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Am J Physiol Gastrointest Liver Physiol (September 20, 2007). doi:10.1152/ajpgi.00054.2007
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Submitted on January 29, 2007
Accepted on September 17, 2007

Noninvasive assessment of the effects of glucagon on the gastric slow wave

Leonard Alan Bradshaw1*, Jared A Sims1, and William O Richards1

1 Surgery, Vanderbilt University, Nashville, Tennessee, United States

* To whom correspondence should be addressed. E-mail: alan.bradshaw{at}vanderbilt.edu.

Hyperglycemic effects on the gastric slow wave are not well understood, and no studies have examined the effects that hyperglycemia has on gastric slow wave magnetic fields. We recorded multichannel magnetogastrograms (MGGs) before and after intravenous administration of glucagon and subsequent modest hyperglycemia in 20 normal volunteers. Normal slow waves were evident in baseline MGG recordings from all 20 subjects, but within 15 minutes after glucagon had been given, we noted significant effects on MGG signals. In addition to an overall decrease in the slow wave frequency from 2.9 ± 0.5 cycles per minute (cpm) to 2.2 ± 0.1 cpm (p < 0.05), we observed significant changes in the number and range of spectral peaks recorded. Furthermore, the propagation velocity determined from surface current density maps computed from the multichannel MGG decreased significantly (7.1 ± 0.8 mm/s to 5.0 ± 0.3 mm/s, p < 0.05). This is the first study of biomagnetic effects of hyperglycemia in normal subjects. Our results suggest that the analysis of the magnetogastrogram provides parameter quantification for gastric electrical activity specific to and characteristic of slow wave abnormalities associated with increased serum glucagon.







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