Association between postprandial symptoms and gastric emptying after sleeve gastrectomy
| Autor: | Jan S. Burgerhart, Pim W. J. van Rutte, Peter D. Siersema, Paul C. van de Meeberg, André J. P. M. Smout, M. Edelbroek, Johannes F. Smulders, Dirk N. J. Wyndaele |
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| Přispěvatelé: | Amsterdam Gastroenterology Endocrinology Metabolism, Gastroenterology and Hepatology |
| Rok vydání: | 2015 |
| Předmět: |
Adult
Male Sleeve gastrectomy medicine.medical_specialty Visual analogue scale Nausea Endocrinology Diabetes and Metabolism medicine.medical_treatment Bariatric Surgery Other Research Radboud Institute for Molecular Life Sciences [Radboudumc 0] Epigastric pain Gastroenterology Gastrectomy Internal medicine medicine Eructation Humans Nutrition and Dietetics Gastric emptying business.industry Middle Aged Postprandial Period Abdominal Pain Obesity Morbid Postprandial Gastric Emptying Surgery Female Laparoscopy medicine.symptom business Symptom score Half time |
| Zdroj: | Obesity Surgery, 25, 209-14 Obesity surgery, 25(2), 209-214. Springer New York Obesity Surgery, 25, 2, pp. 209-14 |
| ISSN: | 0960-8923 |
| Popis: | Contains fulltext : 151954.pdf (Publisher’s version ) (Closed access) BACKGROUND: Laparoscopic sleeve gastrectomy (LSG) is an effective bariatric procedure. However, postprandial symptoms can compromise its beneficial effect. It is not known if a changed gastric emptying and these symptoms are related. This study aimed to assess the association between postprandial symptoms and the gastric emptying pattern after LSG. METHODS: A gastric emptying study with a solid and liquid meal component was performed in the second year after LSG. Before the test, symptoms were assessed using a standardized questionnaire, and during the test, symptoms were scored on a visual analog scale (VAS). Gastric emptying results were expressed as lag phase, half time of gastric emptying (T(1/2)), and caloric emptying rate/minute. RESULTS: Twenty patients (14 F/6 M; age 45.6 +/- 7.7 years, weight 93.4 +/- 28.2 kg, BMI 31.6 +/- 8.1 kg/m(2)) participated in this study; 13 had a low symptom score (/=18, group II). VAS scores for epigastric pain, nausea, and belching were significantly higher in group II. Lag phase (solid) was 6.4 +/- 4.5 min in group I, 7.3 +/- 6.3 in group II (p = 0.94); T(1/2) (solid) was 40.6 +/- 10.0 min in group I, 34.4 +/- 9.3 in group II (p = 0.27); caloric emptying rate was 3.9 +/- 0.6 kcal/min in group I, 3.9 +/- 1.0 kcal/min in group II (p = 0.32). CONCLUSIONS: Patients with postprandial symptoms after LSG reported more symptoms during the gastric emptying study than patients without symptoms. However, there was no difference between gastric emptying characteristics between both groups, suggesting that abnormal gastric emptying is not a major determinant of postprandial symptoms after LSG. |
| Databáze: | OpenAIRE |
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