Electrogastrography in patients with Roux-en-Y reconstruction after previous Billroth gastrectomy
Jazyk angličtina Země Řecko Médium print
Typ dokumentu časopisecké články, práce podpořená grantem
PubMed
18795720
Knihovny.cz E-zdroje
- MeSH
- dospělí MeSH
- gastrektomie * MeSH
- gastroenterostomie * MeSH
- lidé středního věku MeSH
- lidé MeSH
- migrující myoelektrický komplex fyziologie MeSH
- následné studie MeSH
- omezení příjmu potravy MeSH
- peptický vřed patofyziologie chirurgie MeSH
- postprandiální období MeSH
- prospektivní studie MeSH
- Rouxova Y-anastomóza * MeSH
- vyprazdňování žaludku fyziologie MeSH
- Check Tag
- dospělí MeSH
- lidé středního věku MeSH
- lidé MeSH
- mužské pohlaví MeSH
- ženské pohlaví MeSH
- Publikační typ
- časopisecké články MeSH
- práce podpořená grantem MeSH
BACKGROUND/AIMS: The aim of this prospective study was to characterize gastric myoelectrical activity in patients with Roux-en-Y reconstruction after previous Billroth gastrectomy. METHODOLOGY: Thirteen patients entered the study (6 men and 7 women, aged 35-57). The mean time from Roux-en-Y reconstruction to electrogastrography (EGG) recording was 5 years. Surface cutaneous EGG was recorded using a Digitrapper EGG in the morning both fasting and after a standard solid test meal. All patients assessed their dyspeptic symptoms at the time of EGG in a semi-quantitative subjective scale. RESULTS: EGG was abnormal in all studied patients (but one postprandial recording). Dyspepsia was not meal-related and was not more severe in Helicobacter pylori positive patients. There was a significant negative correlation between time from Roux-en-Y reconstruction to EGG recording and bradygastria percent activity, both fasted and postprandial (r = -0.576; p = 0.0022). There was an inverse trend between severity of dyspepsia and normal slow-wave rhythm percent activity. Older patients tended to have more severe dyspepsia. CONCLUSIONS: The results of this study suggest that abnormal EGG recording is associated with dyspepsia in patients after Roux-en-Y reconstruction.
Preclinical electrogastrography in experimental pigs