Background: The aim of the present investigation was to study gastric acid
secretion and release of gastrin, cholecystokinin (CCK), and secretin durin
g intraduodenal perfusion of either fish oil or trioleate. Methods: Seven h
ealthy volunteers were stimulated on two separate days in random order with
intraduodenal perfusates of either fish oil or trioleate. Results: Intrave
nous infusion with gastrin-17 was used as a background stimulation in doses
mimicking a postprandial situation (39.9 +/- 4.8 pmol/l fish oil and 43.6
+/- 3.8 pmol/l trioleate). Gastric acid secretion increased significantly f
rom a basal level of 0.7 +/- 0.1 meq/15 min to 4.0 +/- 0.6 meq/15 min (P <
0.05) before perfusion of fish oil, which reduced gastric acid secretion to
1.9 +/- 0.4 meq/15 min (P < 0.01). After termination of fish oil perfusion
gastric acid secretion increased to preperfusion concentrations (P < 0.01)
. Perfusion of trioleate did not influence gastric acid secretion. Plasma c
oncentrations of CCK rose significantly during perfusion of fish oil (from
2.8 +/- 0.6pmol/l to 4.4 +/- 0.7pmol/l, P < 0.01), whereas trioleate only t
ended to increase CCK concentrations, plasma concentrations of secretin did
not change during perfusion of fish oil; however, concentrations were sign
ificantly lower during and after perfusion of trioleate (P < 0.01). Conclus
ion: The present study shows that intraduodenal perfusion of fish oil is as
sociated with a significant reduction of the gastric acid secretion stimula
ted by gastrin in healthy humans.