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      The involvement of opiate receptors in the effects of trimebutine on intestinal motility in the conscious dog

      , ,
      Journal of Pharmacy and Pharmacology
      Wiley

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          Rate of flow of digesta and electrical activity of the small intestine in dogs and sheep.

          1. Spiking activity of the small intestine in the conscious dog and sheep was recorded continuously from electrodes chronically implanted on the jejunum and summed at intervals of 20 sec. The activity was related to the transit time and flow rate of intestinal contents as estimated by phenol red and by dilution of continuous marker infusions respectively. Also in some sheep the flow of digesta was measured directly from a cannula in the proximal part of the jejunum, and also by use of an electromagnetic flow meter. 2. In the fasted dog and in sheep on a normal diet the intestinal activity was characterized by a migrating myo-electric complex comprising an irregular phase followed by a regular phase. These migrating myo-electric complexes occurred regularly after a period of inactivity at a frequency of 15-20/24 hr. In dogs after feeding, a continuous spiking activity appeared and persisted for periods of 7-8 hr. This was associated with much higher rates of flow and shorter transit times than were observed during fasting. In sheep, continuous spiking activity could be induced by intravenous injection of 5-hydroxytryptophan and this, similarly, was accompanied by a more rapid flow and a shorter transit time than recorded during the control period. 3. In both species the longest transit time occurred when a phenol red bolus was injected during the period of electrical inactivity. Relatively short transit times were observed when the bolus was administered just before the period of regular spiking activity. 4. When relaxation of the bowel was induced by intraperitoneal injection of hypertonic saline there was no spiking activity and the transit time for the infused solution was greatly lengthened, especially in the sheep. A noticeable flow of digestive contents persisted in the dog. 5. In the sheep the intestinal contents flowed intermittently during periods of 10-15 min and at the same frequency as the migrating myo-electric complex. Two thirds of this flow took place in the 4-6 min immediately preceding the periods of irregular spiking activity. 6. It is concluded that in the fasted dog and in the sheep the migrating myo-electric complex controls the pressure gradients on which the flow of intestinal contents depends. This is accomplished in the main by the prolonged phase of irregular spiking activity, and it is suggested that the regular spiking activity which follows it, though not in itself propulsive, serves as a barrier to prevent backflow of digesta into the quiescent part of the intestine. When continuous spiking activity is induced, by feeding in the dog and by injection of 5-hydroxytryptophan in the sheep, no part of the intestine is quiescent and the transit time is shortened by the incessant irregular spiking activity.
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            A trial of trimebutine in spastic colon.

            In a double-blind crossover trial of three days duration on each drug, trimebutine in a dose of 200 mg three times daily was significantly more effective than placebo in relieving the symptoms of mild to moderate degrees of spastic colon (p less than 0.001). The only side-effect necessitating discontinuation of treatment was one case of vomiting.
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              Colonic myoelectrical activity and propulsion in the dog.

              Electrical spike activity was recorded on the colon of the dog. The duration of the bursts of the spike was used to divide the spike activity into two different types: long and short spike bursts (LSB and SSB). LSBs lasted from 7 (ascending) to 37 sec (descending) and SSBs lasted about 1 sec, independent of the site. These measurements were applied to colons of colostomized dogs for which the colonic transit time was negatively correlated to the LSBs expressed as percent of the time. The effects of high- and low-residue diets were tested. Intake of large amounts of dry food was associated with an increase of the LSB activity. A meat diet was accompanied with an increase of the SSB activity. These results suggest a propulsive effect for the LSBs stimulated by large amounts of colonic contents while the SSB activity may reflect some degree of emptiness.
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                Author and article information

                Journal
                Journal of Pharmacy and Pharmacology
                Wiley
                00223573
                September 1984
                September 1984
                April 12 2011
                : 36
                : 9
                : 618-621
                Article
                10.1111/j.2042-7158.1984.tb04910.x
                84b8b7b7-51d8-4676-a7e0-a6b77b8b8f91
                © 2011

                http://doi.wiley.com/10.1002/tdm_license_1.1

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