Time period from onset of pain to hospital admission and patients' awareness in acute pancreatitis.

Objectives: This study aimed to explore the period between onset of pain and hospital-admission (pain-to-admission time) in patients with acute pancreatitis (AP), to investigate the prognostic value and associated factors of this time, and to ascertain the knowledge about the pancreas in these patients.

Methods: An analysis of a prospective multicenter study was done, which included 188 patients with AP.

Results: Median pain-to-admission time was 27 hours (interquartile range, 6.

Low-dose ghrelin infusion--evidence against a hormonal role in food intake.

Ghrelin is the only peripheral orexigenic peptide of gastrointestinal origin. Its preprandial increase is supposed to initiate food intake. This assumption is based on studies with intravenously infused ghrelin in rather high doses and the correlation between ghrelin levels and hunger sensations.

Incidence of acute pancreatitis does not increase during Oktoberfest, but is higher than previously described in Germany.

Background & Aims: Increased alcohol consumption can lead to acute pancreatitis (AP). We investigated whether the incidence of alcohol-induced AP increased during the Munich Oktoberfest in 2008, at which 6.6 million liters of beer were sold within 16 days.

Hypobaric hypoxia causes body weight reduction in obese subjects.

The reason for weight loss at high altitudes is largely unknown. To date, studies have been unable to differentiate between weight loss due to hypobaric hypoxia and that related to increased physical exercise. The aim of our study was to examine the effect of hypobaric hypoxia on body weight at high altitude in obese subjects.

Plasma ghrelin levels during exercise - effects of intensity and duration.

Ghrelin, a recently discovered hormone of gastric origin has been shown to stimulate appetite and food intake. In man it is considered to play a role in energy homeostasis and regulation of somatropic function. As exercise affects hunger/satiety sensations and food intake, at least under some experimental conditions, we investigated the effect of exercise intensity and duration on ghrelin release and subsequent ad libitum food intake in normal weight subjects.

Food intake and plasma ghrelin response during potato-, rice- and pasta-rich test meals.

Objective: Complex carbohydrates such as potato, rice and pasta are frequently consumed accompaniments of meat meals and have different effects on satiety, food intake, glucose, and insulin concentrations. The orexigenic gastric hormone ghrelin contributes to feeding regulation and as yet it is unknown whether there is any differential ghrelin response to these starchy food items corresponding to their effects on food intake.

Methods: In 11 subjects the effect of satiating amounts of potatoes, rice or pasta consumed together with 150 g pork steak was examined on hunger/satiety ratings, food intake, plasma insulin, glucose and ghrelin concentrations.

Ghrelin response to protein and carbohydrate meals in relation to food intake and glycerol levels in obese subjects.

Obese subjects have lower basal and an attenuated decrease of postprandial plasma ghrelin following carbohydrate-rich meals, while the response to protein is unknown. Therefore, plasma ghrelin levels were examined after ingestion of satiating amounts of a protein- or carbohydrate-rich meal in relation to food and energy intake and hunger/satiety ratings in 30 obese subjects followed 240 min later by ad lib sandwiches. Food intake and hunger/satiety ratings were identical while energy intake was significantly greater after bread (861 +/- 62.

Differential association of basal and postprandial plasma ghrelin with leptin, insulin, and type 2 diabetes.

To gain further insight into the regulatory role of insulin and leptin on plasma ghrelin, 56 normal weight, 128 normoinsulinemic obese, 121 hyperinsulinemic obese, and 30 type 2 diabetic normoinsulinemic and 75 type 2 diabetic hyperinsulinemic obese patients were examined. In the obese subjects, basal hyperinsulinemia was associated with significantly lower ghrelin independent of BMI, age, and leptin. In normoinsulinemic (normal weight and normoinsulinemic obese) subjects, ghrelin was inversely related to stepwise increasing leptin.

Postprandial response of plasma ghrelin levels to various test meals in relation to food intake, plasma insulin, and glucose.

Ghrelin is an orexigenic gastric hormone that decreases in peripheral blood after carbohydrate-rich meals but increases after protein ingestion. In the present study plasma ghrelin was determined together with hunger and satiety ratings and with insulin and glucose concentrations after the ingestion of satiating quantities of carbohydrate-, fat-, protein-, fruit-, and vegetable-rich meals in 14 healthy subjects. Four hours later, standardized sandwiches were consumed.

Effect of GIP, GLP-1, insulin and gastrin on ghrelin release in the isolated rat stomach.

Ghrelin release in man depends on the macronutrient composition of the test meal. The mechanisms contributing to the differential regulation are largely unknown. To elucidate their potential role, glucagon-like peptide-1 (GLP-1), gastric inhibitory polypeptide (GIP), insulin, gastrin and somatostatin were examined on isolated rat stomach ghrelin secretion, which offers the advantage of avoiding systemic interactions.

Absorption of the mycotoxin patulin from the rat stomach.

The mycotoxin patulin (PAT), which frequently occurs in apple juices, has previously been shown to be toxic and teratogenic. However, there is almost no data about its absorption and metabolism. Therefore, the enrichment of PAT in the tissue of perfused rat stomachs after luminal application and its vascular appearance was quantified by stable isotope dilution assays.

Differential effect of protein and fat on plasma ghrelin levels in man.

Ghrelin, a gastric hormone that stimulates food intake is decreased after ingestion of carbohydrate-rich meals. The acute effect of fat- and protein-rich meals on plasma ghrelin levels is still unknown. Accordingly, plasma ghrelin levels were determined in 10 healthy volunteers after ingestion of the three macronutrients and during vagal stimulation by modified sham feeding and following gastric distension with a highly viscous guar solution.

TNF-alpha induces apoptosis of parietal cells.

Helicobacter pylori infection can be associated with chronic gastric inflammation and hypochlorhydria with increased levels of the proinflammatory cytokines. The current study investigated the effects of TNF-alpha on programmed death of gastric parietal cells. TNF-alpha induced apoptosis of parietal cells in isolated perfused rat stomachs at 10ng/mL.

Superior mesenteric artery syndrome: diagnosis and treatment from the gastroenterologist's view.

Background: Superior mesenteric artery syndrome (SMAS) is caused by compression of the third part of the duodenum between the superior mesenteric artery and the aorta. It occurs most frequently in patients with rapid weight loss.

Methods: We report two young patients, who each presented with a longstanding history of postprandial abdominal pain, nausea, and voluminous vomiting.

Inhibitory effect of nociceptin on somatostatin secretion of the isolated perfused rat stomach.

The heptadecapeptide nociceptin/orphanin FQ (N/OFQ) has recently been isolated from porcine and rat brain and identified as the endogenous ligand of the N/OFQ receptor (NOP). It shows structural similarity with opioid peptides. N/OFQ has also been demonstrated in the gastrointestinal tract, where it inhibits gastrointestinal motility.