Same day versus next day antroduodenal manometry results in children with upper gastrointestinal symptoms: A prospective study
Background We evaluated the changes in antroduodenal manometry (ADM) parameters and interpretation when the test is performed the day of catheter placement and the following day. Methods Catheter was placed endoscopically under anesthesia and recorded on day 1 and repeated on day 2. Study parameters...
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| Veröffentlicht in: | Neurogastroenterology and motility 2019-03, Vol.31 (3), p.e13521-n/a |
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| creator | Arbizu, Ricardo A. Nurko, Samuel Heinz, Nicole Amicangelo, Maureen Rodriguez, Leonel |
| description | Background
We evaluated the changes in antroduodenal manometry (ADM) parameters and interpretation when the test is performed the day of catheter placement and the following day.
Methods
Catheter was placed endoscopically under anesthesia and recorded on day 1 and repeated on day 2. Study parameters including antrum and small bowel motility index (MI) during fasting, meal, postprandial, erythromycin (EES), and octreotide (OCT) challenge phases, the presence of the phase III of the migrating motor complex (MMC), visual postprandial response, and study interpretation were compared between both days.
Key Results
Twenty patients were studied. Antrum and small bowel MI during fasting, postprandial, and EES challenge phases were significantly higher on day 2 than on day 1 (P |
| doi_str_mv | 10.1111/nmo.13521 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_2155168075</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2155168075</sourcerecordid><originalsourceid>FETCH-LOGICAL-c3531-55817b6aced9703901815b98b208e9b5455ce70d0e746771654d0549d5579be53</originalsourceid><addsrcrecordid>eNp1kU1v1zAMxiMEYmNw4AugSFzYoVvS1EnDbZoYIA12AM5V2nisU5OWvGz0ss9Ouv_YAQlfbEs_P7L9EPKasyNe4ti7-YgLqPkTss-FhKrWbf10q4FVXNewR17EeM0Yk3Ujn5M9wUAoIet9cvfNOKTWrPQGQ8yRevyd7nvjU5htni16M1Fn_OwwhZUGjHlKkY6eDlfjZAN6ejumK5qXBQP9aWKZG33CmMZtMq5uSbOL7-kJXcIcFxzSeIM0pmzXl-TZpZkivnrIB-TH2Yfvp5-q84uPn09PzqtBgOAVQMtVL82AVismNOMth163fc1a1D00AAMqZhmqRirFJTSWQaMtgNI9gjgg73a6ZYNfuazWuTEOOE3G45xjV3MALlumNvTtP-j1nEO5ZKPapnxNNrpQhztqKCfFgJfdEkZnwtpx1m2mdMWU7t6Uwr55UMy9Q_tI_nWhAMc74HaccP2_Uvf1y8VO8g-8Z5cg</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2184362649</pqid></control><display><type>article</type><title>Same day versus next day antroduodenal manometry results in children with upper gastrointestinal symptoms: A prospective study</title><source>MEDLINE</source><source>Access via Wiley Online Library</source><source>Wiley Online Library (Open Access Collection)</source><creator>Arbizu, Ricardo A. ; Nurko, Samuel ; Heinz, Nicole ; Amicangelo, Maureen ; Rodriguez, Leonel</creator><creatorcontrib>Arbizu, Ricardo A. ; Nurko, Samuel ; Heinz, Nicole ; Amicangelo, Maureen ; Rodriguez, Leonel</creatorcontrib><description>Background
We evaluated the changes in antroduodenal manometry (ADM) parameters and interpretation when the test is performed the day of catheter placement and the following day.
Methods
Catheter was placed endoscopically under anesthesia and recorded on day 1 and repeated on day 2. Study parameters including antrum and small bowel motility index (MI) during fasting, meal, postprandial, erythromycin (EES), and octreotide (OCT) challenge phases, the presence of the phase III of the migrating motor complex (MMC), visual postprandial response, and study interpretation were compared between both days.
Key Results
Twenty patients were studied. Antrum and small bowel MI during fasting, postprandial, and EES challenge phases were significantly higher on day 2 than on day 1 (P < 0.05). The proportion of patients having a phase III of the MMC was significantly higher on day 2 compared to day 1 (65% vs 15%; P = 0.006). Study interpretation changed from day 1 to day 2. On day 1, 70% of the patients had a normal study and 30% had an abnormal study. On day 2, 67% of the patients with an abnormal study on day 1 changed to normal and 33% remained abnormal. All patients with a normal study on day 1 remained normal on day 2.
Conclusions and Inferences
ADM parameters are affected the day of catheter placement. The MI and presence of the phase III of the MMC were significantly higher on day 2 compared to day 1. Overall, ADM study interpretation changed from day 1 to day 2 in 20% of the patients.
Antroduodenal manometry is a valuable diagnostic tool used in the evaluation of patients with suspected gastrointestinal motility disorders. The timing of its performance is not standardized and has not been widely studied. Here, we present a comparison of antroduodenal manometry parameters and study interpretation between the day of catheter placement and the following day.</description><identifier>ISSN: 1350-1925</identifier><identifier>EISSN: 1365-2982</identifier><identifier>DOI: 10.1111/nmo.13521</identifier><identifier>PMID: 30537362</identifier><language>eng</language><publisher>England: Wiley Subscription Services, Inc</publisher><subject>Adolescent ; Anesthesia ; Catheterization - methods ; Catheters ; Child ; Child, Preschool ; Duodenum - physiopathology ; Erythromycin ; Fasting ; Female ; Gastrointestinal Diseases - physiopathology ; Humans ; Infant ; Male ; manometry ; Manometry - methods ; migrating motor complex ; Myoelectric Complex, Migrating ; Octreotide ; pediatrics ; Predictive Value of Tests ; Prospective Studies ; Pyloric Antrum - physiopathology ; Reproducibility of Results ; Sensorimotor integration ; Small intestine ; Upper Gastrointestinal Tract</subject><ispartof>Neurogastroenterology and motility, 2019-03, Vol.31 (3), p.e13521-n/a</ispartof><rights>2018 John Wiley & Sons Ltd</rights><rights>2018 John Wiley & Sons Ltd.</rights><rights>Copyright © 2019 John Wiley & Sons Ltd</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3531-55817b6aced9703901815b98b208e9b5455ce70d0e746771654d0549d5579be53</citedby><cites>FETCH-LOGICAL-c3531-55817b6aced9703901815b98b208e9b5455ce70d0e746771654d0549d5579be53</cites><orcidid>0000-0003-0936-4807 ; 0000-0003-1118-5066 ; 0000-0002-7128-6048</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fnmo.13521$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fnmo.13521$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,780,784,1417,1433,27924,27925,45574,45575,46409,46833</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/30537362$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Arbizu, Ricardo A.</creatorcontrib><creatorcontrib>Nurko, Samuel</creatorcontrib><creatorcontrib>Heinz, Nicole</creatorcontrib><creatorcontrib>Amicangelo, Maureen</creatorcontrib><creatorcontrib>Rodriguez, Leonel</creatorcontrib><title>Same day versus next day antroduodenal manometry results in children with upper gastrointestinal symptoms: A prospective study</title><title>Neurogastroenterology and motility</title><addtitle>Neurogastroenterol Motil</addtitle><description>Background
We evaluated the changes in antroduodenal manometry (ADM) parameters and interpretation when the test is performed the day of catheter placement and the following day.
Methods
Catheter was placed endoscopically under anesthesia and recorded on day 1 and repeated on day 2. Study parameters including antrum and small bowel motility index (MI) during fasting, meal, postprandial, erythromycin (EES), and octreotide (OCT) challenge phases, the presence of the phase III of the migrating motor complex (MMC), visual postprandial response, and study interpretation were compared between both days.
Key Results
Twenty patients were studied. Antrum and small bowel MI during fasting, postprandial, and EES challenge phases were significantly higher on day 2 than on day 1 (P < 0.05). The proportion of patients having a phase III of the MMC was significantly higher on day 2 compared to day 1 (65% vs 15%; P = 0.006). Study interpretation changed from day 1 to day 2. On day 1, 70% of the patients had a normal study and 30% had an abnormal study. On day 2, 67% of the patients with an abnormal study on day 1 changed to normal and 33% remained abnormal. All patients with a normal study on day 1 remained normal on day 2.
Conclusions and Inferences
ADM parameters are affected the day of catheter placement. The MI and presence of the phase III of the MMC were significantly higher on day 2 compared to day 1. Overall, ADM study interpretation changed from day 1 to day 2 in 20% of the patients.
Antroduodenal manometry is a valuable diagnostic tool used in the evaluation of patients with suspected gastrointestinal motility disorders. The timing of its performance is not standardized and has not been widely studied. Here, we present a comparison of antroduodenal manometry parameters and study interpretation between the day of catheter placement and the following day.</description><subject>Adolescent</subject><subject>Anesthesia</subject><subject>Catheterization - methods</subject><subject>Catheters</subject><subject>Child</subject><subject>Child, Preschool</subject><subject>Duodenum - physiopathology</subject><subject>Erythromycin</subject><subject>Fasting</subject><subject>Female</subject><subject>Gastrointestinal Diseases - physiopathology</subject><subject>Humans</subject><subject>Infant</subject><subject>Male</subject><subject>manometry</subject><subject>Manometry - methods</subject><subject>migrating motor complex</subject><subject>Myoelectric Complex, Migrating</subject><subject>Octreotide</subject><subject>pediatrics</subject><subject>Predictive Value of Tests</subject><subject>Prospective Studies</subject><subject>Pyloric Antrum - physiopathology</subject><subject>Reproducibility of Results</subject><subject>Sensorimotor integration</subject><subject>Small intestine</subject><subject>Upper Gastrointestinal Tract</subject><issn>1350-1925</issn><issn>1365-2982</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2019</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp1kU1v1zAMxiMEYmNw4AugSFzYoVvS1EnDbZoYIA12AM5V2nisU5OWvGz0ss9Ouv_YAQlfbEs_P7L9EPKasyNe4ti7-YgLqPkTss-FhKrWbf10q4FVXNewR17EeM0Yk3Ujn5M9wUAoIet9cvfNOKTWrPQGQ8yRevyd7nvjU5htni16M1Fn_OwwhZUGjHlKkY6eDlfjZAN6ejumK5qXBQP9aWKZG33CmMZtMq5uSbOL7-kJXcIcFxzSeIM0pmzXl-TZpZkivnrIB-TH2Yfvp5-q84uPn09PzqtBgOAVQMtVL82AVismNOMth163fc1a1D00AAMqZhmqRirFJTSWQaMtgNI9gjgg73a6ZYNfuazWuTEOOE3G45xjV3MALlumNvTtP-j1nEO5ZKPapnxNNrpQhztqKCfFgJfdEkZnwtpx1m2mdMWU7t6Uwr55UMy9Q_tI_nWhAMc74HaccP2_Uvf1y8VO8g-8Z5cg</recordid><startdate>201903</startdate><enddate>201903</enddate><creator>Arbizu, Ricardo A.</creator><creator>Nurko, Samuel</creator><creator>Heinz, Nicole</creator><creator>Amicangelo, Maureen</creator><creator>Rodriguez, Leonel</creator><general>Wiley Subscription Services, Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7TK</scope><scope>K9.</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0003-0936-4807</orcidid><orcidid>https://orcid.org/0000-0003-1118-5066</orcidid><orcidid>https://orcid.org/0000-0002-7128-6048</orcidid></search><sort><creationdate>201903</creationdate><title>Same day versus next day antroduodenal manometry results in children with upper gastrointestinal symptoms: A prospective study</title><author>Arbizu, Ricardo A. ; Nurko, Samuel ; Heinz, Nicole ; Amicangelo, Maureen ; Rodriguez, Leonel</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3531-55817b6aced9703901815b98b208e9b5455ce70d0e746771654d0549d5579be53</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2019</creationdate><topic>Adolescent</topic><topic>Anesthesia</topic><topic>Catheterization - methods</topic><topic>Catheters</topic><topic>Child</topic><topic>Child, Preschool</topic><topic>Duodenum - physiopathology</topic><topic>Erythromycin</topic><topic>Fasting</topic><topic>Female</topic><topic>Gastrointestinal Diseases - physiopathology</topic><topic>Humans</topic><topic>Infant</topic><topic>Male</topic><topic>manometry</topic><topic>Manometry - methods</topic><topic>migrating motor complex</topic><topic>Myoelectric Complex, Migrating</topic><topic>Octreotide</topic><topic>pediatrics</topic><topic>Predictive Value of Tests</topic><topic>Prospective Studies</topic><topic>Pyloric Antrum - physiopathology</topic><topic>Reproducibility of Results</topic><topic>Sensorimotor integration</topic><topic>Small intestine</topic><topic>Upper Gastrointestinal Tract</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Arbizu, Ricardo A.</creatorcontrib><creatorcontrib>Nurko, Samuel</creatorcontrib><creatorcontrib>Heinz, Nicole</creatorcontrib><creatorcontrib>Amicangelo, Maureen</creatorcontrib><creatorcontrib>Rodriguez, Leonel</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Neurosciences Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>MEDLINE - Academic</collection><jtitle>Neurogastroenterology and motility</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Arbizu, Ricardo A.</au><au>Nurko, Samuel</au><au>Heinz, Nicole</au><au>Amicangelo, Maureen</au><au>Rodriguez, Leonel</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Same day versus next day antroduodenal manometry results in children with upper gastrointestinal symptoms: A prospective study</atitle><jtitle>Neurogastroenterology and motility</jtitle><addtitle>Neurogastroenterol Motil</addtitle><date>2019-03</date><risdate>2019</risdate><volume>31</volume><issue>3</issue><spage>e13521</spage><epage>n/a</epage><pages>e13521-n/a</pages><issn>1350-1925</issn><eissn>1365-2982</eissn><abstract>Background
We evaluated the changes in antroduodenal manometry (ADM) parameters and interpretation when the test is performed the day of catheter placement and the following day.
Methods
Catheter was placed endoscopically under anesthesia and recorded on day 1 and repeated on day 2. Study parameters including antrum and small bowel motility index (MI) during fasting, meal, postprandial, erythromycin (EES), and octreotide (OCT) challenge phases, the presence of the phase III of the migrating motor complex (MMC), visual postprandial response, and study interpretation were compared between both days.
Key Results
Twenty patients were studied. Antrum and small bowel MI during fasting, postprandial, and EES challenge phases were significantly higher on day 2 than on day 1 (P < 0.05). The proportion of patients having a phase III of the MMC was significantly higher on day 2 compared to day 1 (65% vs 15%; P = 0.006). Study interpretation changed from day 1 to day 2. On day 1, 70% of the patients had a normal study and 30% had an abnormal study. On day 2, 67% of the patients with an abnormal study on day 1 changed to normal and 33% remained abnormal. All patients with a normal study on day 1 remained normal on day 2.
Conclusions and Inferences
ADM parameters are affected the day of catheter placement. The MI and presence of the phase III of the MMC were significantly higher on day 2 compared to day 1. Overall, ADM study interpretation changed from day 1 to day 2 in 20% of the patients.
Antroduodenal manometry is a valuable diagnostic tool used in the evaluation of patients with suspected gastrointestinal motility disorders. The timing of its performance is not standardized and has not been widely studied. Here, we present a comparison of antroduodenal manometry parameters and study interpretation between the day of catheter placement and the following day.</abstract><cop>England</cop><pub>Wiley Subscription Services, Inc</pub><pmid>30537362</pmid><doi>10.1111/nmo.13521</doi><tpages>8</tpages><orcidid>https://orcid.org/0000-0003-0936-4807</orcidid><orcidid>https://orcid.org/0000-0003-1118-5066</orcidid><orcidid>https://orcid.org/0000-0002-7128-6048</orcidid></addata></record> |
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| ispartof | Neurogastroenterology and motility, 2019-03, Vol.31 (3), p.e13521-n/a |
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| source | MEDLINE; Access via Wiley Online Library; Wiley Online Library (Open Access Collection) |
| subjects | Adolescent Anesthesia Catheterization - methods Catheters Child Child, Preschool Duodenum - physiopathology Erythromycin Fasting Female Gastrointestinal Diseases - physiopathology Humans Infant Male manometry Manometry - methods migrating motor complex Myoelectric Complex, Migrating Octreotide pediatrics Predictive Value of Tests Prospective Studies Pyloric Antrum - physiopathology Reproducibility of Results Sensorimotor integration Small intestine Upper Gastrointestinal Tract |
| title | Same day versus next day antroduodenal manometry results in children with upper gastrointestinal symptoms: A prospective study |
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