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January 1, 2002The American Journal of Gastroenterology

Effects of exogenous corticotropin-releasing factor on antropyloroduodenal motility and appetite in humans

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Authors

YSYu-Chung SuKaohsiung Medical UniversitySDSelena DoranRoyal Adelaide HospitalGWGary WittertSouth Australia Pathology

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Overview

Randomized double-blind trial reveals corticotropin-releasing factor stimulates upper gut motility in healthy adults, indicating stress hormones selectively modulate intestinal contractions.

Key Points

  • To determine the effects of exogenous corticotropin-releasing factor (CRF) on antropyloroduodenal motility, gastric emptying, and appetite in healthy humans.
  • Six healthy volunteers were evaluated on two separate days in a randomized, double-blind crossover design receiving intravenous CRF (1.0 µg/kg bolus plus 1.0 µg/kg/h constant infusion) or saline.
  • Upper gastrointestinal motor activity was recorded using sleeve and sidehole manometry following ingestion of a nutrient drink with paracetamol, and appetite was monitored via visual analog scales before a buffet meal.
  • CRF significantly increased serum cortisol (p < 0.001), isolated pyloric pressure waves (p < 0.05), total duodenal pressure waves (p < 0.05), and the percentage of antegrade duodenal pressure waves (p < 0.05).
  • CRF had no significant effect on antral pressure wave frequency, basal pyloric pressure, serum paracetamol concentrations, visual analog appetite ratings, or total caloric and macronutrient intake.

Cite This Study

Su et al. (2002) studied this question.

synapsesocial.com/papers/6a89b8f2d76717fba3eb2e46https://doi.org/10.1111/j.1572-0241.2002.05422.x
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Also Consider

Synapse has enriched 2 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Impact of corticotropin-releasing hormone on gastrointestinal motility and adrenocorticotropic hormone in normal controls and patients with irritable bowel syndrome1998 · 387 citations
  2. 2Human small intestinal contractions and aboral traction forces during fasting and after feeding.1994 · 25 citations