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November 25, 2009
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Antro-duodenal Motility Study

Medical Author: Jay W. Marks, MD
Medical Editor: William C. Shiel, Jr., MD, FACP, FACR

What is an antro-duodenal motility study?

An antro-duodenal motility study is used to evaluate the ability of the muscles of the stomach and the first portion of the small intestine (duodenum) to contract. Conditions in which there is abnormal contraction of the muscles of the stomach and the small intestine are referred to as motility disorders. Therefore, an antro-duodenal motility study is used to identify motility disorders.

When is an antro-duodenal motility study used?

An antro-duodenal motility study is used to diagnose a motility disorder of the stomach or small intestine, that is, a condition of abnormal function of the muscles of the stomach and/or small intestine. Such abnormal function usually is suspected when there are symptoms and signs of obstruction to the flow of food through the stomach and intestines. These symptoms usually are nausea, vomiting, and intestinal distention (enlargement). The obstruction is a direct result of the inability of the abnormally functioning muscles to propel food through the stomach and intestines. One common cause of motility disorders of the stomach and intestines is diabetes mellitus.

How is an antro-duodenal motility study done?

  • For an antro-duodenal motility study, a thin tube (one-eighth inch in diameter) is passed through the nose, down the esophagus, through the stomach and into the duodenum, the first part of the small intestine.

  • Sensors in the tube measure the amount of pressure generated when the muscles of the stomach and intestine contract and squeeze tightly around the tube; the greater the contraction of the muscles, the greater the pressure sensed by the tube.

  • All contractions are recorded by a computer for analysis.

  • Contractions are recorded at rest for up to several hours and for one or two hours after a meal. Thus, a study may take up to six hours.


Next: How are the results of an antro-duodenal motility study evaluated? »

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Antro-duodenal Motility Study

What is diabetes?

Diabetes mellitus is a group of metabolic diseases characterized by high blood sugar (glucose) levels, that result from defects in insulin secretion, or action, or both. Diabetes mellitus, commonly referred to as diabetes (as it will be in this article) was first identified as a disease associated with "sweet urine," and excessive muscle loss in the ancient world. Elevated levels of blood glucose (hyperglycemia) lead to spillage of glucose into the urine, hence the term sweet urine.

Normally, blood glucose levels are tightly controlled by insulin, a hormone produced by the pancreas. Insulin lowers the blood glucose level. When the blood glucose elevates (for example, after eating food), insulin is released from the pancreas to normalize the glucose level. In patients with diabetes, the absence or insufficient production of insulin causes hyperglycemia. Diabetes is a chronic medical condition, meaning that alt...

Read the Diabetes article »










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