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  • 1995-1999  (9)
  • ELECTROGASTROGRAPHY  (4)
  • electrogastrography  (3)
  • Electrogastrography  (2)
  • FUNCTIONAL DYSPEPSIA  (2)
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Keywords
  • 1
    Electronic Resource
    Electronic Resource
    Springer
    Annals of biomedical engineering 27 (1999), S. 88-95 
    ISSN: 1573-9686
    Keywords: Electrogastrography ; Gastric motility ; Stomach ; Filter banks ; Neural networks
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine , Technology
    Notes: Abstract Dysrhythmia in gastric myoelectrical activity has been frequently observed in patients with gastric motor disorders and gastrointestinal symptoms. The assessment of the regularity of gastric myoelectrical activity is of great clinical significance. The aim of this study was to develop an automated assessment method for the regularity of gastric myoelectrical activity from the surface electrogastrogram (EGG). The method proposed in this paper was based on the filter bank and neural network. First, the EGG signal was divided into frequency subbands using filter bank analysis. Second, a parameter called the subband energy ratio (SER) was computed for each subband signal. A multilayer perceptron neural network was then used to automatically classify the EGG signal into four categories: bradygastria, normal, tachygastria, and arrhythmia, using the SER as the input. The EGG recording was made using the standard method of electrogastrography by placing electrodes on the abdominal surface. The study was performed in 40 patients with various gastric motor disorders, ten healthy adults, and ten healthy children. The neural network was trained and tested using the EGG data obtained from the patients. The regularity of gastric myoelectrical activity was assessed based on the classification of the minute-by-minute EGG segments. Using the running spectral analysis method as a gold standard, the proposed automated method had an accuracy of 100% for the training set and 97% for the test set. It was concluded that the proposed method provides an accurate and automatic assessment of the regularity of gastric myoelectrical activity from the EGG. © 1999 Biomedical Engineering Society. PAC99: 8780-y, 8717-d, 0705Mh, 0270Hm
    Type of Medium: Electronic Resource
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  • 2
    ISSN: 1573-2568
    Keywords: electrogastrography ; gastric emptying ; gastric motility ; gastric slow wave ; gastric myoelectrical activity
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract Gastric myoelectrical activity modulates gastric motor activity. Abnormalities in gastric myoelectrical activity may be associated with gastric motility disorders. The aim of this study was to investigate the correlation of gastric myoelectrical activity with gastric emptying in symptomatic patients with and without gastroparesis. Ninety-seven patients with symptoms suggestive of gastroparesis participated in the study. Gastric myoelectrical activity was recorded using surface electrogastrography. The electrogastrogram (EGG) was recorded for 30 min in the fasting state and for 120 min after a solid test meal. Gastric emptying of the solid meal was simultaneously monitored for 120 min. Patients with delayed gastric emptying showed a significantly lower percentage of normal gastric slow waves (P〈0.03) and a significantly reduced increase of the dominant power in the postprandial EGG (P〈0.02). Postprandial EGG parameters were found to be able to predict delayed emptying of the stomach. Postprandial gastric dysrhythmia predicts delayed gastric emptying with an accuracy of 78%, while the abnormality in postprandial EGG power predicts delayed gastric emptying with an accuracy of 75%. All patients with abnormalities in both the rhythmicity and the power had delayed gastric emptying. Patients with delayed gastric emptying have a lower percentage of normal gastric slow waves in the EGG and a lower postprandial increase in the dominant power. Abnormalities in the postprandial EGG seem to be able to predict delayed emptying of the stomach. However, a normal EGG does not seem to guarantee normal emptying of the stomach.
    Type of Medium: Electronic Resource
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  • 3
    Electronic Resource
    Electronic Resource
    Springer
    Digestive diseases and sciences 40 (1995), S. 2614-2622 
    ISSN: 1573-2568
    Keywords: cholecystokinin ; gastric myoelectrical activity ; electrogastrography ; gastrointestinal motility ; gastric emptying ; stomach
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract While a number of studies have investigated the effects of cholecystokinin (CCK) on gastrointestinal motility, little is known on the effects of CCK on gastric myoelectrical activity, which regulates gastric motility. The aim of this study was to investigate the effects of intravenous infusion of CCK-8 on gastric myoelectrical activity in normal humans. Gastric myoelectrical activity was measured in 10 healthy subjects with a noninvasive electrogastrographic technique by placing abdominal electrodes on the epigastric area. Two study sessions were performed in each subject on two separate days with double-blinded infusion of either saline or CCK (24 pmol/kg/hr). The procedure for each session was as follows: (A) 30-min baseline fasting electrogastrogram (EGG); (B) start infusion, another 30-min EGG; (C) give meal, 60-min EGG; and (D) stop infusion, another 60-min EGG. The dominant frequency and peak power (amplitude) of the EGG, and the percentage of normal 2–4 cycles/min slow waves during each recording session were computed and compared between placebo and CCK. It was found that normal 3 cpm slow waves were recorded in all EGGs. Infusion of CCK had no effect on the frequency of the gastric slow wave and did not induce gastric dysrhythmias. It was also found that intravenous infusion of CCK significantly decreased the EGG peak power (amplitude) during the first hour after the meal (the infusion was given during this period) in comparison with placebo (P〈0.05). This inhibitory effect on EGG peak power was sustained but not significant during the second postprandial hour (the infusion was not given during this period). It was concluded that intravenous infusion of CCK at a physiological concentration significantly decreased the postprandial EGG amplitude in normal humans, suggesting an inhibitory effect on postprandial gastric motility, but did not change the frequency and regularity of the gastric slow wave.
    Type of Medium: Electronic Resource
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  • 4
    Electronic Resource
    Electronic Resource
    Springer
    Digestive diseases and sciences 41 (1996), S. 1706-1712 
    ISSN: 1573-2568
    Keywords: electrogastrography ; gastric motility ; cephalic stimulation ; sham feeding
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract The aim of this study was to evaluate the role of sham feeding in postprandial changes of gastric myoelectrical activity. Eighteen asymptomatic healthy volunteers (10 men, 8 women; mean age: 31), with no history of gastrointestinal disease were studied. Gastric myoelectrical activity was recorded for 30 min at baseline, 30 min after sham feeding, and 1 hr after eating, using surface electrogastrography. The electrogastrogram (EGG) was analyzed by spectral analysis. It was found that the changes of postprandial EGG parameters were significantly correlated with those after sham feeding (EGG dominant power:r=0.6,P〈0.01; dominant frequency:r=0.8,P〈0.001; percentage of regular slow waves:r=0.7,P〈0.003). We concluded that intrinsic gastric electrical activity can be altered by sham feeding and the cephalic phase of digestion plays an important role in the postprandial response of gastric myoelectrical activity.
    Type of Medium: Electronic Resource
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  • 5
    ISSN: 1573-2568
    Keywords: ELECTROGASTROGRAPHY ; FUNCTIONAL DYSPEPSIA ; GASTROINTESTINAL MOTILITY ; GASTRIC EMPTYING
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract The aim of this study was to investigateabnormalities in pediatric patients with functionaldyspepsia. Fifteen symptomatic pediatric patientsdiagnosed with functional dyspepsia and 17 aged-matchedhealthy controls were studied. Gastric myoelectricalactivity was recorded using surface electrogastrographyfor 1 hr in the fasting state and 1 hr after a testmeal. It was found that, in comparison with thecontrols, the children with functional dyspepsia had alower percentage of 2- to 4-cpm slow waves in bothfasting state (66.0 ± 4.7% vs 79.7 ± 3.1%,P 〈 0.07) and fed state (72.4 ± 5.4% vs 85.0± 2.9%, P 〈 0.04), and a significantly higherinstability of the dominant frequency in both fastingstate (0.50 ± 0.05 vs 0.31 ± 0.04, P 〈0.01) and fed state (0.39 ± 0.05 vs 0.25 ±0.03, P 〈 0.05). It was also found the postprandial increase inEGG dominant power in the patients was inverselycorrelated with the total symptom score (r = 0.63, P =0.03). It was concluded that abnormal gastricmyoelectrical activity may play a role in the pathogenesis ofpediatric functional dyspepsia.
    Type of Medium: Electronic Resource
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  • 6
    Electronic Resource
    Electronic Resource
    Springer
    Digestive diseases and sciences 43 (1998), S. 1023-1030 
    ISSN: 1573-2568
    Keywords: ELECTROGASTROGRAPHY ; GASTROINTESTINAL MOTILITY ; GASTRIC EMPTYING ; STOMACH
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract The efficiency and efficacy of theelectrogastrogram (EGG) involve a few practical factors,including recording length, sample size, and thecharacteristics of subjects. The aim of this study wasto investigate the effect of these factors on the accuracy ofEGG analysis. Gastric myoelectrical activity wasrecorded using electrogastrography in 24 subjects (ages22-91 years) for 1 hr in the fasting state and 2 hr after a test meal. Computerized spectralanalysis was performed to compute EGG parameters,including dominant frequency, dominant power, and thepercentage of 2-4 cycles per minute (cpm) slow waves. A parameter called misinterpretation was definedto investigate the effect of recording length. Theresults were as follows: (1) Using the recording lengthof 1 hr in each state as a gold standard, themisinterpretation for the recording length of 30 min was 27% forthe dominant frequency and 17% for the dominant power.When the recording length was reduced to 15 min, themisinterpretation increased to 61% for the dominant frequency and 38% for the dominant power. (2)With a sample size of 10 subjects and a recording lengthof 60 min, a statistically significant postprandialincrease was observed in the dominant frequency and power, and a trend in the postprandialincrease of the regularity of the EGG was noted. Whenthe sample size increased to 24 subjects, a significantpostprandial increase was found in all these parameters. (3) None of the EGG parameters exhibited anysignificant difference between the younger and oldersubjects or between men and women. In conclusion, arecording length of 30-60 min seems to be appropriate and produces reliable and predictable results.Age and gender do not affect any of the EGGparameters.
    Type of Medium: Electronic Resource
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  • 7
    Electronic Resource
    Electronic Resource
    Springer
    Digestive diseases and sciences 43 (1998), S. 1678-1684 
    ISSN: 1573-2568
    Keywords: ELECTROGASTROGRAPHY ; GASTROINTESTINAL MOTILITY ; FUNCTIONAL DYSPEPSIA ; GASTRIC EMPTYING
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract The aim of this study was to investigate gastricmyoelectrical activity in patients with functionaldyspepsia. Thirteen healthy subjects and 14 patientswith functional dyspepsia participated in the study. The electrogastrogram (EGG) recording was madein each subject for 30 min in the fasting state and 120min after a standard test meal of 475 calories. Spectralanalysis methods were applied to derive quantitative EGG parameters. There was no difference in theEGG between the patients and controls in the fastingstate. However, abnormalities in the postprandial EGGwere found in the patients. The percentage of 2-4 cpmwaves was significantly lower (74.4 ± 4.0% vs85.7 ± 1.6%, P 〈 0.03) and the postprandialincrease in EGG dominant power was significantly less(–0.52 ± 0.92 dB vs 2.24 ± 0.88 dB,P 〈 0.03) in patients than in controls. It was alsofound that the percentage of postprandial 2-4 cpm wavescould be used to differentiate the patients withfunctional dyspepsia from the healthy controls with a specificity of 100% and a sensitivity of 43%. It was concluded that a subset of patients withfunctional dyspepsia have impaired gastric myoelectricalactivity in the fed state.
    Type of Medium: Electronic Resource
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  • 8
    Electronic Resource
    Electronic Resource
    Springer
    Digestive diseases and sciences 44 (1999), S. 56-62 
    ISSN: 1573-2568
    Keywords: GASTRIC SLOW WAVES ; GASTRIC MOTILITY ; GASTRIC EMPTYING ; ELECTROACUPUNCTURE ; ELECTROGASTROGRAPHY
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract The aim of this study was to investigate thecharacteristics of the gastric slow wave duringdifferent phases of the migrating myoelectrical complex(MMC) and the effect of electroacupuncture on the MMC. The experiment was performed in eight hounddogs implanted with one pair of bipolar serosalelectrodes 2 cm proximal to the pylorus. Gastricmyoelectrical activity was recorded for three completecycles of the MMC in two sessions, one withelectroacupuncture at points ST36 and PC6 and the otherat sham points. The acupuncture was performed for 30 minin phase I of the second cycle of the MMC. Spectral analysis was performed to compute the frequencyand power (amplitude) of the gastric slow wave, whereasblind visual analysis was applied to compute theappearance of spike potentials and the length of each phase of the MMC. It was found that therewas a significant difference in the frequency and powerof the gastric slow wave during different phases of theMMC (P 〈 0.05). Phase I was characterized with the highest frequency and lowest power ofthe gastric slow wave, whereas phase III exhibited thehighest power in the slow wave. It was also found thatin comparison with the sham points, electroacupuncture at the acupoints increased the number of spikebursts. This increase was not significant during the MMCcycle with electroacupuncture (34.4 ± 4.1 vs 27.5± 2.5%, P 〉 0.05) but became significant during the cycle after electroacupuncture (39.8± 3.3% vs 27.5 ± 2.5%, P 〈 0.0005).Similarly, during the MMC cycle after electroacupunctureat the acupoints, there was a significant decrease in the length of phase I (14.8 ± 2.2 vs46.9 ± 6.1 min, P 〈 0.003) and a significantincrease in the length of phase II (75.6 ± 9.9 vs30.6 ± 4.1 min, P 〈 0.003) and phase III (25.8± 0.6 vs 22.1 ± 0.7 min, P 〈 0.003). A similarincrease was observed during the MMC cycle withelectroacupuncture but was not statisticallysignificant. In conclusion, the gastric slow wave hasthe highest power during phase III of the MMC, indicatingthat the antral contraction is characterized not only bythe appearance of spikes, but also by the increasedpower of the slow wave. Electroacupuncture at acupoints of ST36 and PC6 enhances the gastric MMC byreducing the length of phase I and increasing the lengthof phases II and III.
    Type of Medium: Electronic Resource
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  • 9
    Electronic Resource
    Electronic Resource
    Springer
    Annals of biomedical engineering 26 (1998), S. 859-869 
    ISSN: 1573-9686
    Keywords: Spectral analysis ; Matching pursuit ; Stomach ; Gastric motility ; Electrogastrography ; Evolutionary programming ; Signal analysis ; Electrogastrogram
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine , Technology
    Notes: Abstract The electrogastrogram (EGG) is a surface measurement of gastric myoelectrical activity. The normal frequency of gastric myoelectrical activity in humans is 3 cycles/min. Abnormal frequencies in gastric myoelectrical activity have been found to be associated with functional disorders of the stomach. The aim of this article was, therefore, to develop new time-frequency analysis methods for the detection of gastric dysrhythmia from the EGG. A concept of overcomplete signal representation was used. Two algorithms were proposed for the optimization of the overcomplete signal representation. One was a fast algorithm of matching pursuit and the other was based on an evolutionary program. Computer simulations were performed to compare the performance of the proposed methods in comparison with existing time-frequency analysis methods. It was found that the proposed algorithms provide higher frequency resolution than the short time Fourier transform and Wigner-Ville distribution methods. The practical application of the developed methods to the EGG is also presented. It was concluded that these methods are well suited for the time-frequency analysis of the EGG and may also be applicable to the time-frequency analysis of other biomedical signals. © 1998 Biomedical Engineering Society. PAC98: 8780+s, 0705Kf
    Type of Medium: Electronic Resource
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