[Longitudinal component of gastric motility: its relationship to peristaltic velocity and contractility. Cineradiographic study in man].

The aim of this study was to further characterize the gastric longitudinal motility and its relationship between the peristaltic velocity and contractility. Twelve healthy volunteers (six made sport S and six were sedentary NS; moy +/- DS; 24 +/- 2.4 years; 172 +/- 3.9 cm; 65.8 +/- 3.4 kg; n = 12) were involved and ingested 5 hours after a standard meal, 250 ml of barium sulfate suspension. A serial of 15 fluoroscopic plates (size 10 x 10 cm) was taken in 30 seconds. For each subject, the longitudinal variation delta L (cm) of gastric shape, the mean velocity V (mm/s) of gastric peristalsis and the intensity AM (p 100) of contractile wave were measured with a digitalized table connected to a computer. Compared to NS group, the S group showed significative enhanced values of the dynamic parameters (delta L: 2.9 +/- 0.4 vs 1.8 +/- 0.2 cm; V: 2.8 +/- 0.2 vs 2.3 +/- 0.2 mm/s; AM: 55.8 +/- 5.3 vs 48.3 +/- 2.8 p 100; moy +/- DS). Faster rhythms were observed in the diagram of longitudinal motility, with or without the well known gastric frequency 3 c/min. This study allows to point out longitudinal changes of the gastric shape and shows a pattern of significant augmented gastric motility. In fact, it is necessary to consider the stomach in a biomechanical system with the diaphragm and the abdominal wall. This system influenced by exercise might be studied intensively with our dynamic parameters associated with respiratory and abdominal data.