Gastric emptying in hyperemesis gravidarum and non‐dyspeptic pregnancy

Background: Emesis and hyperemesis are significant problems associated with early pregnancy. However, gastric emptying of solids has never been studied during early pregnancy in humans. Aim: To investigate gastric emptying of solids in patients recovering from hyperemesis gravidarum and in non‐dyspe...

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Veröffentlicht in:Alimentary pharmacology & therapeutics 1999-02, Vol.13 (2), p.237-243
Hauptverfasser: MAES, B. D, SPITZ, B, GHOOS, Y. F, HIELE, M. I, EVENEPOEL, P, RUTGEERTS, P. J
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container_issue 2
container_start_page 237
container_title Alimentary pharmacology & therapeutics
container_volume 13
creator MAES, B. D
SPITZ, B
GHOOS, Y. F
HIELE, M. I
EVENEPOEL, P
RUTGEERTS, P. J
description Background: Emesis and hyperemesis are significant problems associated with early pregnancy. However, gastric emptying of solids has never been studied during early pregnancy in humans. Aim: To investigate gastric emptying of solids in patients recovering from hyperemesis gravidarum and in non‐dyspeptic pregnant women and to compare these results with a group of healthy non‐pregnant women. Methods: Fourteen patients with hyperemesis gravidarum, 10 non‐dyspeptic pregnant women and 36 non‐pregnant women in the first half of the menstrual cycle underwent a gastric emptying study. Seven non‐pregnant women repeated the test in the post‐ovulatory period. Results: Gastric emptying of solids was not significantly delayed in non‐dyspeptic pregnant women compared with non‐pregnant women. The emptying rate tended to be impaired in the post‐ovulatory period of the menstrual cycle. Solid emptying was significantly accelerated in patients recovering from hyperemesis gravidarum, correlating well with thyroid function in the latter group. Conclusion: Pregnancy in humans is not associated with decreased solid gastric emptying. In subjects recovering from hyperemesis gravidarum, solid emptying is increased, correlating well with thyroid function abnormalities. Nausea and vomiting in hyperemesis are therefore probably not due to upper gastrointestinal disorders.
doi_str_mv 10.1046/j.1365-2036.1999.00446.x
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D ; SPITZ, B ; GHOOS, Y. F ; HIELE, M. I ; EVENEPOEL, P ; RUTGEERTS, P. J</creator><creatorcontrib>MAES, B. D ; SPITZ, B ; GHOOS, Y. F ; HIELE, M. I ; EVENEPOEL, P ; RUTGEERTS, P. J</creatorcontrib><description>Background: Emesis and hyperemesis are significant problems associated with early pregnancy. However, gastric emptying of solids has never been studied during early pregnancy in humans. Aim: To investigate gastric emptying of solids in patients recovering from hyperemesis gravidarum and in non‐dyspeptic pregnant women and to compare these results with a group of healthy non‐pregnant women. Methods: Fourteen patients with hyperemesis gravidarum, 10 non‐dyspeptic pregnant women and 36 non‐pregnant women in the first half of the menstrual cycle underwent a gastric emptying study. Seven non‐pregnant women repeated the test in the post‐ovulatory period. Results: Gastric emptying of solids was not significantly delayed in non‐dyspeptic pregnant women compared with non‐pregnant women. The emptying rate tended to be impaired in the post‐ovulatory period of the menstrual cycle. Solid emptying was significantly accelerated in patients recovering from hyperemesis gravidarum, correlating well with thyroid function in the latter group. Conclusion: Pregnancy in humans is not associated with decreased solid gastric emptying. In subjects recovering from hyperemesis gravidarum, solid emptying is increased, correlating well with thyroid function abnormalities. Nausea and vomiting in hyperemesis are therefore probably not due to upper gastrointestinal disorders.</description><identifier>ISSN: 0269-2813</identifier><identifier>EISSN: 1365-2036</identifier><identifier>DOI: 10.1046/j.1365-2036.1999.00446.x</identifier><identifier>PMID: 10102955</identifier><language>eng</language><publisher>Oxford UK: Blackwell Science Ltd</publisher><subject>Adolescent ; Adult ; Biological and medical sciences ; Carbon Dioxide - metabolism ; Female ; Fundamental and applied biological sciences. Psychology ; Gastric Emptying ; Humans ; Hyperemesis Gravidarum - physiopathology ; Middle Aged ; Mother. Fetoplacental unit. Mammary gland. Milk ; Pregnancy - physiology ; Pregnancy. Parturition. 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D</creatorcontrib><creatorcontrib>SPITZ, B</creatorcontrib><creatorcontrib>GHOOS, Y. F</creatorcontrib><creatorcontrib>HIELE, M. I</creatorcontrib><creatorcontrib>EVENEPOEL, P</creatorcontrib><creatorcontrib>RUTGEERTS, P. J</creatorcontrib><title>Gastric emptying in hyperemesis gravidarum and non‐dyspeptic pregnancy</title><title>Alimentary pharmacology &amp; therapeutics</title><addtitle>Aliment Pharmacol Ther</addtitle><description>Background: Emesis and hyperemesis are significant problems associated with early pregnancy. However, gastric emptying of solids has never been studied during early pregnancy in humans. Aim: To investigate gastric emptying of solids in patients recovering from hyperemesis gravidarum and in non‐dyspeptic pregnant women and to compare these results with a group of healthy non‐pregnant women. Methods: Fourteen patients with hyperemesis gravidarum, 10 non‐dyspeptic pregnant women and 36 non‐pregnant women in the first half of the menstrual cycle underwent a gastric emptying study. Seven non‐pregnant women repeated the test in the post‐ovulatory period. Results: Gastric emptying of solids was not significantly delayed in non‐dyspeptic pregnant women compared with non‐pregnant women. The emptying rate tended to be impaired in the post‐ovulatory period of the menstrual cycle. Solid emptying was significantly accelerated in patients recovering from hyperemesis gravidarum, correlating well with thyroid function in the latter group. Conclusion: Pregnancy in humans is not associated with decreased solid gastric emptying. In subjects recovering from hyperemesis gravidarum, solid emptying is increased, correlating well with thyroid function abnormalities. Nausea and vomiting in hyperemesis are therefore probably not due to upper gastrointestinal disorders.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Biological and medical sciences</subject><subject>Carbon Dioxide - metabolism</subject><subject>Female</subject><subject>Fundamental and applied biological sciences. Psychology</subject><subject>Gastric Emptying</subject><subject>Humans</subject><subject>Hyperemesis Gravidarum - physiopathology</subject><subject>Middle Aged</subject><subject>Mother. Fetoplacental unit. Mammary gland. Milk</subject><subject>Pregnancy - physiology</subject><subject>Pregnancy. Parturition. 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Psychology</topic><topic>Gastric Emptying</topic><topic>Humans</topic><topic>Hyperemesis Gravidarum - physiopathology</topic><topic>Middle Aged</topic><topic>Mother. Fetoplacental unit. Mammary gland. Milk</topic><topic>Pregnancy - physiology</topic><topic>Pregnancy. Parturition. Lactation</topic><topic>Vertebrates: reproduction</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>MAES, B. D</creatorcontrib><creatorcontrib>SPITZ, B</creatorcontrib><creatorcontrib>GHOOS, Y. F</creatorcontrib><creatorcontrib>HIELE, M. I</creatorcontrib><creatorcontrib>EVENEPOEL, P</creatorcontrib><creatorcontrib>RUTGEERTS, P. 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J</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Gastric emptying in hyperemesis gravidarum and non‐dyspeptic pregnancy</atitle><jtitle>Alimentary pharmacology &amp; therapeutics</jtitle><addtitle>Aliment Pharmacol Ther</addtitle><date>1999-02</date><risdate>1999</risdate><volume>13</volume><issue>2</issue><spage>237</spage><epage>243</epage><pages>237-243</pages><issn>0269-2813</issn><eissn>1365-2036</eissn><abstract>Background: Emesis and hyperemesis are significant problems associated with early pregnancy. However, gastric emptying of solids has never been studied during early pregnancy in humans. Aim: To investigate gastric emptying of solids in patients recovering from hyperemesis gravidarum and in non‐dyspeptic pregnant women and to compare these results with a group of healthy non‐pregnant women. 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subjects Adolescent
Adult
Biological and medical sciences
Carbon Dioxide - metabolism
Female
Fundamental and applied biological sciences. Psychology
Gastric Emptying
Humans
Hyperemesis Gravidarum - physiopathology
Middle Aged
Mother. Fetoplacental unit. Mammary gland. Milk
Pregnancy - physiology
Pregnancy. Parturition. Lactation
Vertebrates: reproduction
title Gastric emptying in hyperemesis gravidarum and non‐dyspeptic pregnancy
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