Comparison of Gastric Relaxation and Sensory Functions between Functional Dyspepsia and Healthy Subjects Using Novel Drinking-Ultrasonography Test
| Autor: | Takeshi Yoshida, Hiroshi Takeda, Takahiko Kudo, Aki Imai, Manabu Nakagawa, Masahiro Asaka, Mototsugu Kato, Go Kamada, Jyojyo Hirota, Yuichi Shimizu, Shouko Ono, Soichi Nakagawa, Urara Nishida, Mutsumi Nishida, Tamotsu Hata |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2013 |
| Předmět: |
Adult
Male medicine.medical_specialty Drinking Sensation Gastric emptying Drink test Gastroenterology Gastric accommodation Young Adult Internal medicine Sensory Functions medicine Humans Dyspepsia Pain Measurement Ultrasonography Visceral hypersensitivity Relaxation (psychology) business.industry Stomach Healthy subjects Middle Aged Functional gastroduodenal disorders Female Abdominal symptoms business |
| Zdroj: | Digestion. 87(1):34-39 |
| ISSN: | 0012-2823 |
| Popis: | Background: Functional dyspepsia (FD) is a heterogeneous disease characterized by various upper abdominal symptoms. The major mechanism of FD includes impaired fundic accommodation, delayed gastric emptying and visceral hypersensitivity. We developed a novel drinking-ultrasonography test to combine a drink test with ultrasonography to assess gastric motility and sensory function of FD patients. Method: Subjects were 20 healthy volunteers and 26 successive FD patients according to the Rome III criteria. The subjects ingested 200 ml of water at 2-min intervals 4 times (total 800 ml) through a straw. The maximum cross section of the proximal stomach was visualized before water intake, after each water intake, and 5 and 10 min after the completion of drinking using extracorporeal ultrasonography. Abdominal symptoms were evaluated using the visual analog scale (VAS) a total of 5 times. Results: The mean cross-sectional area of the fornix after 800 ml of water intake was significantly lower in the FD group compared with the control group. In the FD group, marked abdominal symptoms developed immediately after initiation of water intake, and VAS score differed significantly (p Conclusion: We developed the novel drinking-ultrasonography test which revealed abnormalities in gastric accommodation and sensation in patients with FD compared with healthy controls. This approach can be readily performed and allows the simultaneous evaluation of gastric accommodation, emptying and sensation. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|