Electrogastrography in Delayed Gastric Emptying

  • Badriul Hegar Division of Pediatric Gastroenterology, University of Indonesia, Jakarta
  • Yvan Vandenplas Division of Pediatric Gastroenterology, Vrije Universiteit Brussel, Belgium
Keywords: electrogastrography, delayed gastric emptying

Abstract

Disorders of gastric motility are generally manifested by an abnormal rate of gastric emptying. The emptying process of the stomach is very complex, and knowledge is limited to the observation that gastric emptying rate is a highly variable phenomenon, and that delayed gastric emptying is frequently the case. The advances in the knowledge of the physiology of gastric muscle and enteric nerves, and the recognition of the patterns of organization of smooth muscle contractions gave a new input to the study of gastric motility. The gastric emptying can be monitored in various ways, such as manometry, scintigraphy, or electrogastrography (EGG). Recently, EGG has received more attention. There is correlation between the EGG signal obtained from body surface electrodes and signals obtained directly from electrodes locates in the gastric muscle (serosal records). Some studies showed an association between EGG-findings and gastric motility disorders, and indicate that EGG is a reliable, non-invasive, useful method to detect gastric myoelectric activity.

References

Mila PJ. Gastrointestinal motility disorders in children. In: Lebenthal E, ed. Pediatr Clin North Am 1988; 5:311-7.

Geldof H, Van Der Schee EJ, Van Blankenstein M, Grashuis JL. Electrogastrography study of gastric myoelectrical activity in patient with unexplained nausea and vomiting. Gut 1986; 27:799-808.

You CH, Lee KY, Chey W.Y, Menguy R. Electrogastrography study of patients with unexplained nausea, bloating, and vomiting. Gastroenterology 1980; 79:311-4.

Tomomasa T. Kuroume T. Development physiology. In: Hyman PE, Lorenzo PE, eds. Pediatrics Gastrointestinal motility disorder; 2nd ed. 1994; 1-9.

Weisbrodt NW. Gastric emptying. In: Johnson LR. ed. Gastrointestinal physiology; 4th ed. 1991; 32-40.

Geldof H. Electrogastrography. Clinical applications. Disertation, 1987.

Kelly KA. Gastric emptying of liquids and solids: Roles of proximal and distal stomach. Am J Physiol 980; 239:071-6.

Chen J, M ·Callum RW. Clinical applications of electrogastrography. Am J Gastroenterol 1993;88: 1324-34.

Kelly KA, Richard CF. Pacing the canine stomach with electric stimulation. Am J Physiol. 1972; 222:588-94.

Kelly KA, Code CF, Elveback LR. Patterns of canine gastric electrical activity. Am J Physiol 1969; 217:461-70.

Sharkawy TY. Morgan KU, Szurszewski JH. Intracellular electrical activity of canine and human gastric smooth muscle. J Physiol 1978; 279:291-307.

Rees WDW, Malagelada JR, Miller LJ, Go VLW. Human interdigestive and postprandial gastrointestinal motor and gastrointestinal hormone pattern . Dig Dis Sci 1982; 27: 321-8.

Kellow JE, Borody TJ, Phillips SF, Tucker RL, Haddad AC. Human interdigestive motility: Variation in patterns from esophagus to colon. Gastroenterology 1986; 91:386-95.

Ittmann PI, Do, Amarnath R, Berseth CL. Maturation of antroduodenal motor activity in preterm and term infants. Dig Dis Sci 1992; 37:14-9.

Azpiroz F, Malagelada JR. Intestinal control of gastric tone. Am J Physiol 1985; 249: G501-9.

Houghton LA, Read NW, Heddle R. et al. Relationship of motor activity of the antrum, pylorus, and duodenum to gastric emptying of solid-liquid mixed meal. Gastroenterology 1988;94: 1285-91.

Heddle R, Dent J, Read NW, Houghton LA, Toouli J. Antropyloroduodenal motor responses to intraduodenal lipid infusion in healthy volunteers. Am J Physiol 1988;254: G671-9.

Andrews PLR, Grundy D, Scratcherd T. Reflex exitation of antral motility induced by gastric distention in the ferret. J. Physiol 1980; 298: 79-84.

Azpiroz F, Malagelada JR. Pressure activity patterns in the canine proximal stomach: response to distention. Am J Physiol 1984; 247: G265-71.

Des Varannes SB, Mizrahi M, Dubois A. Relation between gastric emptying and cutaneous electrogastrogram in primates. Am J Physiol 1991; 261 :G248-55.

Ravelli AM, Spitz L, Mila PJ. Gastric emptying in children with gastric transposition. J Pediatr Gastroenterol Nutr 1994; 19:403-9.

Read NW. The stomach and duodenum: A functional emptying unit. Motility 1989; 8:10-3.

Houghton LA, Kerrigan DD, Read NW, Johnson AG. Antropyloroduodenal motor responses to intraduodenal acid infusion in healthy volunteers. Dig Dis Sci 1987; 32: 915.

Fone D, Heddle R, Horowitz M, Maddox A, Collins P, Dent J. Comparative effects of duodenal and ileal intubation on gastric emptying and antropyloric motility. Gastroenterology 1988; 94:A133.

Fone D, Horowitz M, Maddox A, et al. Cold stress induces isolated pyloric pressure wave in healthy volunteers. Gastroenterology 1988; 94:A133.

Szurszewski JH. Mechanism of action of pentagastrin and acetylcholine on the longitudinal muscle of the canine antrum. J Physiol 1975: 252:335-61.

Abell TL, Malagelada JR. Glucagon-evoked gastric dysrhythmias in humans shown by an improved electrogastrographic technique. Gastroenterology 1985; 88: 1932-40.

Cucchiara S. Electrogastrography. In: Hyman PE, Lorenzo PE eds. Pediatric gastrointestinal motility disorders; 1st.ed 1994;303-11.

Smout AJPM, Van Der Schee, Grashuis JL. What is measured in electrogastrography? Dig Dis Sci 1980; 25:179-85.

Familoni BO, Bowes KL, Kingma, Cote KR. Can transcutaneous recordings detect gastric electrical abnormalities? Gut 1991;32: 141-6.

Chen J, McCallum RW. Characteristics of the gastric slow wave in different phares of the
gastric motility cycle. Gastroenterology 1991; 100: A428.

Koch KL, Stewart WR, Stem RM. Effect of barium meals on gastric electromechanical activity in man. A fluoroscopic-electrogastrographic study. Dig Dis Sci 1987; 32:1217-22.

Mintchev MP, Kingma YJ, Bowes KL. Accuracy of cutaneous recordings of gastric electrical activity. Gastroenterology 1993; 104:1273-80.

Chen J, Davenport K, McCallum RW. Effect of fat preload on gastric myoelectrical activity in normal humans. J Gastrointest Mot. 1985; 5:281-287.

Chen J, McCallum RW. Response of gastric myoelectrical activities to meals in normals and in patients with gastroparesis. Gastroenterology 1991; 100:A428.

Haagh WAJJM, Akkermans LMA, Smout AJPM, Obertop H. A high frequency of gastric electrical rhythm is associated with slow gastric emptying. Gastroenterology 1992;102:A455.

Van Der Schee EJ, Grashuis JL. Contraction-related, low frequency components in canine electrogastroraphic signals. Am J Physiol 1983; 245:G470-5.

Geldof H, Van Der Schee EJ, Grashuis JL. Electrogastrographic characteristics of interdigestive migrating complex in human. Am J Physiol 1986; 250:G165-71.

Kim CH, Zinsmeister AR, Malagelada JR. Effect of gastric dysrhytmias on posticbal motor activity of the stomach. Dig Dis Sci 1988; 33:193-9.

You CH, Chey WY. Study of electromechanical activity of the stomach in humans and in dogs with particular attention to tachygastria. Gastroenterology 1984; 86:1460-7.

Pfaffenbach B, Adarnek RJ, Kuhn K, Wegener M. Electrogastrsography in healthy subjets. Evaluation of nonrmal values, influence of age and gender. Dig Dis Sci 1995; 40:1445-50.

Chen J, McCallum RW. Gastric slow wave abnormalities in patients with gastroparesis. Am J Gastroenterol 1992; 87:477-82.

Kendall BJ, Weber FH, Samy NH, McCallum RW. Gastric motility in idiopathic gastroparesis: Does the antrum hold all the answer? Gastroenterology 1992; 102:1403.

Abell TL, Camilleri M, Hench VS, Malagelada JR. Gastric electromechanical function and gastric emptying in diabetic gastroparesis. Eur J Gastroentcrol Hepatol 1991 ; 3:163-7.

Bortolotti M, Sarti P, Barbara L, Brunelli F. Gastric myoelectric activity in patients with chronic idiopathic gastroparesis. J. Gasotrointest. Mol. 1990; 2:104-8.

Chen J, Lin Z, Pun J, McCallum RW. Abnormal gastric myoelectrical activity and delayed Gastric emptying in patients with symptoms suggestive of gastroparesis. Dig Dis Sci 1996;41: 1538-45.

Chucciara S, Bortolotti M, Colombo C, et al. Abnormalities of gastrointestinal motility in children with non-ulcer dyspepsia and in children with gastroesophageal reflux disease. Dig Dis Sci 1991:36:106 -73.

Cucchiara S, Riezzo G, Minella R, Pezzolla F, Giorgio I, Auricchio S. Electrogastrography in non-ulcer dyspepsia. Arch Dis Child 1992; 67:613-7.

Kawakami H, Hongo M, Ukuno Y, Yamada M, Nishimura N, Fukudo S. Personality deviation and gastric motility in patients with functional dyspepsia. J Clin Gastroenterol 1995; 21:S179-84.

Victor M, Carrero P, Andres JM, D, vi RH, Mathias JR. Abnormal gastroduodenal motility in children and adolescents with recurrent functional abdominal pain. J Pediatr 1988; 113: 820-5.

Devane SP, Ravelli AM, Bissett WM, Smith VV, Lake BD, Mila JP. Gastric antral dysrhythmias in children with chronic idiopathic intestinal pseudoobstruction. Gut 1992;33: 1477-81.

Bertrand J, Dorval ED, Metman EH, de Calan L, Ozoux JP. Electrogastrography and serosul Electtrical recording of the antrum after proximal vagotomi in man. Gastroenterology 1984;86:1026.
Published
2017-07-11
How to Cite
1.
Hegar B, Vandenplas Y. Electrogastrography in Delayed Gastric Emptying. PI [Internet]. 11Jul.2017 [cited 20Apr.2024];38(9-10):181-2. Available from: https://paediatricaindonesiana.org/index.php/paediatrica-indonesiana/article/view/1568
Received 2017-07-08
Accepted 2017-07-08
Published 2017-07-11