Distal small bowel hormones: correlation with fasting antroduodenal motility and gastric emptying

Dig Dis Sci. 1998 May;43(5):945-52. doi: 10.1023/a:1018806129102.


The aim of the present study was to study the interdigestive motor complex (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 (PYY), and glucagon-like peptide-1 (GLP-1) was performed in nine obese subjects before (BMI 42 +/- 4 kg/m2) 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 during the MMC; postprandial levels of NT, PYY, and GLP-1 were elevated; and gastric emptying was delayed. Our results suggest that there may be an association between an impaired GLP-1 response after food intake and obesity, and after JIB, PYY seems to regulate interdigestive motility while GLP-1 may regulate early gastric emptying.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adolescent
  • Adult
  • Female
  • Gastric Emptying*
  • Gastrointestinal Hormones / blood
  • Gastrointestinal Hormones / physiology*
  • Gastrointestinal Motility*
  • Glucagon-Like Peptide 1
  • Humans
  • Male
  • Myoelectric Complex, Migrating / physiology*
  • Obesity, Morbid / physiopathology*
  • Peptides / blood
  • Peptides / physiology
  • Postprandial Period


  • Gastrointestinal Hormones
  • Peptides
  • Glucagon-Like Peptide 1