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
Hauptverfasser: 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
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container_end_page 581
container_issue 4
container_start_page 576
container_title The Journal of nuclear medicine (1978)
container_volume 34
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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source MEDLINE; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals
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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