Comparison of gastric electrical activity and gastric emptying in healthy and dyspeptic children

Comparison of gastric electrical activity and gastric emptying in healthy and dyspeptic children
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DOI:
10.1023/a:1005493123557
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发表时间:
2000-03-01
影响因子:
3.1
通讯作者:
Cucchiara, S
Cucchiara, S
中科院分区:
医学3区
文献类型:
--
作者:
Riezzo, G;Chiloiro, M;Cucchiara, S

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为评价和比较消化不良和健康儿童的胃电活动和胃排空,对52例非溃疡性消化不良和114例健康儿童同时进行了胃电图和胃排空超声检查。症状评分为0(无)至6(严重)。消化不良患儿的胃动力不稳定性、餐后/餐前比值均低于健康儿童。至于超声参数,空腹胃窦面积和T1/2消化不良儿童和对照组相似。只有32%的消化不良儿童的胃排空时间正常,而健康儿童的胃排空时间为66%。消化不良患儿餐后胃窦扩张明显,与症状总积分相关。胃电图和胃排空参数显示,与对照组相比,无论是空腹还是餐后,消化不良儿童都存在特定差异。餐后胃窦扩张与症状的严重程度相关。
To assess and compare gastric electrical activity and gastric emptying recorded from dyspeptic and healthy children, cutaneous electrogastrography and ultrasound examination of the gastric emptying were simultaneously performed in 52 children with nonulcer dyspepsia and 114 healthy children. Symptoms were scored from 0 (none) to 6 (severe). A higher percentage of tachygastria, a higher instability of gastric power, and a lower post/preprandial ratio were present in dyspeptic children than healthy children. As regards the ultrasound parameters, the fasting antral area and T1/2 were similar in dyspeptic children and controls. Only 32% of dyspeptic children had a normal gastric emptying time vs 66% of healthy children. Marked postprandial antral dilatation was found in the dyspeptic children, which correlated with the total symptom score. Electrogastrographic and gastric emptying parameters show specific differences in dyspeptic children with respect to controls, both fasting and after a meal. The postprandial antral distension correlates with the severity of the symptoms.