Asada T, Sako Y, Fukushima Y, Miyake T, Asada T
Nihon Shokakibyo Gakkai Zasshi. 1989 Jan;86(1):11-8.
We have developed a simple but reliable method for assessing gastric emptying, a sulfamethizole capsule food method. The capsule food contains egg albumin and sulfamethizole. In saline or hydrochloride solution only a small amount of sulfamethizole, in sodium bicarbonate solution, however, a large amount of the drug was released from the capsule food. In this method, sulfamethizole concentrations in blood were measured in subjects after ingestion of 15 pieces of capsule food containing 1.0 g of sulfamethizole, and area under the curve of the blood concentrations was calculated as an index of gastric emptying. Gastric emptying of capsule food had a lag phase of 15 minutes, which was already reported in gastric emptying of radioisotope labeled solid food. Bread combined with the capsule food caused a delay in gastric emptying and a larger volume of the bread was associated with a longer gastric emptying time. In conclusion, our sulfamethizole capsule food method is useful in clinical practice to assess gastric emptying of solid food.
我们开发了一种简单但可靠的评估胃排空的方法,即磺胺甲噻二唑胶囊食物法。该胶囊食物包含蛋清蛋白和磺胺甲噻二唑。在生理盐水或盐酸溶液中,只有少量磺胺甲噻二唑从胶囊食物中释放,然而,在碳酸氢钠溶液中,大量药物从胶囊食物中释放。在该方法中,在摄入15粒含1.0克磺胺甲噻二唑的胶囊食物后,测量受试者血液中的磺胺甲噻二唑浓度,并计算血药浓度曲线下面积作为胃排空指标。胶囊食物的胃排空有15分钟的延迟期,这在放射性同位素标记固体食物的胃排空研究中已有报道。面包与胶囊食物一起食用会导致胃排空延迟,且面包量越大,胃排空时间越长。总之,我们的磺胺甲噻二唑胶囊食物法在临床实践中对于评估固体食物的胃排空很有用。