{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T01:17:30Z","timestamp":1787015850489,"version":"build-2736575974"},"reference-count":50,"publisher":"Wiley","issue":"12","license":[{"start":{"date-parts":[[2017,7,11]],"date-time":"2017-07-11T00:00:00Z","timestamp":1499731200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"name":"Methusalem grant to JT from Leuven University"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Neurogastroenterology Motil"],"published-print":{"date-parts":[[2017,12]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>\n                      Disturbances of gastric motor function of functional dyspepsia (\n                      <jats:styled-content style=\"fixed-case\">FD<\/jats:styled-content>\n                      ) have been implicated in the pathogenesis of the symptoms, and hence, motility modifying agents are considered for its treatment. Mirtazapine was recently shown to improve symptoms and increase nutrient tolerance in\n                      <jats:styled-content style=\"fixed-case\">FD<\/jats:styled-content>\n                      patients with weight loss. We aim to evaluate the effect of mirtazapine on gastric sensorimotor function in healthy volunteers (\n                      <jats:styled-content style=\"fixed-case\">HV<\/jats:styled-content>\n                      ).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      Thirty\u2010one\n                      <jats:styled-content style=\"fixed-case\">HV<\/jats:styled-content>\n                      underwent an intragastric pressure (\n                      <jats:styled-content style=\"fixed-case\">IGP<\/jats:styled-content>\n                      ) and barostat measurements on separate days before and after 3\u00a0weeks of placebo or mirtazapine (15\u00a0mg). Gastric compliance, sensitivity and accommodation (\n                      <jats:styled-content style=\"fixed-case\">GA<\/jats:styled-content>\n                      ) measured by the barostat.\n                      <jats:styled-content style=\"fixed-case\">GA<\/jats:styled-content>\n                      was quantitated as the difference (delta) in intra\u2010balloon volume before and after ingestion of 200\u00a0mL of a nutrient drink (\n                      <jats:styled-content style=\"fixed-case\">ND<\/jats:styled-content>\n                      ).\n                      <jats:styled-content style=\"fixed-case\">GA<\/jats:styled-content>\n                      measured by\n                      <jats:styled-content style=\"fixed-case\">IGP<\/jats:styled-content>\n                      was quantitated as the drop of\n                      <jats:styled-content style=\"fixed-case\">IGP<\/jats:styled-content>\n                      from baseline during the intragastric infusion of\n                      <jats:styled-content style=\"fixed-case\">ND<\/jats:styled-content>\n                      until maximal satiation.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Key Results<\/jats:title>\n                    <jats:p>\n                      Mirtazapine significantly increased the bodyweight of subjects (67.8\u00b13.7 to 69.1\u00b13.7\u00a0kg;\n                      <jats:italic>P<\/jats:italic>\n                      =.01). Barostat results showed no effect on gastric compliance, sensitivity, and\n                      <jats:styled-content style=\"fixed-case\">GA<\/jats:styled-content>\n                      . Nutrient tolerance was not affected after treatment (1170\u00b1129.4 vs 1104\u00b1133.6\u00a0kcal;\n                      <jats:italic>P<\/jats:italic>\n                      =.4), and mirtazapine was associated with lower symptom ratings. The\n                      <jats:styled-content style=\"fixed-case\">IGP<\/jats:styled-content>\n                      drop during meal ingestion was significantly suppressed (area under the curve: \u221243.3\u00b14.5\u00a0mm Hg vs \u221228.9\u00b13.1\u00a0mm Hg;\n                      <jats:italic>P<\/jats:italic>\n                      =.005).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions &amp; Inferences<\/jats:title>\n                    <jats:p>\n                      In\n                      <jats:styled-content style=\"fixed-case\">HV<\/jats:styled-content>\n                      s, the occurrence of weight gain and decreased meal\u2010induced symptoms in spite of a suppressed meal\u2010induced\n                      <jats:styled-content style=\"fixed-case\">IGP<\/jats:styled-content>\n                      drop, point towards a central mode of action. Mirtazapine does not display changes in gastric sensorimotor function that could explain its beneficial effects on symptoms and nutrient tolerance in\n                      <jats:styled-content style=\"fixed-case\">FD<\/jats:styled-content>\n                      .\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/nmo.13146","type":"journal-article","created":{"date-parts":[[2017,7,11]],"date-time":"2017-07-11T01:06:57Z","timestamp":1499735217000},"source":"Crossref","is-referenced-by-count":34,"title":["The effect of mirtazapine on gastric accommodation, gastric sensitivity to distention, and nutrient tolerance in healthy subjects"],"prefix":"10.1111","volume":"29","author":[{"given":"F.","family":"Carbone","sequence":"first","affiliation":[{"name":"TARGID and Department of Gastroenterology, Neurogastroenterology &amp; Motility University of Leuven  Leuven Belgium"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"T.","family":"Vanuytsel","sequence":"additional","affiliation":[{"name":"TARGID and Department of Gastroenterology, Neurogastroenterology &amp; 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