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Medium chain triglycerides activate distal but not proximal gut
Clinical Nutrition (1999) 18(6): 359-363
? 1999 Harcottrt Publishers Ltd
ORIGINAL ARTICLE
Medium chain triglycerides activate distal but not
proximal gut hormones
M. K. VU, M. VERKIJK, E. S. M. MULLER, I. BIEMOND, C. B. H. W. LAMERS, A. A. M. MASCLEE
Department of Gastroenterology-Hepatology, Leiden University Medical Center, the Netherlands (Correspondence
to: AAMM, Department of Gastroenterology-Hepatology, Leiden University Medical Center, PO Box 9600, 2300 RC
Leiden, The Netherlands.)
Abstract--Background and aims: Compared to long chain triglycerides (LCT), medium chain triglycerides
(MCT) are considered an attractive caloric source in malabsorptive diseases because of their favorable
physico-chemical characteristics. The use of MCT is, however, limited by the occurrence of gastrointestinal
symptoms such as diarrhoea. We have, therefore, investigated the effects of MCT and LCT on proximal
(cholecystokinin; CCK) and distal (peptide YY; PYY) gut hormone secretion.
Methods: Eight healthy volunteers participated in four experiments performed in random order during
continuous intraduodenal administration for 360 rain of a) saline (control); b) LCT 15 mmol/h; c) MCT
15 mmol/h (equimolar); d) MCT 30 mmol/h (equicaloric). Plasma CCK and PYY were determined at regular
intervals (radioimmunoassay). Duodenocecal transit (DCTT) was measured by lactulose H2 breath test.
Results: DCTT during LCT (105 +_ 11 rain) was not significantly different from saline (111 _+ 10 rain). Both
low dose MCT (54 + 5 min) and high dose MCT (61 _+ 6 min) significantly accelerated DCTT (P 0.05).
Plasma CCK increased significantly (P 0.05) during LCT but not during MCT or saline. PYY increased
significantly (P 0.05) not only during LCT, but also during low and high dose MCT but not during saline.
Conclusions: Intraduodenal MCTs a) accelerate intestinal transit; b) do not stimulate CCK release; c) but
stimulate release of the distal gut hormone PYY. These results suggest t
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