scholarly journals Clinical assessment of gastric emptying and sensory function utilizing gamma scintigraphy: Establishment of reference intervals for the liquid and solid components of the Nottingham test meal in healthy subjects

2017 ◽  
Vol 29 (11) ◽  
pp. e13122 ◽  
Author(s):  
H. L. Parker ◽  
E. Tucker ◽  
E. Blackshaw ◽  
C. L. Hoad ◽  
L. Marciani ◽  
...  
Diagnostics ◽  
2020 ◽  
Vol 10 (3) ◽  
pp. 170 ◽  
Author(s):  
Asseel Khalaf ◽  
Caroline L. Hoad ◽  
Elaine Blackshaw ◽  
Jaber Alyami ◽  
Robin C. Spiller ◽  
...  

Measurement of gastric emptying is of clinical value for a range of conditions. Gamma scintigraphy (GS) has an established role, but the use of magnetic resonance imaging (MRI) has recently increased. Previous comparison studies between MRI and GS showed good correlation, but were performed on separate study days. In this study, the modalities were alternated rapidly allowing direct comparison with no intra-individual variability confounds. Twelve healthy participants consumed 400 g of Technetium-99m (99mTc)-labelled soup test meal (204 kcal) and were imaged at intervals for 150 min, alternating between MRI and GS. The time to empty half of the stomach contents (T1/2) and retention rate (RR) were calculated and data correlated. The average T1/2 was similar for MRI (44 ± 6 min) and GS (35 ± 4 min) with a moderate but significant difference between the two modalities (p < 0.004). The individual T1/2 values were measured, and MRI and GS showed a good positive correlation (r = 0.95, p < 0.0001), as well as all the RRs at each time point up to 120 min. Gastric emptying was measured for the first time by MRI and GS on the same day. This may help with translating the use of this simple meal, known to elicit reliable, physiological, and pathological gastrointestinal motor, peptide, and appetite responses.


2016 ◽  
Vol 150 (4) ◽  
pp. S356-S357
Author(s):  
Helen Parker ◽  
Caroline Hoad ◽  
Elaine Blackshaw ◽  
Luca Marciani ◽  
Emily Tucker ◽  
...  

Author(s):  
Mirjana Cvetković ◽  
Igor Jovanović ◽  
Slobodanka Crevar-Marinović ◽  
Marija Branković ◽  
Olga Mandić ◽  
...  

Abstract Background: Functional dyspepsia (FD) is a syndrome mostly diagnosed by subjective patients’ symptoms after excluding organic, systemic and metabolic diseases. Aim: The goal of this study is to evaluate gastric emptying in patients with functional dyspepsia, by measuring the antral area (cm2) after the intake of a test meal using ultrasonography as an objective and widely applicable method. Material and Methods: This study included 30 patients (mean age of 46.53 ±9.73 years) with symptoms of FD according to the ROMA IV criteria and 30 healthy individuals (mean age of 42.87 ±4.42 years). A 5 MHz ultrasound probe was used to measure the stomach antral area at 6 different time points: in the fasting state, following the meal intake at 5, 30, 60, 90 and 120 min postprandially. Results: The antral area was statistically significantly larger after a 30-minute postprandial period in patients with FD comparing to healthy controls (p<0.05). There was a statistically significant difference in the rate of gastric emptying at 120 minutes in patients with functional dyspepsia, compared to healthy subjects (p <0.01). Patients with postprandial distress syndrome had the average value of gastric emptying 48.25 compared to 56.09 in patients with epigastric pain syndrome (p <0.05). The slowest emptying was observed in patients with nausea and postprandial fullness (p <0.05). Conclusion: Functional dyspepsia is associated with delayed gastric emptying. Using ultrasonography to measure the antral area helps us to assess gastric emptying and therefore to assess patients with functional dyspepsia. The antral area was significantly larger in patients with functional dyspepsia compared to healthy subjects after the test meal, suggesting slower gastric emptying in the dyspeptic patients. Since the diagnosis of functional dyspepsia is based mostly on diverse patients’ symptoms, using ultrasonography to measure the antral area helps us to objectively assess this problem.


2009 ◽  
Vol 8 (1) ◽  
Author(s):  
Joanna Hlebowicz ◽  
Jenny Maria Jönsson ◽  
Sandra Lindstedt ◽  
Ola Björgell ◽  
Gassan Darwich ◽  
...  

2007 ◽  
Vol 9 (1) ◽  
pp. 11-18 ◽  
Author(s):  
B. D. MAES ◽  
Y. F. GHOOS ◽  
B. J. GEYPENS ◽  
M. I. HIELE ◽  
P. J. RUTGEERTS

2010 ◽  
Vol 42 (8) ◽  
pp. 549-553 ◽  
Author(s):  
Francesco Perri ◽  
Massimo Bellini ◽  
Piero Portincasa ◽  
Andrea Parodi ◽  
Patrizia Bonazzi ◽  
...  

2002 ◽  
Vol 282 (2) ◽  
pp. R366-R371 ◽  
Author(s):  
K. E. Castiglione ◽  
N. W. Read ◽  
S. J. French

Previous work has shown that the gastric emptying rate in animals and humans can adapt due to previous dietary intake. The present study investigated whether adaptation in gastric emptying rate due to consumption of a high-fat diet (HFD) is nutrient specific in humans. Gastric emptying of high-fat and high-carbohydrate test meals was measured (using gamma scintigraphy) before and after consumption of an HFD for 14 days in eight free-living male volunteers. Visual analog ratings of appetite were recorded throughout each test. There was no effect of HFD on any parameters of gastric emptying rate (lag phase, half-emptying time, and linear emptying rate) measured for carbohydrate test meals. HFD led to an acceleration of the linear emptying rate of the high-fat test meal (0.36 vs. 0.47%/min; P < 0.05). All meals reduced appetite ratings, but there were no differences between tests. These results support our previous findings of accelerated gastric emptying of high-fat test meals following an HFD and show that these changes appear to be nutrient specific, confirming recent studies in rats.


2007 ◽  
Vol 86 (5) ◽  
pp. 1364-1368 ◽  
Author(s):  
Angela Karamanlis ◽  
Reawika Chaikomin ◽  
Selena Doran ◽  
Max Bellon ◽  
F Dylan Bartholomeusz ◽  
...  

Sign in / Sign up

Export Citation Format

Share Document