Skip to main content
Log in

Gastric emptying of enteric-coated tablets

  • Original Articles
  • Published:
Digestive Diseases and Sciences Aims and scope Submit manuscript

Abstract

To evaluate the gastric emptying time of pharmaceutical dosage forms in a clinical setting, a relatively simple dual-radionuclide technique was developed. Placebo tablets of six different combinations of shape and size were labeled with indium-111 DTPA and enteric coated. Six volunteers participated in a single-blind and crossover study. Tablets were given in the morning on a fasting stomach with 6 oz of water containing99mTc pertechnetate and continuously observed with a gamma camera. A scintigraph was obtained each minute. The results suggested that the size, shape, or volume of the tablet used in this study had no significant effect in the rate of gastric emptying. The tablets emptied erratically and unpredictably, depending upon their time of arrival in the stomach in relation to the occurrence of interdigestive myoelectric contractions. The method described is a relatively simple and accurate technique to allow one to follow the gastric emptying of tablets.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  1. Castleden CM, George CF, Short MD: Contribution of individual differences in gastric emptying to variability in plasma propranolol concentrations. Br J Clin Pharmacol 5:121–122, 1978

    Google Scholar 

  2. Clements JA, Heading RC, Nimmo WS, Prescott LF: Kinetics of acetaminophen absorption and gastric emptying in man. Clin Pharmacol Ther 24:420–431, 1978

    Google Scholar 

  3. Maeda T, Takenaka H, Yamahira Y, Noguchi T: Effect of dosage form on plasma levels of indoxole and aspirin in stomach emptying controlled rabbits. Yakuzaisaku 40:13–18, 1980

    Google Scholar 

  4. Fremstad D, Nelson OG, Amlie J, Storstein L, Alsson B: Absorption of quinidine from an enteric-coated preparation. Eur J Clin Pharmacol 16:107–112, 1979

    Google Scholar 

  5. Hinder RA, Kelly KA: Canine gastric emptying of solids and liquids. Am J Physiol 233:335–340, 1977

    Google Scholar 

  6. Frommens KH, Meknert W, Vetter G: Influence of fruit juice on gastric emptying rate and on the bioavailability of acetylsalicylic acid. Dtsch Apoth Ztg 121:373–380, 1981

    Google Scholar 

  7. Heading RC, Tothill R, Laidlaw AJ, Shearman DJ: An evaluation of 113 m Indium DTPA chelate in the measurement of gastric emptying by scintiscanning. Gut 12:611–615, 1971

    Google Scholar 

  8. Chaudhuri TK: Use of99mTc-DTPA for measuring gastric emptying time. J Nucl Med 15:391–395, 1974

    Google Scholar 

  9. Fisher RS, Malmud LS: Functional scintigraphy: Diagnostic applications in gastroenterology.In Developments in Digestive Diseases. JE Berk (ed). Philadelphia, Lea and Febiger, 1980, pp 139–164

    Google Scholar 

  10. Theodorakis MC, Digenis GA, Beihn RM, Shambhu MB, De Land FH: Rate and pattern of gastric emptying in humans using99mTc-labeled triethylenetetraamine-polystyrene resin. J Pharm Sci 69:568–570, 1980

    Google Scholar 

  11. Reed NW, Miles CA, Fisher D, Holgate AM, Kime ND, Mitchell MA, Reve AM, Roche TB, Walker M: Transit of a meal through the stomach, small intestine, and colon in normal subjects and its role in the pathogenesis of diarrhea. Gastroenterology 79:1276–1282, 1980

    Google Scholar 

  12. Wright RA, Thompson D, Syed I: Simultaneous markers for fluid and solid gastric emptying: New variations on an old theme: Concise communication. J Nucl Med 22:772–776, 1981

    Google Scholar 

  13. Muller-Lissner SA, Blum AL: The effect of specific gravity and eating on gastric emptying of slow-release capsules. N Engl J Med 304:1365–1366, 1981 (letter)

    Google Scholar 

  14. Rubin A, Chernish SM, Crabtree R, Gruber CM, Helleberg L, Rodda BE, Warrick P, Wolen RL, Ridolfo AS: A profile of the physiological disposition and gastro-intestinal effects of fenoprofen in man. Curr Med Res Opin 2:529–544, 1974

    Google Scholar 

  15. Rodda BE, Chernish SM, Nash JF: A pharmacokinetic method for designing prolonged-release formulations—propoxyphene hydrochloride. J Pharmacokinet Biopharm 4:243–253, 1976

    Google Scholar 

  16. Newton JM, Razzo FN: Thein vitro bioavailability of various drugs formulated as hard gelatin capsules. J Pharm Pharmacol 29:205–208, 1977

    Google Scholar 

  17. Stavchansky S, Doluisio JT, Martin A, Martin C, Cabana C, Dighe S, Loper A: Correlation ofin vivo bioavailability of erythromycin stearate tablets within vitro tests. J Pharm Sci 69:1307–1310, 1980

    Google Scholar 

  18. Lagas M, deWit HJC, Woldring MG, Piers DA, Lerk CF: Technetium labelled disintegration of capsules in the human stomach. Pharm Acta Helv 55:114–119, 1980

    Google Scholar 

  19. Kroop ES, Lang WB, Alavi A, Hansell JR: Effect of water and fat on gastric emptying of solid meals. Gastroenterology 77(1):977–1000, 1979

    Google Scholar 

  20. Meyer JH, Thomson JB, Cohen MB, Schadchehr A, Mandiola SA: Sieving of solid food by the canine stomach and sieving after gastric surgery. Gastroenterology 76:804–813, 1979

    Google Scholar 

  21. Davenport HW: Physiology of the Digestive Tract, 4th ed. Chicago, Yearbook Medical Publishers, 1977, pp 41–57

    Google Scholar 

  22. Kelly KA: Motility of the stomach and gastroduodenal junction.In Physiology of the Gastrointestinal Tract. LR Johnson (ed). New York, Raven Press, 1981, pp 393–410

    Google Scholar 

  23. Mroz CT, Kelly KA: The role of extrinsic antral nerves in the regulation of gastric emptying. Surg Gynecol Obstet 145:369–377, 1977

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Rights and permissions

Reprints and permissions

About this article

Cite this article

Park, H.M., Chernish, S.M., Rosenek, B.D. et al. Gastric emptying of enteric-coated tablets. Digest Dis Sci 29, 207–212 (1984). https://doi.org/10.1007/BF01296253

Download citation

  • Received:

  • Revised:

  • Accepted:

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF01296253

Keywords

Navigation