4.7 Review

New insights into in vivo gastroduodenal digestion of oil-in-water emulsions: gastric stability and in vitro digestion modeling

Journal

CRITICAL REVIEWS IN FOOD SCIENCE AND NUTRITION
Volume 62, Issue 14, Pages 3723-3737

Publisher

TAYLOR & FRANCIS INC
DOI: 10.1080/10408398.2020.1868396

Keywords

Gallbladder; gastric-stable emulsion; gastric-unstable emulsion; intestinal digestion; stomach

Funding

  1. National Key Research and Development Program of China [2017YFD0400102]
  2. National Natural Science Foundation of China [31972201]
  3. Zhejiang Provincial Collaborative Innovation Center of Food Safety and Nutrition [2017SICR104]
  4. Young Scientists Fund of the National Natural Science Foundation of China [31800875]

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This paper reviewed the effect of emulsion stability on gastroduodenal emptying/secretion and achieved novel perspectives on the physiology of the gastric lumen, duodenum, and gall bladder using mathematical models. The study provided data on dynamic gastric emptying/secretion for stable and unstable emulsion intake. The results showed that alterations in human gastric and duodenal volume followed linear and sinusoidal curves, respectively, with high correlation coefficients. The study also found that gastric emptying was regulated and gallbladder content was discharged into the duodenum.
In this paper, effect of emulsion stability on gastroduodenal emptying/secretion was reviewed and differentiated. Moreover, novel perspectives on physiology of gastric lumen, duodenum, and gall bladder were achieved using mathematical models, being useful for designing artificial digestive systems. In this regard, numerical data for dynamic gastric emptying/secretion were offered for gastric-stable and gastric-unstable emulsion intakes. It was shown that alterations in human gastric and duodenal volume follow, respectively, linear and sinusoidal curves, with high correlation coefficients (r(2) > 0.93). For both emulsions, about 30-40 mL ingesta discharged rapidly from stomach upon ingestion; However, further gastric emptying was regulated for the rest of digestion period, so that 0.1 mL/min oil was passing through duodenum. Intragastric evacuation of both emulsions started with a lag phase during which stomach stored secretions incrementally by slow gastric discharge. Lag phase ended with fat layering, when emptying considerably enhanced. This reduction was gradual for stable emulsion while unstable emulsion experienced a rapid emptying before slow declining trend. Along with initial gastric emptying, 87% of gallbladder content discharged into duodenum, prolonged up to the gradual reduction phase of stomach. Supplementary investigations are needed to quantify gastroduodenal secretions, particularly pepsin and pancreas in response to emulsion ingesta.

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