Causal relationship between delayed gastric emptying and gastroesophageal reflux in patients with neurological impairment View Full Text


Ontology type: schema:ScholarlyArticle     


Article Info

DATE

2015-08-15

AUTHORS

Hisayoshi Kawahara, Yuko Tazuke, Hideki Soh, Noriaki Usui, Masahiro Fukuzawa

ABSTRACT

PurposeTo investigate the causal relationship between delayed gastric emptying (DGE) and gastroesophageal reflux (GER) in patients with neurological impairment (NI).MethodsSubjects included 30 NI patients (age, 1–34 years; median, 6 years). Combined multichannel intraluminal impedance–pH (MII–pH) monitoring and 13C-breath test evaluated acid/non-acid reflux episodes (RE) and gastric emptying rates, respectively. Values are shown with medians and ranges.ResultsPercentage time for esophageal pH < 4.0 (reflux index: RI) and numbers for total RE and RE > 5 min were 8.3 (0–35.7), 44 (0–129), and 5 (0–22), respectively. Total percentage time and bolus RE numbers were 1.4 (0.0–6.9) and 49 (2–159), respectively. Median bolus clearance time was 16 s (9–45). T1/2, Tlag, and GEC were 103 s (75–204), 54 s (18–97), and 3.4 (2.3–4.3), respectively. Gastric emptying rates and acid/non-acid reflux parameters were not significantly correlated, except T1/2 correlated significantly with the numbers of RE > 5 min (p = 0.04). T1/2 inversely correlated with bolus clearance time (p = 0.01). Reflux parameters between DGE and non-DGE patients were not significantly different, except median bolus clearance time was significantly shorter in DGE patients (p = 0.01).ConclusionsNI patients showed a wide range of gastric emptying rates without any significant causal relationship between DGE and GER. More... »

PAGES

917-923

Identifiers

URI

http://scigraph.springernature.com/pub.10.1007/s00383-015-3769-x

DOI

http://dx.doi.org/10.1007/s00383-015-3769-x

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1039867048

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/26276427


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