Relationship Between Gastric Emptying and Gastroesophageal Reflux in Infants and Children

PURPOSE:The aim of our study was to evaluate the relationship between gastric emptying and gastroesophageal reflux (GER) in infants and children. METHODS AND MATERIALS:One hundred eight patients (pts) between 3 months and 5 years of age (77 boys, 31 girls) with clinical suspicion of GER disease were...

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Veröffentlicht in:Clinical nuclear medicine 2006-05, Vol.31 (5), p.262-265
Hauptverfasser: Argon, Murat, Duygun, Ulkem, Daglioz, Gozde, Omür, Ozgur, Demir, Esen, Aydogdu, Sema
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container_end_page 265
container_issue 5
container_start_page 262
container_title Clinical nuclear medicine
container_volume 31
creator Argon, Murat
Duygun, Ulkem
Daglioz, Gozde
Omür, Ozgur
Demir, Esen
Aydogdu, Sema
description PURPOSE:The aim of our study was to evaluate the relationship between gastric emptying and gastroesophageal reflux (GER) in infants and children. METHODS AND MATERIALS:One hundred eight patients (pts) between 3 months and 5 years of age (77 boys, 31 girls) with clinical suspicion of GER disease were included in the study. Patients were divided into 2 groups according to the age rangegroup A, 0–2 years (57 pts), and group B, 2–5 (51 pts) years. Each group was divided into 2 subgroups according to the scintigraphic study as GER-positive and -negative. Cowʼs milk with Tc-99m sulfur colloid as radiotracer was used. Gastric emptying was expressed as the half emptying time (T1/2). The detection of activity in the esophagus at any time during scintigraphy was considered an indicator of GER episodes. Reflux episodes were graded as grade 1 if activity was detected on one or 2 frames and grade 2 if activity was detected on more than 2 frames. RESULTS:Forty of the 108 patients (37%) had GER findings on scintigraphy. The comparison of gastric emptying time between positive GER scintigraphy and negative GER scintigraphy groups was not statistically significant in any age group. No association was found between age and rate of gastric emptying time. Although the comparison of T1/2 between grade 1 patients and the GER-negative group was not statistically significant, grade 2 patients showed significant differences and had prolonged gastric emptying times. Mild statistical correlation between the number of reflux episodes and gastric emptying half time was found. CONCLUSIONS:As a conclusion, the relation between gastroesophageal reflux and delayed gastric emptying cannot be ignored. Our results support delayed gastric emptying to be a pathogenetic factor in gastroesophageal reflux in infants and children.
doi_str_mv 10.1097/01.rlu.0000210500.64440.76
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METHODS AND MATERIALS:One hundred eight patients (pts) between 3 months and 5 years of age (77 boys, 31 girls) with clinical suspicion of GER disease were included in the study. Patients were divided into 2 groups according to the age rangegroup A, 0–2 years (57 pts), and group B, 2–5 (51 pts) years. Each group was divided into 2 subgroups according to the scintigraphic study as GER-positive and -negative. Cowʼs milk with Tc-99m sulfur colloid as radiotracer was used. Gastric emptying was expressed as the half emptying time (T1/2). The detection of activity in the esophagus at any time during scintigraphy was considered an indicator of GER episodes. Reflux episodes were graded as grade 1 if activity was detected on one or 2 frames and grade 2 if activity was detected on more than 2 frames. RESULTS:Forty of the 108 patients (37%) had GER findings on scintigraphy. The comparison of gastric emptying time between positive GER scintigraphy and negative GER scintigraphy groups was not statistically significant in any age group. No association was found between age and rate of gastric emptying time. Although the comparison of T1/2 between grade 1 patients and the GER-negative group was not statistically significant, grade 2 patients showed significant differences and had prolonged gastric emptying times. Mild statistical correlation between the number of reflux episodes and gastric emptying half time was found. CONCLUSIONS:As a conclusion, the relation between gastroesophageal reflux and delayed gastric emptying cannot be ignored. Our results support delayed gastric emptying to be a pathogenetic factor in gastroesophageal reflux in infants and children.</description><identifier>ISSN: 0363-9762</identifier><identifier>EISSN: 1536-0229</identifier><identifier>DOI: 10.1097/01.rlu.0000210500.64440.76</identifier><identifier>PMID: 16622332</identifier><language>eng</language><publisher>United States: Lippincott Williams &amp; Wilkins, Inc</publisher><subject>Age Distribution ; Child, Preschool ; Comorbidity ; Female ; Gastric Emptying ; Gastroesophageal Reflux - diagnostic imaging ; Gastroesophageal Reflux - epidemiology ; Humans ; Infant ; Male ; Radionuclide Imaging ; Risk Assessment - methods ; Risk Factors ; Statistics as Topic ; Stomach - diagnostic imaging ; Stomach Diseases - diagnostic imaging ; Stomach Diseases - epidemiology ; Turkey - epidemiology</subject><ispartof>Clinical nuclear medicine, 2006-05, Vol.31 (5), p.262-265</ispartof><rights>2006 Lippincott Williams &amp; Wilkins, Inc.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4284-f45b905c4f1760ea574299f5c8eab182b7bee6a4547693f685c00d87a36a3cd3</citedby><cites>FETCH-LOGICAL-c4284-f45b905c4f1760ea574299f5c8eab182b7bee6a4547693f685c00d87a36a3cd3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,27901,27902</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/16622332$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Argon, Murat</creatorcontrib><creatorcontrib>Duygun, Ulkem</creatorcontrib><creatorcontrib>Daglioz, Gozde</creatorcontrib><creatorcontrib>Omür, Ozgur</creatorcontrib><creatorcontrib>Demir, Esen</creatorcontrib><creatorcontrib>Aydogdu, Sema</creatorcontrib><title>Relationship Between Gastric Emptying and Gastroesophageal Reflux in Infants and Children</title><title>Clinical nuclear medicine</title><addtitle>Clin Nucl Med</addtitle><description>PURPOSE:The aim of our study was to evaluate the relationship between gastric emptying and gastroesophageal reflux (GER) in infants and children. METHODS AND MATERIALS:One hundred eight patients (pts) between 3 months and 5 years of age (77 boys, 31 girls) with clinical suspicion of GER disease were included in the study. Patients were divided into 2 groups according to the age rangegroup A, 0–2 years (57 pts), and group B, 2–5 (51 pts) years. Each group was divided into 2 subgroups according to the scintigraphic study as GER-positive and -negative. Cowʼs milk with Tc-99m sulfur colloid as radiotracer was used. Gastric emptying was expressed as the half emptying time (T1/2). The detection of activity in the esophagus at any time during scintigraphy was considered an indicator of GER episodes. Reflux episodes were graded as grade 1 if activity was detected on one or 2 frames and grade 2 if activity was detected on more than 2 frames. RESULTS:Forty of the 108 patients (37%) had GER findings on scintigraphy. The comparison of gastric emptying time between positive GER scintigraphy and negative GER scintigraphy groups was not statistically significant in any age group. No association was found between age and rate of gastric emptying time. Although the comparison of T1/2 between grade 1 patients and the GER-negative group was not statistically significant, grade 2 patients showed significant differences and had prolonged gastric emptying times. Mild statistical correlation between the number of reflux episodes and gastric emptying half time was found. CONCLUSIONS:As a conclusion, the relation between gastroesophageal reflux and delayed gastric emptying cannot be ignored. Our results support delayed gastric emptying to be a pathogenetic factor in gastroesophageal reflux in infants and children.</description><subject>Age Distribution</subject><subject>Child, Preschool</subject><subject>Comorbidity</subject><subject>Female</subject><subject>Gastric Emptying</subject><subject>Gastroesophageal Reflux - diagnostic imaging</subject><subject>Gastroesophageal Reflux - epidemiology</subject><subject>Humans</subject><subject>Infant</subject><subject>Male</subject><subject>Radionuclide Imaging</subject><subject>Risk Assessment - methods</subject><subject>Risk Factors</subject><subject>Statistics as Topic</subject><subject>Stomach - diagnostic imaging</subject><subject>Stomach Diseases - diagnostic imaging</subject><subject>Stomach Diseases - epidemiology</subject><subject>Turkey - epidemiology</subject><issn>0363-9762</issn><issn>1536-0229</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2006</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpFkE1r3DAQhkVJaTbb_oViesjN7ujDI7u3ZEmTwEIh5NKTkO1x7FYru5LNJv--3g_IXAaG530HHsa-ccg4lPo78Cy4OYNlBIccIEOlFGQaP7AVzyWmIER5wVYgUaalRnHJrmL8A8CRo_rELjmiEFKKFfv9RM5O_eBj14_JLU17Ip_c2ziFvk7uduP01vuXxPrmdBwoDmNnX8i65IlaN78mvU8efWv9FI_YputdE8h_Zh9b6yJ9Oe81e_5597x5SLe_7h83N9u0VqJQaavyqoS8Vi3XCGRzrURZtnldkK14ISpdEaFVudJYyhaLvAZoCm0lWlk3cs2uT7VjGP7NFCez62NNzllPwxwN6mIRIMUC_jiBdRhiDNSaMfQ7G94MB3PwaoCbxat592qOXo3GJfz1_GWudtS8R88iF0CdgP3gJgrxr5v3FEy3eJq6Y6UELVIBgIdmSA8nJf8DBH6Esw</recordid><startdate>200605</startdate><enddate>200605</enddate><creator>Argon, Murat</creator><creator>Duygun, Ulkem</creator><creator>Daglioz, Gozde</creator><creator>Omür, Ozgur</creator><creator>Demir, Esen</creator><creator>Aydogdu, Sema</creator><general>Lippincott Williams &amp; Wilkins, 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>7X8</scope></search><sort><creationdate>200605</creationdate><title>Relationship Between Gastric Emptying and Gastroesophageal Reflux in Infants and Children</title><author>Argon, Murat ; Duygun, Ulkem ; Daglioz, Gozde ; Omür, Ozgur ; Demir, Esen ; Aydogdu, Sema</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4284-f45b905c4f1760ea574299f5c8eab182b7bee6a4547693f685c00d87a36a3cd3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2006</creationdate><topic>Age Distribution</topic><topic>Child, Preschool</topic><topic>Comorbidity</topic><topic>Female</topic><topic>Gastric Emptying</topic><topic>Gastroesophageal Reflux - diagnostic imaging</topic><topic>Gastroesophageal Reflux - epidemiology</topic><topic>Humans</topic><topic>Infant</topic><topic>Male</topic><topic>Radionuclide Imaging</topic><topic>Risk Assessment - methods</topic><topic>Risk Factors</topic><topic>Statistics as Topic</topic><topic>Stomach - diagnostic imaging</topic><topic>Stomach Diseases - diagnostic imaging</topic><topic>Stomach Diseases - epidemiology</topic><topic>Turkey - epidemiology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Argon, Murat</creatorcontrib><creatorcontrib>Duygun, Ulkem</creatorcontrib><creatorcontrib>Daglioz, Gozde</creatorcontrib><creatorcontrib>Omür, Ozgur</creatorcontrib><creatorcontrib>Demir, Esen</creatorcontrib><creatorcontrib>Aydogdu, Sema</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Clinical nuclear medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Argon, Murat</au><au>Duygun, Ulkem</au><au>Daglioz, Gozde</au><au>Omür, Ozgur</au><au>Demir, Esen</au><au>Aydogdu, Sema</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Relationship Between Gastric Emptying and Gastroesophageal Reflux in Infants and Children</atitle><jtitle>Clinical nuclear medicine</jtitle><addtitle>Clin Nucl Med</addtitle><date>2006-05</date><risdate>2006</risdate><volume>31</volume><issue>5</issue><spage>262</spage><epage>265</epage><pages>262-265</pages><issn>0363-9762</issn><eissn>1536-0229</eissn><abstract>PURPOSE:The aim of our study was to evaluate the relationship between gastric emptying and gastroesophageal reflux (GER) in infants and children. METHODS AND MATERIALS:One hundred eight patients (pts) between 3 months and 5 years of age (77 boys, 31 girls) with clinical suspicion of GER disease were included in the study. Patients were divided into 2 groups according to the age rangegroup A, 0–2 years (57 pts), and group B, 2–5 (51 pts) years. Each group was divided into 2 subgroups according to the scintigraphic study as GER-positive and -negative. Cowʼs milk with Tc-99m sulfur colloid as radiotracer was used. Gastric emptying was expressed as the half emptying time (T1/2). The detection of activity in the esophagus at any time during scintigraphy was considered an indicator of GER episodes. Reflux episodes were graded as grade 1 if activity was detected on one or 2 frames and grade 2 if activity was detected on more than 2 frames. RESULTS:Forty of the 108 patients (37%) had GER findings on scintigraphy. The comparison of gastric emptying time between positive GER scintigraphy and negative GER scintigraphy groups was not statistically significant in any age group. No association was found between age and rate of gastric emptying time. Although the comparison of T1/2 between grade 1 patients and the GER-negative group was not statistically significant, grade 2 patients showed significant differences and had prolonged gastric emptying times. Mild statistical correlation between the number of reflux episodes and gastric emptying half time was found. CONCLUSIONS:As a conclusion, the relation between gastroesophageal reflux and delayed gastric emptying cannot be ignored. Our results support delayed gastric emptying to be a pathogenetic factor in gastroesophageal reflux in infants and children.</abstract><cop>United States</cop><pub>Lippincott Williams &amp; Wilkins, Inc</pub><pmid>16622332</pmid><doi>10.1097/01.rlu.0000210500.64440.76</doi><tpages>4</tpages></addata></record>
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source Journals@Ovid Ovid Autoload; MEDLINE
subjects Age Distribution
Child, Preschool
Comorbidity
Female
Gastric Emptying
Gastroesophageal Reflux - diagnostic imaging
Gastroesophageal Reflux - epidemiology
Humans
Infant
Male
Radionuclide Imaging
Risk Assessment - methods
Risk Factors
Statistics as Topic
Stomach - diagnostic imaging
Stomach Diseases - diagnostic imaging
Stomach Diseases - epidemiology
Turkey - epidemiology
title Relationship Between Gastric Emptying and Gastroesophageal Reflux in Infants and Children
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