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- W2078496080 abstract "Background: In lactose maldigesters the ingestion of food which retards gastric emptying improves tolerance to lactose. Aim: To study the effects of the pharmacological modification of gastric emptying on the speed of development of lactose‐induced symptoms. Methods: After an overnight fast, 18 lactose maldigesters were given, in a randomized double‐blind study design at 1‐week intervals, either propantheline (as bromide 15 mg), metoclopramide (as hydrochloride 10 mg) or placebo, in identical capsules, 60 min before ingesting 50 g lactose coloured with 1 g carmine dye (to measure gastrointestinal transit time). Gastrointestinal symptoms, urinary galactose excretion, and breath hydrogen and blood glucose concentrations were recorded. Results: The propantheline‐induced prolongation of gastric emptying improved tolerance to lactose, as measured by reduced area under the gastrointestinal symptom score curve 0–12 h, compared to placebo (by 26%) ( P < 0.05) or metoclopramide (by 30%) ( P < 0.05). The total hydrogen excretion AUC (180 min follow‐up) increased by 15% after metoclopra‐ mide as compared with placebo ( P = 0.18). Propantheline decreased this variable by 15% from placebo ( P = 0.17). No significant differences in blood glucose, urinary galactose or gastrointestinal transit time were found. Conclusions: In an oral lactose tolerance test, delaying gastric emptying with propantheline improved tolerance in lactose maldigesters, as measured by diminished gastrointestinal symptoms and reduced breath hydrogen concentration." @default.
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- W2078496080 date "1999-01-01" @default.
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- W2078496080 title "Influence of the pharmacological modification of gastric emptying on lactose digestion and gastrointestinal symptoms" @default.
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- W2078496080 doi "https://doi.org/10.1046/j.1365-2036.1999.00450.x" @default.
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