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https://hdl.handle.net/2440/63496
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dc.contributor.author | Stevens, J. | - |
dc.contributor.author | Gilja, O. | - |
dc.contributor.author | Gentilcore, D. | - |
dc.contributor.author | Hausken, T. | - |
dc.contributor.author | Horowitz, M. | - |
dc.contributor.author | Jones, K. | - |
dc.date.issued | 2011 | - |
dc.identifier.citation | Neurogastroenterology and Motility, 2011; 23(3):220-e114 | - |
dc.identifier.issn | 1350-1925 | - |
dc.identifier.issn | 1365-2982 | - |
dc.identifier.uri | http://hdl.handle.net/2440/63496 | - |
dc.description.abstract | <h4>Background</h4>Gastric emptying (GE) is delayed in 30-50% of patients with longstanding diabetes. Scintigraphy represents the 'gold standard' for measurement of GE, but is associated with a radiation burden. Three-dimensional (3D) ultrasonography has recently been demonstrated to provide a valid measure of liquid GE in healthy subjects; however, the technique has not been validated in patients with gastroparesis. The primary aim of this study was to compare measurements of GE of a high-nutrient glucose drink by 3D ultrasonography and scintigraphy in diabetic gastroparesis.<h4>Methods</h4>Ten patients (eight type 1, two type 2, 6M, 4F, aged 46.1 ± 4.5 years, BMI 29.1 ± 1.6 kg m(-2), duration 19.6 ± 3.3 years) with diabetic gastroparesis [defined as retention at 100 min of solid (100 g minced beef) ≥ 61% and/or 50% emptying time (T50) of liquid (150 mL 10% dextrose) ≥ 31 min], were studied. Concurrent measurements of GE by scintigraphy and 3D ultrasonography were performed following ingestion of 75 g glucose in 300 mL water labeled with 20 MBq (99m) Tc-sulfur colloid.<h4>Key results</h4>There was no significant difference in GE between the two techniques (T50s: scintigraphy - 103.3 ± 10.0 min VS 3D ultrasonography - 98.8 ± 10.4 min; P = 0.60). There was a significant correlation between scintigraphic and ultrasonographic T50s (r = 0.67, P = 0.03). The limits of agreement for the T50s were -57.22 min and +48.22 min (mean difference -4.5 min). Blood glucose after the drink was greater when GE was relatively more rapid (e.g. at t = 60 min; scintigraphy: r = -0.65, P = 0.04; 3D ultrasonography: r = -0.78, P = 0.008).<h4>Conclusions & inferences</h4>Three-dimensional ultrasonography appears to provide a valid, and non-invasive, measure of GE of high-nutrient liquids in diabetic gastroparesis. | - |
dc.description.statementofresponsibility | J. E. Stevens, O. H. Gilja, D. Gentilcore, T. Hausken, M. Horowitz & K. L. Jones | - |
dc.language.iso | en | - |
dc.publisher | Blackwell Publishing Ltd | - |
dc.rights | © 2010 Blackwell Publishing Ltd. | - |
dc.source.uri | http://dx.doi.org/10.1111/j.1365-2982.2010.01630.x | - |
dc.subject | diabetes | - |
dc.subject | gastric emptying | - |
dc.subject | gastrointestinal ultrasound | - |
dc.subject | gastroparesis | - |
dc.subject | ultrasonography. | - |
dc.title | Measurement of gastric emptying of a high-nutrient liquid by 3D ultrasonography in diabetic gastroparesis | - |
dc.type | Journal article | - |
dc.identifier.doi | 10.1111/j.1365-2982.2010.01630.x | - |
pubs.publication-status | Published | - |
dc.identifier.orcid | Horowitz, M. [0000-0002-0942-0306] | - |
dc.identifier.orcid | Jones, K. [0000-0002-1155-5816] | - |
Appears in Collections: | Aurora harvest Medicine publications |
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