Tags

Type your tag names separated by a space and hit enter

Gastric emptying rate for solid and for liquid test meals in patients with dyspeptic symptoms after partial gastrectomy and after vagotomy followed by partial gastrectomy.
Hepatogastroenterology. 2001 Jan-Feb; 48(37):299-302.H

Abstract

BACKGROUND/AIMS

Gastric emptying rate for solid and for liquid test meals was investigated retrospectively in patients with longstanding epigastric distress after partial gastrectomy, either as primary treatment or after failure of vagotomy for peptic ulcer in order to find an explanation for the postoperative symptoms.

METHODOLOGY

Radionuclide-labeled liquid and solid test meals were used to evaluate gastric emptying rate, at least one year after surgery.

RESULTS

The lag phase for liquid test meals disappeared in all operated patients. Partial gastrectomy usually lead to fast emptying but this resective procedure, if performed after vagotomy, lead to stasis in a significant number of patients. Gastric emptying rate for solids increased in only a few of these symptomatic patients. In most of them however, there was a normal to decreased emptying rate. If a vagotomy had preceded the resective procedure, gastric emptying rate decreased significantly.

CONCLUSIONS

In all these symptomatic patients, gastric emptying had been disturbed for at least one type of test meal. This makes investigation for both meals necessary, especially since there is a lack of correlation. Furthermore, if vagotomy fails to prevent ulcer recurrence, one should carefully consider all options before performing partial gastrectomy since gastric emptying rate after these consecutive procedures worsens considerably.

Authors+Show Affiliations

University of Antwerp, Dept. of Anatomy, Groenenborgerlaan 171 2020 Antwerp, Belgium. Mistiaen@ruca.ua.ac.beNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

11268990

Citation

Mistiaen, W, et al. "Gastric Emptying Rate for Solid and for Liquid Test Meals in Patients With Dyspeptic Symptoms After Partial Gastrectomy and After Vagotomy Followed By Partial Gastrectomy." Hepato-gastroenterology, vol. 48, no. 37, 2001, pp. 299-302.
Mistiaen W, Van Hee R, Blockx P, et al. Gastric emptying rate for solid and for liquid test meals in patients with dyspeptic symptoms after partial gastrectomy and after vagotomy followed by partial gastrectomy. Hepatogastroenterology. 2001;48(37):299-302.
Mistiaen, W., Van Hee, R., Blockx, P., Bortier, H., & Harrisson, F. (2001). Gastric emptying rate for solid and for liquid test meals in patients with dyspeptic symptoms after partial gastrectomy and after vagotomy followed by partial gastrectomy. Hepato-gastroenterology, 48(37), 299-302.
Mistiaen W, et al. Gastric Emptying Rate for Solid and for Liquid Test Meals in Patients With Dyspeptic Symptoms After Partial Gastrectomy and After Vagotomy Followed By Partial Gastrectomy. Hepatogastroenterology. 2001 Jan-Feb;48(37):299-302. PubMed PMID: 11268990.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Gastric emptying rate for solid and for liquid test meals in patients with dyspeptic symptoms after partial gastrectomy and after vagotomy followed by partial gastrectomy. AU - Mistiaen,W, AU - Van Hee,R, AU - Blockx,P, AU - Bortier,H, AU - Harrisson,F, PY - 2001/3/28/pubmed PY - 2001/7/28/medline PY - 2001/3/28/entrez SP - 299 EP - 302 JF - Hepato-gastroenterology JO - Hepatogastroenterology VL - 48 IS - 37 N2 - BACKGROUND/AIMS: Gastric emptying rate for solid and for liquid test meals was investigated retrospectively in patients with longstanding epigastric distress after partial gastrectomy, either as primary treatment or after failure of vagotomy for peptic ulcer in order to find an explanation for the postoperative symptoms. METHODOLOGY: Radionuclide-labeled liquid and solid test meals were used to evaluate gastric emptying rate, at least one year after surgery. RESULTS: The lag phase for liquid test meals disappeared in all operated patients. Partial gastrectomy usually lead to fast emptying but this resective procedure, if performed after vagotomy, lead to stasis in a significant number of patients. Gastric emptying rate for solids increased in only a few of these symptomatic patients. In most of them however, there was a normal to decreased emptying rate. If a vagotomy had preceded the resective procedure, gastric emptying rate decreased significantly. CONCLUSIONS: In all these symptomatic patients, gastric emptying had been disturbed for at least one type of test meal. This makes investigation for both meals necessary, especially since there is a lack of correlation. Furthermore, if vagotomy fails to prevent ulcer recurrence, one should carefully consider all options before performing partial gastrectomy since gastric emptying rate after these consecutive procedures worsens considerably. SN - 0172-6390 UR - https://www.unboundmedicine.com/medline/citation/11268990/Gastric_emptying_rate_for_solid_and_for_liquid_test_meals_in_patients_with_dyspeptic_symptoms_after_partial_gastrectomy_and_after_vagotomy_followed_by_partial_gastrectomy_ L2 - https://medlineplus.gov/indigestion.html DB - PRIME DP - Unbound Medicine ER -