DISTAL SMALL-BOWEL HORMONES - CORRELATION WITH FASTING ANTRODUODENAL MOTILITY AND GASTRIC-EMPTYING

The aim of the present study was to study the interdigestive motor com plex (MMC), distal small intestinal hormones, and gastric emptying in normal-weight and obese subjects before and after jejunoileal bypass ( JIB). Therefore, fasting antroduodenal motility, gastric emptying, and RIA for motilin (MOT), neurotensin (NT), peptide YY (PW), and glucago n-like peptide-1 (GLP-1) was performed in nine obese subjects before ( BMI 42 +/- 4 kg/m(2)) and nine months after (BMI 31 +/- 4) JIB, and in two groups of nine age-and sex-matched controls (BMI 23 +/- 1 and 21 +/- 1). The rate of gastric emptying was faster in obese subjects and GLP-1 lower compared to normal-weight controls. After JIB, fewer phase III of the MMC were observed; fasting levels of PYY were elevated dur ing the MMC; postprandial levels of NT, PW, and GLP-1 were elevated; a nd gastric emptying was delayed. Our results suggest that there may be an association between an impaired GLP-1 response after food intake a nd obesity, and after JIB, PYY seems to regulate interdigestive motili ty while GLP-1 may regulate early gastric emptying.