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  • 1
    Electronic Resource
    Electronic Resource
    Oxford UK : Blackwell Science Ltd
    Alimentary pharmacology & therapeutics 14 (2000), S. 0 
    ISSN: 1365-2036
    Source: Blackwell Publishing Journal Backfiles 1879-2005
    Topics: Medicine
    Notes: We evaluated the effects of cisapride (10 mg t.d.s. and 20 mg b.d.) on gastrointestinal symptoms and gastric myoelectrical activity in patients with functional dyspepsia. Myoelectrical activity was measured by electrogastrography.〈section xml:id="abs1-2"〉〈title type="main"〉Methods:Patients with functional dyspepsia, defined as discomfort in the epigastrium, a negative endoscopy, and clinical symptoms of dyspepsia, were enrolled. A total of 38 patients participated in the study (23 female; 15 male; 24–72 years of age). Screening electrogastrography identified those with a normal electrogastrogram (14 subjects) and those with an abnormal electrogastrogram (24 patients). Patients were randomly assigned to 2 weeks of placebo or 2 weeks of cisapride (10 mg t.d.s.); both groups then received 2 weeks of cisapride (20 mg b.d.). Electrogastrograms were repeated at the end of each 2-week treatment period.〈section xml:id="abs1-3"〉〈title type="main"〉Results:Cisapride 10 mg t.d.s. significantly improved symptoms in all patients. An additional 2 weeks of treatment with cisapride 20 mg b.d. led to continued improvement in symptoms in all patients, with significant improvement in the group with abnormal baseline electrogastrograms. Cisapride significantly improved postprandial bloating and discomfort in patients with abnormal baseline electrogastrograms. Cisapride also significantly improved postprandial gastric myoelectrical activity as measured by electrogastrography in patients with abnormal baseline electrogastrograms.〈section xml:id="abs1-4"〉〈title type="main"〉Conclusion:Cisapride provides symptomatic relief and improves gastric myoelectrical abnormalities in patients with functional dyspepsia.
    Type of Medium: Electronic Resource
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  • 2
    Electronic Resource
    Electronic Resource
    Oxford, UK : Blackwell Science Ltd
    Alimentary pharmacology & therapeutics 20 (2004), S. 0 
    ISSN: 1365-2036
    Source: Blackwell Publishing Journal Backfiles 1879-2005
    Topics: Medicine
    Notes: Acupuncture has been practiced empirically in China for several millennia, and is being increasingly accepted by practitioners and patients worldwide. Functional gastrointestinal disorders are common in clinical gastroenterology. The prevalence of one or more functional gastrointestinal disorders is estimated to be as high as 70% in general population using Rome diagnostic criteria. Since functional gastrointestinal disorders are diagnosed based on symptoms and the exact aetiologies for most of functional gastrointestinal disorders are not completely known, it is not unusual that the treatment for these disorders is unsatisfactory and alternative therapies are attractive to both patients and practitioners. During the latest decades, a considerable number of studies have been performed on acupuncture for the treatment of functional gastrointestinal disorders and underlying mechanisms. In this article, we reviewed available data in the literature on the applications and mechanisms of acupuncture for the treatment of functional gastrointestinal disorders, including functional oesophageal disorders, nausea and vomiting, functional dyspepsia, irritable bowel syndrome, constipation, etc. A summary is provided based on the quality and quantity of published studies regarding the efficacy of acupuncture in treating these various disorders. In addition, the methodology of acupuncture is also introduced.
    Type of Medium: Electronic Resource
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  • 3
    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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  • 4
    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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  • 5
    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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  • 6
    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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  • 7
    Electronic Resource
    Electronic Resource
    Springer
    Digestive diseases and sciences 44 (1999), S. 857-861 
    ISSN: 1573-2568
    Keywords: HEART RATE VARIABILITY ; AUTONOMIC NERVOUS SYSTEM ; POSTPRANDIAL CHANGES ; VAGAL ACTIVITY ; STOMACH
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract The aim of this study was to investigate thesympathovagal balance after meals by measuring thespectral analysis of heart rate variability (HRV). Ninehealthy volunteers were enrolled in this study. The electrocardiogram (ECG) was recorded for 30 minin a fasting state and 60 min after a 500-kcal testmeal. The HRV was derived from the ECG and was measuredby power spectral analysis using fast-Fourier transform algorithm. It reveals two dominantspectral components. The low-frequency (LF) bandreflects primarily sympathetic activity with someparasympathetic input. The high-frequency (HF) band isa reflection of parasympathetic (vagal) activity. TheLF-to-HF ratio is considered a marker of sympathovagalbalance. It was found that the postprandial LF-to-HFratio, compared with the fasting state, wassignificantly increased at both the first 30 min (2.50± 0.49 vs 1.78 ± 0.33, P 〈 0.05) andthe second 30 min (2.68 ± 0.55 vs 1.78 ±0.33, P 〈 0.05). The postprandial HF diminishedsignificantly at both the first (16.0 ± 0.5 vs 21.8 ±4.2, P 〈 0.05) and the second (13.8 ± 9.5 vs21.8 ± 4.2, P 〈 0.05) 30-min period. Inconclusion, the postprandial sympathovagal ratio showsa sustained elevation lasting 1 hr, mainly attributed to diminishedvagal activity.
    Type of Medium: Electronic Resource
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  • 8
    Electronic Resource
    Electronic Resource
    Springer
    Digestive diseases and sciences 44 (1999), S. 1506-1511 
    ISSN: 1573-2568
    Keywords: INTESTINAL MOTILITY ; SLOW WAVE ; JEJUNUM ; ATROPINE
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract The postprandial characteristics of jejunalmyoelectrical activity and its mediation via cholinergicnerves were investigated in this study. Four pairs ofbipolar electrodes were implanted on the serosa of the proximal jejunum of nine female hounddogs (14-22 kg). In the control session, the recordingof jejunal myoelectrical activity was made for 30 min inthe fasting state and for 90 min after a solid meal (0.45 kg, 838 kcal). The study sessionfollowed the same protocol except that a bolus of 0.25mg/kg atropine was injected intravenously 30 min afterthe meal. Computerized spectral analysis was performed to calculate the frequency, power, andpercentage of 17-22 cycles/min (cpm) slow waves. Aspecial artificial neural network program was applied tocompute the spike bursts superimposed on slow waves. All data were expressed as mean ± SE. Thepostprandial frequency of the jejunal slow waves wassignificantly increased from 18.42 ± 0.28 cpm inthe fasting state to 18.95 ± 0.22, 19.28 ±0.23, and 19.28 ± 0.22 cpm during the first, second, andthird 30-min periods after the meal (all P 〈 0.03 incomparison with the fasting state). The percentage ofthe slow waves superimposed with spike bursts was increased from 19.33 ± 3.90% at fastingstate to 35.16 ± 2.76%, 32.87 ± 4.06%, and34.88 ± 3.51% during the first, second, and third30-min periods after the meal (all P 〈 0.03 incomparison with fasting state). Atropine abolished thepostprandial increases in the frequency of slow wavesand the number of spike bursts. No significantpostprandial changes in the power and the percentage of17-22 cpm slow waves were observed. In conclusion,the postprandial response of the jejunal slow wavesafter a solid meal presents as an increase of thefrequency of slow waves and the number of the spikebursts which can be abolished by atropine, and thepostprandial response of the jejunal slow waves is aneural reflex dominantly mediated via vagal cholinergicnerves.
    Type of Medium: Electronic Resource
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  • 9
    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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  • 10
    ISSN: 1573-2568
    Keywords: OCTREOTIDE ; ERYTHROMYCIN GASTRIC ; MANOMETRY ; GASTRIC MYOELECTRIC ACTIVITY ; GASTROPARESIS
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract Simultaneous recordings of gastric manometry andmyoelectrical activity were made in 10 patients withgastroparesis. Intravenous erythromycin (100 mg) wasadministered in the fasting state for a period of 30 min. Subcutaneous injection of octreotide(100 μg) was administered before one of the fouridentical test meals. It was found that octreotidesignificantly decreased the antral motility index(30-min fasting: 4.51 ± 1.04 vs 1.75 ±0.97, P 〈 0.02; 60-min fed: 5.16 ± 1.44 vs 3.4± 1.41, P 〈 0.05) and the dominant power ofthe EGG (fasting power: 35.19 ± 1.54 vs 30.84± 1.57 dB, P 〈 0.004; postprandial powerincrease: 5.52 ± 1.06 vs 0.27 ± 0.87, P〈 0.001). Erythromycin significantly increased theantral motility index (3.16 ± 0.96 vs 9.5± 0.61, P 〈 0.001) and the dominant power ofthe EGG (28.86 ± 1.57 dB vs 33.55 ± 1.59dB, P 〈 0.005) in the fasting state. An improvement in theregularity of the gastric slow wave was also noted witherythromycin. It was concluded that: (1) the inhibitoryeffect of octreotide on postprandial gastric motility and myoelectrical activity suggests thatcaution should be exercised when octreotide is used inpatients with gastroparesis; and (2) the stimulatoryeffect of erythromycin on gastric myoelectrical activity may enhance gastric motility and gastricemptying in patients with gastroparesis.
    Type of Medium: Electronic Resource
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