Gastric emptying in infants and children: limited utility of 1-hour measurement.

Gelfand, Michael J.; Wagner, Gregory

doi:10.1148/radiology.178.2.1987596

Cited by 19 publications

(6 citation statements)

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“…Three patients delayed at 1 hr had a normal emptying rate at 2 hr. The ability of the 1-hr emptying to predict 2-hr emptying has previously been shown to be suspect in pediatric liquid emptying studies (26). In adults, 4-hr emptying studies have been found to be superior to 2-hr studies with a standardized meal utilizing egg substitute, superior to a liquid meal (27,28).…”

Section: Discussionmentioning

confidence: 99%

Chronic Gastritis Is Not Associated with Gastric Dysrhythmia or Delayed Solid Emptying in Children with Dyspepsia

et al. 2005

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To determine if chronic gastritis (CG) is associated with gastric dysrhythmia or delayed solid emptying in children with dyspepsia, 22 patients (7-15 years of age) with dyspepsia and normal gross endoscopies were studied. Antral biopsies were evaluated for chronic gastritis, and immunohistology was performed to determine densities of CD3+, CD20+, CD25+, and tryptase-positive cells. Electrogastrography (EGG) and gastric scintiscan evaluation were performed within 2-7 days of endoscopy. CG and increased immune cell densities were not associated with altered gastric emptying. Mean CD3+ cell counts were positively correlated with the percentage normal slow waves, and patients with a normal EGG had increased CD3+ cell density. In children with dyspepsia, chronic antral inflammation in the setting of a normal gross endoscopy is not associated with EGG abnormalities or delayed solid emptying. Chronic gastritis and gastric dysrhythmia may simply be two separate and distinct mechanisms resulting in the clinical entity of dyspepsia.

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Section: Discussionmentioning

confidence: 99%

Chronic Gastritis Is Not Associated with Gastric Dysrhythmia or Delayed Solid Emptying in Children with Dyspepsia

et al. 2005

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“…Studies using scintigraphy to determine the rate of gastric emptying in healthy term infants have yielded inconsistent results. While some studies have reported faster gastric emptying in older infants, a large recent study found that infants less than 3 months of age have faster gastric emptying than older infants and children [17,18,19]. As expected, gastric emptying is twice as fast in infants fed breast milk compared to formula [20].…”

Section: Discussionmentioning

confidence: 68%

Ultrasound assessment of gastric emptying in premature infants treated with non-invasive ventilatory support

Kurepa¹,

Schanler²,

Weinberger³

et al. 2020

Preprint

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Background: Nasal CPAP introduces positive pressure of air into both trachea and stomach, which may affect gastric emptying. The rate of gastric emptying can be estimated by US by two validated techniques: “antral cross-sectional area” (2-dimensional estimate of the surface area at the gastric antrum), and “spheroid gastric volume” (3-dimensional estimate of the stomach content volume). No study examined gastric emptying rate in infants on bubble CPAP (bCPAP). Objective: To compare gastric emptying rates in neonates on machine-derived nasal CPAP (MD-nCPAP) with those on bCPAP. Methods: Ultrasound measurements of the amount of milk in the stomach were performed before feeding and at 1, 2, and 3 hours after the start of feeding, using both the ACSA and spheroid methods. Rates of gastric emptying were calculated during the “early” (1-2 hours) and “late” (2-3 hours) phases after feeding. Results: We recruited 32 infants (25-34 weeks gestational age). Seventeen infants were treated with MD-nCPAP [median birth weight 1015 g (IQR: 870 to 1300), gestational age 28 weeks (IQR: 27 to 29), postnatal age 20 days (IQR: 14 to 28)], while 15 infants were treated with bCPAP [median birth weight 960 g (IQR: 855 to 1070), gestational age 27 weeks (IQR: 26 to 28), postnatal age 17 days (IQR: 15 to 25)]. Gastric emptying rates (% emptied/min) were significantly faster in the “early” compared to the “late” phase for all infants. There were no significant differences in the rates of gastric emptying (either “early” or “late”) or volumes of gastric residuals between infants receiving MD-nCPAP or bCPAP, measured by either method. Conclusions: Gastric emptying is faster during the “early” compared to the “late” phase. Gastric emptying rates are not different in infants receiving MD-nCPAP vs bCPAP.

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“…Measurements of gastric emptying in children should be continued until 2 hours after feeding [9]. In addition, whether a liquid or solid meal is used for GES and the age of the patient can play significant roles in the interpretation of the results.…”

Section: Discussionmentioning

confidence: 99%

Gastric emptying scans: unnecessary preoperative testing for fundoplications?

Struijs

Lasko

Sømme

et al. 2010

Journal of Pediatric Surgery

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Gastric emptying in infants and children: limited utility of 1-hour measurement.

Cited by 19 publications

References 0 publications

Chronic Gastritis Is Not Associated with Gastric Dysrhythmia or Delayed Solid Emptying in Children with Dyspepsia

Chronic Gastritis Is Not Associated with Gastric Dysrhythmia or Delayed Solid Emptying in Children with Dyspepsia

Ultrasound assessment of gastric emptying in premature infants treated with non-invasive ventilatory support

Gastric emptying scans: unnecessary preoperative testing for fundoplications?

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