Characterization of Gastric Antral Motility Disturbances in Diabetes Using a Scintigraphic Technique
In this study, food distribution in the stomach and gastric antral motor activity in patients with longstanding diabetes have been evaluated. With use of a standard gastric emptying test with an acquisition protocol and a refined Fourier algorithm to analyze the data, antral contractions have been c...
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Veröffentlicht in: | The Journal of nuclear medicine (1978) 1993-04, Vol.34 (4), p.576-581 |
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container_title | The Journal of nuclear medicine (1978) |
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creator | Urbain, J.L.C Vekemans, M.C Bouillon, R Van Cauteren, J Bex, M Mayeur, S.M Van den Maegdenbergh, V Bataille, G Charkes, N.D Malmud, L.S De Roo, M |
description | In this study, food distribution in the stomach and gastric antral motor activity in patients with longstanding diabetes have been evaluated. With use of a standard gastric emptying test with an acquisition protocol and a refined Fourier algorithm to analyze the data, antral contractions have been characterized and gastric motility parameters were correlated to gastric retention in 20 diabetic patients with or without gastroparesis and in 10 healthy subjects. The results of this study show that, in longstanding diabetes, gastric emptying retardation is accounted for by a retention of food in the proximal stomach, which is reflected by a prolonged lag phase as well as by a reduction in antral motor activity that is determined by a decrease in the amplitude of the antral contractions. This study demonstrates that scintigraphy can noninvasively characterize abnormalities of food distribution in the stomach and provides information similar to that obtained from manometry. |
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With use of a standard gastric emptying test with an acquisition protocol and a refined Fourier algorithm to analyze the data, antral contractions have been characterized and gastric motility parameters were correlated to gastric retention in 20 diabetic patients with or without gastroparesis and in 10 healthy subjects. The results of this study show that, in longstanding diabetes, gastric emptying retardation is accounted for by a retention of food in the proximal stomach, which is reflected by a prolonged lag phase as well as by a reduction in antral motor activity that is determined by a decrease in the amplitude of the antral contractions. 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With use of a standard gastric emptying test with an acquisition protocol and a refined Fourier algorithm to analyze the data, antral contractions have been characterized and gastric motility parameters were correlated to gastric retention in 20 diabetic patients with or without gastroparesis and in 10 healthy subjects. The results of this study show that, in longstanding diabetes, gastric emptying retardation is accounted for by a retention of food in the proximal stomach, which is reflected by a prolonged lag phase as well as by a reduction in antral motor activity that is determined by a decrease in the amplitude of the antral contractions. This study demonstrates that scintigraphy can noninvasively characterize abnormalities of food distribution in the stomach and provides information similar to that obtained from manometry.</description><subject>Adult</subject><subject>Algorithms</subject><subject>Diabetes Mellitus, Type 1 - diagnostic imaging</subject><subject>Diabetes Mellitus, Type 1 - physiopathology</subject><subject>Diabetic Neuropathies - diagnostic imaging</subject><subject>Diabetic Neuropathies - physiopathology</subject><subject>Female</subject><subject>Food</subject><subject>Fourier Analysis</subject><subject>Gastric Emptying - physiology</subject><subject>Gastrointestinal Motility - physiology</subject><subject>Humans</subject><subject>Male</subject><subject>Pyloric Antrum - diagnostic imaging</subject><subject>Pyloric Antrum - physiopathology</subject><subject>Radionuclide Imaging</subject><subject>Stomach - diagnostic imaging</subject><subject>Stomach - physiopathology</subject><subject>Technetium Tc 99m Sulfur Colloid</subject><issn>0161-5505</issn><issn>1535-5667</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1993</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpFkF9LwzAUxYMoc04_gpAn3wpJ0_zp45g6hYkPbs_lJk3XjDadSYrMT2_FgU_3nsPvngP3As0pZzzjQshLNCdU0Ixzwq_RTYwHQohQSs3QTBWTK9kc1asWAphkg_uG5AaPhwavIabgDF76FKDDb0NynUsn_OhiGoMGb2zEzk8atE3TvovO7zHgD-N8cvsAx3Y631rTevc52lt01UAX7d15LtDu-Wm7esk27-vX1XKTtTmTKRNcSmp5IWiTa1nnxIKR3BKda82aWtSUMq0hLxtVCsZqYhulCq3LklFlFLAFevjLPYZhqo2p6l00tuvA22GMleSCFQVRE3h_Bkfd27o6BtdDOFXnt_wHtW7ffrlgKz-azkL4hQ--Z0VVVFwK9gO4uG43</recordid><startdate>19930401</startdate><enddate>19930401</enddate><creator>Urbain, J.L.C</creator><creator>Vekemans, M.C</creator><creator>Bouillon, R</creator><creator>Van Cauteren, J</creator><creator>Bex, M</creator><creator>Mayeur, S.M</creator><creator>Van den Maegdenbergh, V</creator><creator>Bataille, G</creator><creator>Charkes, N.D</creator><creator>Malmud, L.S</creator><creator>De Roo, M</creator><general>Soc Nuclear Med</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>7X8</scope></search><sort><creationdate>19930401</creationdate><title>Characterization of Gastric Antral Motility Disturbances in Diabetes Using a Scintigraphic Technique</title><author>Urbain, J.L.C ; 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With use of a standard gastric emptying test with an acquisition protocol and a refined Fourier algorithm to analyze the data, antral contractions have been characterized and gastric motility parameters were correlated to gastric retention in 20 diabetic patients with or without gastroparesis and in 10 healthy subjects. The results of this study show that, in longstanding diabetes, gastric emptying retardation is accounted for by a retention of food in the proximal stomach, which is reflected by a prolonged lag phase as well as by a reduction in antral motor activity that is determined by a decrease in the amplitude of the antral contractions. This study demonstrates that scintigraphy can noninvasively characterize abnormalities of food distribution in the stomach and provides information similar to that obtained from manometry.</abstract><cop>United States</cop><pub>Soc Nuclear Med</pub><pmid>8455073</pmid><tpages>6</tpages></addata></record> |
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subjects | Adult Algorithms Diabetes Mellitus, Type 1 - diagnostic imaging Diabetes Mellitus, Type 1 - physiopathology Diabetic Neuropathies - diagnostic imaging Diabetic Neuropathies - physiopathology Female Food Fourier Analysis Gastric Emptying - physiology Gastrointestinal Motility - physiology Humans Male Pyloric Antrum - diagnostic imaging Pyloric Antrum - physiopathology Radionuclide Imaging Stomach - diagnostic imaging Stomach - physiopathology Technetium Tc 99m Sulfur Colloid |
title | Characterization of Gastric Antral Motility Disturbances in Diabetes Using a Scintigraphic Technique |
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