Analysis of Gastrointestinal Sounds in Infants With Pyloric Stenosis Before and After Pyloromyotomy

Tomomasa, Takeshi; Takahashi, Atsushi; Nako, Yasushi; Kaneko, Hiroaki; Takahashi, Masahīko; Tsuchida, Yoshiaki; Morikawa, Akihiro

doi:10.1542/peds.104.5.e60

Cited by 21 publications

(21 citation statements)

References 9 publications

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“…It was not possible to discriminate the GD sound from the I sound based on the general features of sounds, such as frequency. However, when the SI was used as an index, a dominant increase in the GD sound was observed after food intake 6,10 . The results suggested that the abdominal sound auscultated immediately after food intake was the GD sound.…”

Section: Discussionmentioning

confidence: 94%

“…For an objective evaluation, digitalization of the auscultated sound, quantitation of the auscultated sound and frequency analysis were carried out using a computer 2–9 . Not only for evaluation, but also for the diagnosis of GI function, analysis of abdominal sounds and has been attempted 6,10 . However, the results obtained were not satisfactory for the diagnosis of GI function.…”

Section: Introductionmentioning

confidence: 99%

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Evaluation of gastrointestinal motility by computerized analysis of abdominal auscultation findings

Yamaguchi

Odaka

et al. 2006

J of Gastro and Hepatol

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Section: Discussionmentioning

confidence: 94%

Section: Introductionmentioning

confidence: 99%

Evaluation of gastrointestinal motility by computerized analysis of abdominal auscultation findings

Yamaguchi

Odaka

et al. 2006

J of Gastro and Hepatol

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“…When sensitivity analysis was performed for studies where "early" feeding was defined as first feed at ≤4 hours after surgery, late feeding was still favored in a statistically significant manner. These results probably are caused by cessation of peristalsis that is observed for the first 4 to 6 hours postoperatively and the continued depression of gastric motility for an additional 16 to 24 hours after pyloromyotomy 5,23 as gastroparesis is known to cause nausea and emesis in a variety 8…”

Section: Discussionmentioning

confidence: 99%

Feeding Post-Pyloromyotomy: A Meta-analysis

et al. 2016

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CONTEXT: Postoperative emesis is common after pyloromyotomy. Although postoperative feeding is likely to be an influencing factor, there is no consensus on optimal feeding. OBJECTIVE: To compare the effect of feeding regimens on clinical outcomes of infants after pyloromyotomy. DATA EXTRACTION: Data were extracted on methodological quality, general study and intervention characteristics, and clinical outcomes.RESULTS: Fourteen studies were included. Ad libitum feeding was associated with significantly shorter length of stay (LOS) when compared with structured feeding (mean difference [MD] −4.66; 95% confidence interval [CI], −8.38 to −0.95; P = .01). Although gradual feeding significantly decreased emesis episodes (MD −1.70; 95% CI, −2.17 to −1.23; P < .00001), rapid feeding led to significantly shorter LOS (MD 22.05; 95% CI, 2.18 to 41.93; P = .03). Late feeding resulted in a significant decrease in number of patients with emesis (odds ratio 3.13; 95% CI, 2.26 to 4.35; P < .00001).LIMITATIONS: Exclusion of non-English studies, lack of randomized controlled trials, insufficient number of studies to perform publication bias or subgroup analysis for potential predictors of emesis.CONCLUSIONS: Ad libitum feeding is recommended for patients after pyloromyotomy as it leads to decreased LOS. If physicians still prefer structured feeding, early rapid feeds are recommended as they should lead to a reduced LOS.

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“…Acoustic studies from GI organs other than intestines were also studied. Tomomasa et al [16] conducted stomach sound measurements with a microphone placed 3 cm below the umbilicus on infants with pyloric stenosis be-fore and after pyloromyotomy. Gastric emptying was measured simultaneously.…”

Section: Acoustic Applications In Gi Diseasesmentioning

confidence: 99%

Acoustic and Intraluminal Ultrasonic Technologies in the Diagnosis of Diseases in Gastrointestinal Tract: A Review

Lu¹,

Yadid-Pecht²,

Sadowski³

et al. 2013

ENG

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Gastrointestinal (GI) auscultation (listening to sounds from stomach and bowel) has been applied for abdominal physical assessment for many years. This article evaluates the technique involved in listening to both bowel and stomach sounds and the significance of both normal and abnormal GI auscultation findings. Moreover, intraluminal ultrasonic techniques have been widely used for gastrointestinal disease diagnosis by providing intraluminal images since 1980s, this article also reviews the existing intraluminal ultrasonic technology for diagnosing of GI disorders

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Analysis of Gastrointestinal Sounds in Infants With Pyloric Stenosis Before and After Pyloromyotomy

Cited by 21 publications

References 9 publications

Evaluation of gastrointestinal motility by computerized analysis of abdominal auscultation findings

Evaluation of gastrointestinal motility by computerized analysis of abdominal auscultation findings

Feeding Post-Pyloromyotomy: A Meta-analysis

Acoustic and Intraluminal Ultrasonic Technologies in the Diagnosis of Diseases in Gastrointestinal Tract: A Review

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