| Dumping syndrome: establishing criteria for diagnosis and identifying new etiologies. | |
| | |
MedLine Citation:
|
PMID: 19714467 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
AIMS: To investigate the current incidence and identify the current etiologies of rapid gastric emptying (dumping syndrome) in patients with a spectrum of gastrointestinal symptoms, including nausea, vomiting, abdominal pain, or diarrhea. METHODS: The results for a 4-h radionuclide gastric emptying test (GET) using a standardized scintigraphic technique were reviewed in 545 patients to see which patients met criteria for rapid gastric emptying, defined as >50% emptying of isotope-labeled solid meal at 1 h. RESULTS: Forty-eight of 545 (8.8%) patients (28 females, mean age 46 +/- 2 years, range 32-58 years) had rapid GET. Seventeen of 59 (35%) met Rome III diagnostic criteria for cyclic vomiting syndrome (CVS). Twelve of these 59 (25%) patients were regarded as non-ulcer dyspepsia and six (13%) had dyspepsia in the setting of diabetes mellitus. Five (10.5%) were post-fundoplication surgery, where an accidental vagotomy was confirmed by sham meal challenge; previous gastric bypass surgery for obesity had been performed in three (6%) patients. Five (10.5%) patients with unexplained abdominal pain and diarrhea had the working diagnosis of irritable bowel syndrome. CONCLUSIONS: Rapid gastric emptying can be identified in a sizeable subset (9%) of patients with unexplained nausea, vomiting, abdominal pain, and diarrhea when criteria are applied to the standardized scintigraphic gastric emptying meal. |
| | |
Authors:
|
Reza A Hejazi; Harshal Patil; Richard W McCallum |
Related Documents
:
|
8949637 - Assessment of residual gastric volume and thirst in patients who drink before gastroscopy. 22708027 - 25-hydroxyvitamin d concentrations in patients with optic neuritis as a clinically isol... 17716347 - Post-infectious gastroparesis: clinical and electerogastrographic aspects. 10584587 - Activated charcoal reduces the need for n-acetylcysteine treatment after acetaminophen ... 7492937 - Human immunodeficiency virus-related microvasculopathy and kaposi's sarcoma: a case-con... 15955217 - Effects of somatostatin, terlipressin and somatostatin plus terlipressin on portal and ... |
Publication Detail:
|
Type: Journal Article |
Journal Detail:
|
Title: Digestive diseases and sciences Volume: 55 ISSN: 1573-2568 ISO Abbreviation: Dig. Dis. Sci. Publication Date: 2010 Jan |
Date Detail:
|
Created Date: 2009-12-30 Completed Date: 2010-01-12 Revised Date: - |
Medline Journal Info:
|
Nlm Unique ID: 7902782 Medline TA: Dig Dis Sci Country: United States |
Other Details:
|
Languages: eng Pagination: 117-23 Citation Subset: AIM; IM |
Affiliation:
|
Department of Medicine, Division of Gastroenterology, Kansas University Medical Center, Kansas City, KS, USA. reza.abbaszdehhejazi@ttuhsc.edu |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Abdominal Pain
/
etiology Adult Diarrhea / etiology Dumping Syndrome / diagnosis*, etiology, physiopathology Female Gastric Emptying Humans Male Middle Aged Nausea / etiology Radiopharmaceuticals / diagnostic use Technetium Tc 99m Sulfur Colloid / diagnostic use Vomiting / etiology |
| Chemical | |
Reg. No./Substance:
|
0/Radiopharmaceuticals; 0/Technetium Tc 99m Sulfur Colloid |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Potential anti-inflammatory effects of proton pump inhibitors: a review and discussion of the clinic...
Next Document: Augmenting regional cerebral blood flow using external-to-internal carotid artery flow diversion met...