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Gastric emptying (revision 1)

Old revision·16:52, 1 Aug 2024·ProglucagonPia

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Gastric emptying
Measured byScintigraphy, breath test, paracetamol absorption
Normal half-emptying time≈45–90 min for a solid meal
Effect of GLP-1 agonismDelay, attenuating with continued exposure
Topic infobox · conventions

Gastric emptying is the rate at which the contents of the stomach are delivered to the duodenum. It is regulated by fundic tone, antral contraction and pyloric resistance, and is modulated by feedback from nutrients already in the small intestine — the mechanism by which Glucagon-like peptide-1 and other gut hormones slow it.[1]

Delayed emptying is one of the principal actions of GLP-1 receptor agonists. It blunts the postprandial glucose excursion by delivering carbohydrate to the absorptive surface more slowly, and it contributes to early satiety through gastric distension. In short-acting agonists it accounts for a substantial part of the postprandial glycaemic effect.[1]

References

  1. ^ a b Marathe CS, Rayner CK, Jones KL, Horowitz M. "Relationships between gastric emptying, postprandial glycemia, and incretin hormones." Diabetes Care 36(5):1396–1405 (2013). DOI:10.2337/dc12-1609. PMID 23613599.