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Gastric & Duodenal Determinants of Blunted Cholecystokinin Release in Patients with Bulimia Nervosa (BN) ,[object Object],[object Object],[object Object],[object Object],[object Object]
Bulimia Nervosa (BN), Binge Eating & CCK ,[object Object],[object Object],[object Object]
Background: Previous Studies ,[object Object],[object Object],[object Object]
Significantly Blunted CCK Release in BN Devlin et al 1997
Results: Gastric Emptying
Current Study: Aim & Hypothesis ,[object Object],[object Object],[object Object],[object Object]
Study Design: 2x2 Repeat measures on treatment: delivery Group: Treatment: nutrient delivery
Methods ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Timeline -20 -10 0 5 10 30 60 45 75 90 11 plasma samples collected for CCK determination Oral delivery: 600g drink-90 min emptying Duodenal delivery: 90 min infusion  Adaptation-drink 600g Day 1 2 3 Pass feeding tube to duodenum IV IV IV ,[object Object],[object Object],15
CCK Levels: Assessed by Bioassay (Liddle et al 1986) ,[object Object],[object Object],[object Object]
Oral CCK Release (+/- SE) * Indicates times at which plasma CCK differed signficantly between groups * * * *
Duodenal CCK Release (+/- SE) * Indicates times at which plasma CCK differed signficantly between groups * * *
CCK: 15 min into/after nutrient delivery Different letters above bars indicate significant differences between means
Plasma CCK: 60-90 min into/after delivery Different letters above bars indicate significant differences between means a a b b
Summary of Results ,[object Object],[object Object],[object Object]
Conclusion 1: Early Postprandial CCK ,[object Object],[object Object]
Conclusion 2: Late Postprandial CCK ,[object Object],[object Object],[object Object],[object Object],[object Object]
Supported by the Following: ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

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Gastric & Duodenal Release of Cholecystokinin

  • 1.
  • 2.
  • 3.
  • 4. Significantly Blunted CCK Release in BN Devlin et al 1997
  • 6.
  • 7. Study Design: 2x2 Repeat measures on treatment: delivery Group: Treatment: nutrient delivery
  • 8.
  • 9.
  • 10.
  • 11. Oral CCK Release (+/- SE) * Indicates times at which plasma CCK differed signficantly between groups * * * *
  • 12. Duodenal CCK Release (+/- SE) * Indicates times at which plasma CCK differed signficantly between groups * * *
  • 13. CCK: 15 min into/after nutrient delivery Different letters above bars indicate significant differences between means
  • 14. Plasma CCK: 60-90 min into/after delivery Different letters above bars indicate significant differences between means a a b b
  • 15.
  • 16.
  • 17.
  • 18.

Editor's Notes

  1. Meal patterns vary among individuals yet most individuals maintain stable body weights over long intervals. The explanation is that energy homeostasis is accomplished via control of meal size. A key concept regards the integration of signals generated acutely in response to food being eaten with signals that reflect the current state of energy balance (adipose stores). Meal-related (i.e., "satiety" signals) are typified by cholecystokinin (CCK), and adiposity signals are typified by leptin and insulin.