of nutrients displayed saturation kinetics. Absorption rates of carbohydrate were significantly larger than those of fat and protein. Consequently, the amounts of nutrients remaining unabsorbed per unit length of jejunum differed among the macronutrients. After administration of various test meals, the length of the small intestine required for complete absorption of the nutrients depended on the composition of the meals. The shortest intestinal length for complete absorption was needed for a diet providing 48% of energy as carbohydrate, 23% as protein, and 29% as fat. This composition closely matched the nutritional requirements. CONCLUSION: The nutrient composition of diets can optimize intestinal absorption. This may be especially important in patients with malabsorption or short-bowel syndrome.

Animals↗

PubMed1998

A model to investigate postoperative ileus with strain gauge transducers in awake rats.

BACKGROUND: Postoperative ileus influences patients well-being, hospital stay, and health cost, and postoperative inhibition of colonic motility is a major contributor to postoperative ileus. Experimental models for investigating postoperative ileus are needed. In particular, recording of postoperative colonic motility in awake rats has not been described yet. MATERIAL AND METHODS: Gastric, small intestinal, and colonic motility were recorded with strain gauge transducers in awake rats, and the effects of anesthesia and abdominal surgery on gastrointestinal motility were investigated. RESULTS: Ether anesthesia increased gastric motility and inhibited small intestinal motility, while enflurane anesthesia had only minor effects on gastrointestinal motility. Abdominal surgery inhibited gastric, small intestinal, and colonic motility, and a detailed analysis of gastrointestinal motility in our postoperative ileus model is given. CONCLUSIONS: We established a model to record gastric, small intestinal, and colonic motility in awake rats postoperatively. We could demonstrate that enflurane anesthesia had little effect on gastrointestinal motility, while laparotomy and short manipulation of the cecum produced a prolonged inhibition of gastrointestinal motility. Our model could be used to investigate postoperative ileus, particularly of the colon, in awake rats.

Abdomen↗

PubMed1998

Relationships between gastric emptying and intestinal absorption of nutrients and energy in mini pigs.

Little is known about the relationship between gastric emptying of nutrients regulated by feedback mechanisms and the absorptive capacity of the gut. Therefore, we wanted to elucidate these interrelationships. A 150-cm jejunal segment was perfused (1-8 kcal/min) with three different nutrient solutions (either 60% of energy as carbohydrate, or 60% as protein, or 33.3% of each nutrient). In separate experiments, gastric emptying was measured after administration of three different meals with the same nutrient composition as the perfusion solutions. The jejunal absorption of carbohydrate, protein, fat, and energy demonstrated saturation kinetics. The kinetics differed among the three nutrients; carbohydrates were absorbed at higher rates than fat and protein. Interactions among the nutrients altered the kinetics providing a constant absorption of energy. After meals, the stomach emptied equal amounts of energy despite large variations in meal composition. The available intestinal absorptive capacity for protein was utilized by 96%, whereas that for carbohydrate, fat and energy were utilized only by 46-62%. Besides reserves in the absorptive capacity, the intestine provided reserves in total length available for absorption. The results indicate a close relationship between the energy-dependent absorption of nutrients and the energy-dependent feedback inhibition of gastric emptying.

Animals↗

PubMed1998

Reserve capacities of the small intestine for absorption of energy.

Previous in vitro studies showed that the small intestine has reserve capacities for absorption of nutrients. However, the size of the reserve capacity is controversial. Therefore, we measured the intestinal capacity for absorption of energy in relation to the postprandial gastric delivery of energy into the gut. In minipigs, a 150-cm length of jejunum was perfused (1-8 kcal/min) with four nutrient solutions containing 60% of energy as carbohydrate, protein, and fat, respectively, or containing 33.3% of each nutrient. In separate experiments, gastric delivery of energy to the jejunum was measured after oral administration of four meals with the same nutrient composition as the perfusion solutions. With all nutrient solutions, intestinal absorption of energy demonstrated saturation kinetics. The jejunal capacity for absorption of energy ranged from 0.66 to 0.94 kcal . m-1 . min-1. Despite large differences in nutrient composition of the four meals, equal amounts of energy (1.3 +/- 0.41 kcal/min) were delivered from the stomach to the jejunum. The absorption rates of energy after meals ranged from 0.40 to 0.58 kcal . m-1 . min-1. Therefore, only 58.8 +/- 2.7% of the jejunal capacity for absorption of energy was used. Additionally, the length of small intestine that would have been required for complete absorption was 42.9 +/- 3.7% of the total length. Results indicate that the feedback control of gastric emptying provides at least two types of intestinal reserve capacities: a reserve in absorption (1.7 fold) and a reserve in intestinal length (2.4 fold).

Analysis of Variance↗

PubMed1998

Glucose and maltodextrin in enteral diets have different effects on jejunal absorption of nutrients, sodium and water and on flow rate in mini pigs.

In four mini pigs a segment of the proximal jejunum was temporarily isolated and perfused with two enteral diets containing isocaloric amounts either of glucose or maltodextrin. With regard to total energy, the diets were composed of 60% carbohydrate, 20% protein and 20% fat. The perfusion rates were 1, 2, 4, 6, and 8 kcal/min. Absorption of glucose and fat from the maltodextrin diet was significantly greater than from the glucose diet, whereas absorption of protein was only slightly enhanced. A net water absorption occurred at perfusion of the isotonic solution with maltodextrin. Perfusing the hypertonic glucose diet, water was secreted. Therefore the flow rate increased from oligomer to monomer glucose source. With enhanced flow rate sodium secretion increased. However, the sodium concentration of the effluent was determined more by the transepithelial water movement than by the sodium secretion. The present results indicate that in enteral diets with interactions among different nutrients there is a 'kinetic advantage' in glucose absorption from maltodextrin compared to glucose. However, the reduced flow rate of the maltodextrin diet due to the lower osmolality contributed to the enhanced absorption.

Animals↗

PubMed1996

Effects of somatostatin on luminal transit and absorption of nutrients in the proximal gut of minipigs.

A discrepancy exists on the effects of somatostatin on the absorption of nutrients: in humans, absorption was found to be reduced, whereas in rats no effects were observed. However, intestinal absorption might be influenced by the transit rate of contents. This was not considered in previous studies. Therefore, we investigated simultaneously the effects of somatostatin on the absorption of nutrients and on luminal transit. In five minipigs (44-62 kg), a 150-cm segment of the proximal jejunum was temporarily isolated by two cannulas and perfused with an oligomer diet (60% carbohydrate, 18% protein, and 22% fat). The perfusion rate was 2 kcal/min. Flow rate and mean transit time were determined by markers (Cr-EDTA and Cu-EDTA). Somatostatin was infused intravenously at rates of 0.5, 1.25, 2.5, and 5 micrograms/kg/hr. In control experiments saline was administered intravenously. Somatostatin dose-dependently diminished flow rate of luminal contents and increased the transit time. At the largest dose of somatostatin (5 micrograms/kg/hr) flow rate was reduced by 50% compared with control infusion of saline (1.0 +/- 0.4 vs 2.0 +/- 0.05 ml/min, P < 0.05), and transit time was increased 3.6-fold (39.8 +/- 4.7 vs 11.2 +/- 4.9 min; P < 0.05). Somatostatin also dose-dependently enhanced the absorption of nutrients and energy. However, the increase in absorption was small compared with the effects on flow rate and transit time. At the largest dose (5 micrograms/kg/hr) absorption of energy, carbohydrate, protein, and fat was enhanced only by 9.7%, 7.0%, 5.2%, and 15.3%, respectively (49.9 vs 40.2%, 50.9 vs 43.9%, 67.3 vs 62.1%, and 30.1 vs 14.8% during saline infusion; P < 0.05). Results indicate that the major effects of somatostatin consist in a marked reduction of flow rate and a delay of luminal transit. The small increase in absorption was caused by the delay in transit and the prolonged contact of the nutrients with the mucosa. Therefore, in absorption studies, effects on transit need to be considered.

Analysis of Variance↗

PubMed1995

Effects of enteral feedback inhibition on motility, luminal flow, and absorption of nutrients in proximal gut of minipigs.

We wanted to clarify whether the postprandial intestinal feedback control activated by nutrients in the distal gut exerts different effects on motility, transit of digesta, and absorption of nutrients in the proximal gut. Additionally, interrelationships among motility, transit, and absorption were to be elucidated because these relationships have only been investigated in the fasted state. In five minipigs, a 150-cm segment of the proximal jejunum was isolated by two cannulas. Motility of the jejunal segment was recorded by multiple strain gauges and analyzed by computerized methods. Markers (Cr- and Cu-EDTA) were used for the measurement of the flow rate, transit time, and absorption of nutrients. After a meal, the test segment was perfused with 2 kcal/min of an elemental diet over a period of 90 min. A feedback inhibition was activated by infusion of nutrients into the midgut at rates of 1-4 kcal/min. Saline was infused as control. With increasing energy loads infused into the midgut, the motility index and the length of contraction waves decreased, whereas the incidence of stationary contractions increased, ie, the motility changed from a propulsive to a segmenting pattern. These modulations of motility were associated with a linear decrease in the flow rate and a linear increase in transit time. Flow and transit were linearly correlated with each other. Additionally, the reduction in flow rate and the delay in luminal transit were associated with a linear increase in the absorption of nutrients. However, the increase in absorption induced by the feedback mechanism was small (7.3-13.4%) compared to the marked inhibition of the motility parameters (54-64%), the flow rate (59%), and the delay of transit (5.8-fold). Feedback control primarily modulated motor patterns and luminal flow, whereas the small increase in absorption was only a side effect due to the longer contact time of the nutrients with the mucosa.

Animals↗

PubMed1993

Effects of enteral infusion of hypertonic saline and nutrients on canine jejunal motor patterns.

The aim of the study was to clarify the effects of hypertonic solutions on jejunal motility. The study focused on differential effects of hypertonic saline and nutrients. Motility of the canine proximal jejunum was recorded with closely spaced strain-gauge transducers. During fasting, hyperosmotic solutions (up to 1520 mosmol/liter) of saline or nutrients (1 kcal/ml) were infused into the proximal jejunum (0.5-1.5 ml/min) up to 6 hr. The hyperosmotic solutions stimulated jejunal motility. With both increasing osmolarity of saline or increasing energy load of nutrients, jejunal motility linearly declined. The reduction of motility was associated with a change in motor pattern from a propulsive to a more segmenting one. Hypertonic glucose evoked a significantly smaller level of motor activity compared with both saline (at given osmolarities) and an elemental diet (at given energy loads). Motility parameters were not different between glucose and maltose, although osmolarity of maltose was less than half (760 vs 1520 mosmol/liter). In contrast, a mixture of glucose-fructose exerted a smaller inhibition of jejunal motility than glucose. The hypertonic solutions of saline or nutrients were tolerated over 2 hr; with hypertonic saline retrograde power contractions with or without vomiting occurred, whereas with hypertonic nutrients vomiting was preceded by strong inhibition of jejunal motility. Three conclusions can be derived from the present results: (1) The behavior of jejunal motility suggested that the motor activity was the result of both a local stimulation and an inhibitory feedback mechanism. (2) The different degree of inhibition between glucose and saline indicated that the nutrient itself played a major role in the inhibitory feedback regulation, whereas osmolarity was of minor importance. (3) Comparisons between different nutrients suggested a linkage between inhibitory control of motility and the absorptive capacity of the gut for the single nutrient.

Analysis of Variance↗

PubMed1990

5-Hydroxytryptophan modulates postprandial motor patterns of canine proximal small intestine.

The aim of the study was to clarify whether 5-hydroxytryptophan (5-HTP) stimulates the postprandial motor pattern of the duodenum in a similar way as that of the adjacent jejunal segment in dogs. Computerized analysis of motor patterns recorded by closely spaced strain gauges focused on the temporal and spatial distribution of the contractions. Results indicate that 5-HTP increased the incidence and the length of the spread of contraction waves after both an acaloric and a nutrient meal in the duodenum as well as in the adjacent jejunal segment. Effects were more pronounced after the nutrient than after the acaloric meal. After the nutrient meal, but not after the acaloric meal, 5-HTP additionally enhanced the number of both duodenal and jejunal contractions per minute and increased the force of duodenal contractions. The acaloric meal induced significant differences in the motor patterns between the duodenum and the adjacent jejunum. 5-HTP abolished these differences owing to a relatively stronger stimulation of duodenal motility. 5-HTP did not affect gastric emptying of both meals. We conclude (i) that 5-HTP is a potent stimulator of propagated contractions both in the duodenum and the adjacent jejunal segment and (ii) that intestinal motor patterns can be regulated independently of gastric emptying.

5-Hydroxytryptophan↗

PubMed1990

Propagation velocities and frequencies of contractions along canine small intestine.

This study was performed to clarify in detail the behavior of the propagation velocities and frequencies of contractions along the canine small intestine. In conscious dogs, duodenal, jejunal, and ileal contractions were recorded by multiple, closely spaced strain gauges and analyzed by a computerized method. During both the interdigestive and postprandial states, the propagation velocity increased from the duodenal bulb to the distal duodenum and declined aborally within the jejunum, reaching rather constant values in the ileum. The decrease was steepest in the proximal part of the jejunum. In contrast to the propagation velocities, the contraction frequencies were almost constant in the upper small intestine. In the ileum, the contraction frequencies were markedly lower than in the upper small intestine, indicating that the aboral decrease in frequency occurred in the distal parts of the jejunum. We conclude that both the propagation velocities and the frequencies of contractions decline aborally in a nonlinear fashion. However, the nonlinear patterns of the frequency and the propagation velocity gradients are different.

Animals↗

PubMed1990

Effects of ileal infusions of nutrients on motor patterns of canine small intestine.

In the present study, effects of ileal infusions of nutrients on motor patterns of the proximal small intestine and on gastric emptying were investigated in dogs. An acaloric meal was administered orally, and equicaloric loads of amino acids, oleate, and glucose were infused into the ileum at different doses (0.3, 0.6, and 0.9 kJ/min). The computerized analysis of motor patterns was focused on the differentiation between stationary and propagated contractions recorded by closely spaced extraluminal strain gauges. All three nutrients exerted inhibitory effects on gastric emptying and on contraction force and frequency of the proximal small intestine. Additionally, the propulsive motor pattern induced by the acaloric meal was modulated by reducing the number of contraction waves and their length of spread. All the effects were dose dependent. Among the three nutrients, glucose significantly changed motility at lower doses compared with amino acids and oleate. We conclude that in dogs the ileal brake mechanism is induced by all three nutrients and that it influences not only contraction force and frequency but also the motor patterns of the proximal small intestine.

Amino Acids↗

PubMed1989

Characteristics of postprandial duodenal motor patterns in dogs.

In this study special attention was paid to the characteristics of duodenal motility under the influence of various test meals. Closely spaced strain gauge transducers and a computerized method were used to analyze motor patterns of the duodenum and the adjacent jejunum. Compared with an acaloric meal, nutrients shortened the length of contraction spread in the duodenum from 5.2 +/- 1.0 to 3.8 +/- 0.5-2.8 +/- 0.6 cm and in the jejunum from 10.5 +/- 3.0 to 7.4 +/- 1.3-5.2 +/- 0.8 cm. Additionally, contraction frequency was reduced. Basic differences were found between duodenal and jejunal motility. They were most marked in absence of nutrients. The duodenal motor pattern was characterized by a lower contraction frequency (8.0 +/- 2.2 vs 11.1 +/- 1.8/min), a shorter length of contraction spread (5.2 +/- 1.0 vs 10.5 +/- 3.0 cm), and a higher incidence of stationary contractions (50% vs 34%). On the duodenal bulb 72% of contractions represented contraction waves, whereas in the mid-duodenum the predominant feature was stationary contractions (57%) promoting the mixing of chyme with secretions. The characteristic duodenal motor patterns might be related to special functions of the duodenum for transport and digestion.

Animals↗

PubMed1989

Neurotensin changes the motor pattern in canine ileum from propulsive to segmenting.

Modulation of ileal propulsive motility by different doses of neurotensin has been determined in detail. In conscious dogs neurotensin (2.5, 5, and 10 pmol/kg/min) was intravenously infused during the propulsive motor pattern induced by an acaloric viscous meal. Motor patterns were recorded by seven closely spaced strain gauge transducers and analyzed by a computerized method. Luminal transit was measured fluoroscopically. Neurotensin changed the propulsive motor pattern induced by the acaloric meal into a segmenting pattern. Effects were dose-dependent and most striking at a dose of 10 pmol/kg/min. The transit of luminal contents decreased from 20 to 8 cm/min. This was achieved by the increase in the number of stationary contractions (31 vs 55%), the reduction in the length of contraction spread (3.8 vs 1.8 cm), and the decrease in the number of contractions (11.5 vs 9.2 contractions/min). The contraction force was enhanced from 67 to 107 mN. Because of the marked effects on ileal motor patterns, neurotensin might be involved in the regulation of digestive motility in the distal small intestine.

Animals↗

PubMed1989

Gastrointestinal motility and gastric emptying after Billroth II gastrectomy in dogs.

This study was undertaken to compare the effects of subtotal Billroth II gastrectomy on gastric emptying and gastrointestinal motility with previously published results in intact dogs and in dogs with subtotal Roux-Y gastrectomy. Extraluminal strain gauge transducers were used to study gastrointestinal motility after Billroth II gastrectomy in four conscious dogs. Gastric emptying was measured radiographically. In Billroth II dogs gastric emptying of low-viscosity meals was biphasic with an initial rapid emptying. The addition of nutrients to low-viscosity meals delayed gastric emptying accompanied with reduction in gastric and jejunal motility. Similar to that in Roux-Y dogs, gastric emptying of noncaloric medium-viscosity meals was delayed because of segmenting motor patterns of the jejunal loops, in contrast to the propulsive jejunal motor pattern in intact dogs. Nutrients added to medium-viscosity meals did not change the jejunal motor pattern; gastric emptying was delayed compared with intact dogs. Results show that meal viscosity and jejunal motor pattern influence gastric emptying after Billroth II gastrectomy.

Anastomosis, Roux-en-Y↗

PubMed1989

Computer analysis of orally propagated contractions in canine small intestine after Billroth-II gastrectomy.

The aims of the study were to characterize an unusual motor pattern with orally propagated intestinal contractions occurring after subtotal gastrectomy and to clarify if orally propagated contractions also occur during the normal fasted and fed motor pattern in intact dogs. Jejunal motility was recorded with multiple closely spaced extraluminal transducers. Contractile patterns were analyzed by a special computerized method. Following a Billroth-II gastrectomy without additional vagotomy, the migrating motor complex was often disrupted and replaced by a motor pattern that consisted of contractions propagating aborally and retrograde. The propagation velocity was significantly faster compared with that of phase III contraction waves. In intact dogs, both the fasted and fed motor patterns showed a negligible number of orally propagated contractions. These results show that it is possible to differentiate between aborally and orally propagating contractions by a computerized method. Orally propagated contractions occur frequently after subtotal gastrectomy with gastroenterostomy but are an uncommon feature in intact dogs.

Animals↗

PubMed1989

Effects of neurotensin on motor patterns of canine duodenum and proximal jejunum.

The aim of this study was to clarify if small doses of neurotensin (2.5 and 5.0 pmol.kg-1.min-1, i.v.) in dogs alter the postprandial motor pattern of the duodenum in comparison with the adjacent jejunum. The intestinal motor patterns were quantified by means of closely spaced strain gauge transducers and a computerized method. An acaloric viscous meal of cellulose was used to induce postprandial motility. Gastric emptying was measured radiographically. During intravenous control infusion of saline, the characteristics of duodenal and jejunal motor pattern were significantly different. The duodenum contracted at a lower rate and showed a higher incidence of stationary contractions. The lower dose (2.5 pmol.kg-1.min-1) of neurotensin showed no significant effects, whereas the higher dose (5 pmol.kg-1.min-1) significantly slowed gastric emptying and altered the motor pattern of both intestinal segments in a similar manner. It reduced the number of contractions, shortened the contraction spread, increased the incidence of stationary contractions, and decreased the incidence of propagated contractions. The alterations of motility caused enhanced mixing of luminal contents. The differences in motor patterns seen in the control state between both intestinal segments were diminished during neurotensin. Data revealed no differences in sensitivity of the duodenum and jejunum to neurotensin. Results suggest that neurotensin is one of the gastrointestinal peptides involved in regulating intestinal contractile patterns.

Animals↗

PubMed1989

Effects of various agents on ileal postprandial motor patterns and transit of chyme in dogs.

Effects of intravenous infusions of somatostatin, methionine-enkephalin, and 5-hydroxytryptophan on canine ileal motor patterns and transit of chyme were investigated postprandially. Motility was recorded by multiple closely spaced extraluminal strain gauges. By a computerized method, the length of contraction spread and other motility parameters were evaluated. Transit rates were measured fluoroscopically. Somatostatin and methionine-enkephalin initiated a mixing activity by reducing the incidence and the length of spread of contraction waves induced by a noncaloric meal. Methionine-enkephalin, but not somatostatin, decreased both the number of contractions per minute and the motility index. 5-Hydroxytryptophan converted the mixing activity induced by a nutrient meal into a propulsive pattern. The incidence and the length of spread of contraction waves as well as the number of contractions per minute, the contraction force, and the motility index were enhanced. Results suggest that somatostatin, methionine-enkephalin, and 5-hydroxytryptophan are effective modulators of ileal propulsive activity. Effects are largely similar to those observed in the proximal jejunum, although the lengths of contraction spread and the transit rates were generally less in the ileum.

5-Hydroxytryptophan↗