Mechanisms of Esophageal and Gastric Transit Following Sleeve Gastrectomy
Autor: | Pradipta Kiswandono, Anagi Wickremasinghe, Cheryl Laurie, Geoffrey S. Hebbard, Paul Beech, Geraldine J. Ooi, Paul Burton, Yazmin Johari, Wendy A. Brown, Kenneth Yap, Helen Yue |
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Rok vydání: | 2020 |
Předmět: |
medicine.medical_specialty
Sleeve gastrectomy Nutrition and Dietetics Gastric emptying medicine.diagnostic_test business.industry Endocrinology Diabetes and Metabolism medicine.medical_treatment digestive oral and skin physiology Reflux Scintigraphy Gastroenterology Asymptomatic Bolus (medicine) Internal medicine medicine Surgery medicine.symptom business Antrum Peristalsis |
Zdroj: | Obesity Surgery. 31:725-737 |
ISSN: | 1708-0428 0960-8923 |
Popis: | Sleeve gastrectomy (SG) patients have substantially altered anatomy. The mechanism of rapid gastric emptying and the role of esophageal contractile function in esophago-gastric transit has not been defined. We aimed to determine the mechanisms of esophago-gastric transit and role of esophageal function following sleeve gastrectomy. Prospective study of twenty-six asymptomatic participants post SG underwent nuclear scintigraphy and high-resolution manometry. Fourteen had semi-solid stress barium to model the emptying process. Concurrent video fluoroscopy and manometry were performed on 7 participants. Demographic data are as follows: age 45.3 ± 15.0 years, 73.1% female, excess weight loss 62.2 ± 28.1% at 8 months. Scintigraphy showed rapid gastric emptying (24.4 ± 11.4 vs. 75.80 ± 45.19 min in control, p |
Databáze: | OpenAIRE |
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