Effect of stomach motility on food hydrolysis and gastric emptying: Insight from computational models

被引:8
作者
Kuhar, Sharun [1 ]
Lee, Jae Ho [1 ,2 ,5 ]
Seo, Jung-Hee [1 ,2 ]
Pasricha, Pankaj J. [3 ]
Mittal, Rajat [1 ,2 ,4 ]
机构
[1] Johns Hopkins Univ, Dept Mech Engn, Baltimore, MD 21218 USA
[2] Johns Hopkins Univ, Inst Computat Med, Baltimore, MD 21218 USA
[3] Johns Hopkins Sch Med, Div Gastroenterol & Hepatol, Baltimore, MD 21205 USA
[4] Johns Hopkins Sch Med, Dept Med, Baltimore, MD 21205 USA
[5] US FDA, Ctr Drug Evaluat & Res, Silver Spring, MD 20903 USA
基金
美国国家卫生研究院; 美国国家科学基金会;
关键词
DIGESTION; MEAL; TRENDS; DISINTEGRATION; ERYTHROMYCIN; MECHANISMS; GENERATION; PHYSIOLOGY; HUMANS; TIME;
D O I
10.1063/5.0120933
中图分类号
O3 [力学];
学科分类号
08 ; 0801 ;
摘要
The peristaltic motion of stomach walls combines with the secretion of digestive enzymes to initiate the process that breaks down food. In this study, the mixing, breakdown, and emptying of a liquid meal containing protein is simulated in a model of a human stomach. In this model, pepsin, the gastric enzyme responsible for protein hydrolysis, is secreted from the proximal region of the stomach walls and allowed to react with the contents of the stomach. The velocities of the retropulsive jet induced by the peristaltic motion, the emptying rate, and the extent of hydrolysis are quantified for a control case as well as for three other cases with reduced motility of the stomach, which may result from conditions such as diabetes mellitus. This study quantifies the effect of stomach motility on the rate of food breakdown and its emptying into the duodenum and we correlate these observations with the mixing in the stomach induced by the wall motion.
引用
收藏
页数:17
相关论文
共 64 条
  • [1] A fully resolved multiphysics model of gastric peristalsis and bolus emptying in the upper gastrointestinal tract
    Acharya, Shashank
    Halder, Sourav
    Kou, Wenjun
    Kahrilas, Peter J.
    Pandolfino, John E.
    Patankar, Neelesh A.
    [J]. COMPUTERS IN BIOLOGY AND MEDICINE, 2022, 143
  • [2] Real time high resolution magnetic resonance imaging for the assessment of gastric motility disorders
    Ajaj, W
    Goehde, SC
    Papanikolaou, N
    Holtmann, G
    Ruehm, SG
    Debatin, JF
    Lauenstein, TC
    [J]. GUT, 2004, 53 (09) : 1256 - 1261
  • [3] Characterization of peristaltic flow during the mixing process in a model human stomach
    Alokaily, Samer
    Feigl, Kathleen
    Tanner, Franz X.
    [J]. PHYSICS OF FLUIDS, 2019, 31 (10)
  • [4] ERYTHROMYCIN ACCELERATES GASTRIC-EMPTYING BY INDUCING ANTRAL CONTRACTIONS AND IMPROVED GASTRODUODENAL COORDINATION
    ANNESE, V
    JANSSENS, J
    VANTRAPPEN, G
    TACK, J
    PEETERS, TL
    WILLEMSE, P
    VANCUTSEM, E
    [J]. GASTROENTEROLOGY, 1992, 102 (03) : 823 - 828
  • [5] Barnard ND, 2010, AM J CLIN NUTR, V91, p1530S, DOI 10.3945/ajcn.2010.28701G
  • [6] Functional physiology of the human terminal antrum defined by high-resolution electrical mapping and computational modeling
    Berry, Rachel
    Miyagawa, Taimei
    Paskaranandavadivel, Niranchan
    Du, Peng
    Angeli, Timothy R.
    Trew, Mark L.
    Windsor, John A.
    Imai, Yohsuke
    O'Grady, Gregory
    Cheng, Leo K.
    [J]. AMERICAN JOURNAL OF PHYSIOLOGY-GASTROINTESTINAL AND LIVER PHYSIOLOGY, 2016, 311 (05): : G895 - G902
  • [7] Gastric Mixing During Food Digestion: Mechanisms and Applications
    Bornhorst, Gail M.
    [J]. ANNUAL REVIEW OF FOOD SCIENCE AND TECHNOLOGY, VOL 8, 2017, 8 : 523 - 542
  • [8] Gastric Digestion In Vivo and In Vitro: How the Structural Aspects of Food Influence the Digestion Process
    Bornhorst, Gail M.
    Singh, R. Paul
    [J]. ANNUAL REVIEW OF FOOD SCIENCE AND TECHNOLOGY, VOL 5, 2014, 5 : 111 - 132
  • [9] Bolus Formation and Disintegration during Digestion of Food Carbohydrates
    Bornhorst, Gail M.
    Singh, R. Paul
    [J]. COMPREHENSIVE REVIEWS IN FOOD SCIENCE AND FOOD SAFETY, 2012, 11 (02): : 101 - 118
  • [10] BRENER W, 1983, GASTROENTEROLOGY, V85, P76