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Electrogastrography: measuremnt, analysis and prospective applications

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Abstract

Electrogastrography (EGG), the cutaneous recording of the myoelectrical activity of the stomach using surface electrodes, is attractive due to its non-invasiveness and its correlation with gastric motility. Since the first measurement of the EGG, a great deal of research effort has been expended on investigating its relationship with specific activities of the stomach in question. In this review, we discuss how to measure the EGG, what information is available in the EGG, how to extract useful information from the EGG and the prospective applications of the EGG. After a brief historic evolution of the EGG, we first discuss the measurement of the EGG, the importance of localisation of the stomach and the characteristics of the EGG. The most commonly used EGG data-analysis methods, both power spectral analysis and waveform analysis, are then outlined. Some of prospective applications of the EGG in clinical diagnosis and medical research are described, mainly concerning the correlation between EGG amplitude and gastric motility and that between EGG rhythmic variations and motility disorders. Specifically, we present studies on pre- and postprandial EGGs, observation of the propagation direction of the gastric slow wave and gastric electrical dysrhythmias and their correlation with gastric motility.

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References

  • Abell, T. L. andMalagelada, J.-R. (1985) Glucagon-evoked gastric dysrhythmias in humans shown by an improved electrogastrographic technique.Gastroenterol.,88, 1932–1940.

    Google Scholar 

  • Abell, T. L., Tucker, R. andMalagelada, J.-R. (1985) Simultaneous gastric electro-manometry in man. InElectrogastrography.Stern, R. M. andKoch, K. L. (Eds.), Praeger, New York.

    Google Scholar 

  • Alvarez, W. C. (1922) The electrogastrogram and what it shows.JAMA.78, 1116–1118.

    Google Scholar 

  • Bortolotti, M., Sarti, P., Barbara, L. andBrunelli, F. (1990) Gastric myoelectrical activity in patients with chronic idiopathic gastroparesis.J. Gastrointestinal Motility.2, 104–108.

    Article  Google Scholar 

  • Brown, B. H., Smallwood, R. H., Duthie, H. L. andStoddard, C. J. (1975) Intestinal smooth muscle electrical potentials recorded from surface electrodes.Med. & Biol. Eng.,13, 97–103.

    Google Scholar 

  • Chen, J. (1989) Adaptive filtering and its application in adaptive echo cancellation and in biomedical signal processing. Ph.D. thesis, Department of Electrical Engineering, Katholieke Universiteit Leuven, Belgium.

    Google Scholar 

  • Chen, J., Vandewalle, J., Sansen, W., Vantrappen, G. andJanssens, J. (1989a) Adaptive method for cancellation of respiratory artefact in electrogastric measurements.Med. & Biol. Eng. & Comput.,27, 57–63.

    Google Scholar 

  • Chen, J., Vandewalle, J., Sansen, W., van Cutsem, E., Vantrappen, G. andJanssens, J. (1989b) Observation of the propagation of human electrogastric activity from cutaneous recordings.,27, 538–542.

    Google Scholar 

  • Chen, J. andMcCallum, R. (1990a) Detection of retrograde propagation of tachygastrial slow wave from cutaneous electrogastrograms.Gastroenterol.,98, A29.

    Google Scholar 

  • Chen, J. andMcCallum, R. W. (1990b) New interpretation of the amplitude increase in postprandial electrogastrograms.,98, A335.

    Google Scholar 

  • Chen, J., Vandewalle, J., Sansen, W., Vantrappen, G. andJanssens, J. (1990a) Multi-channel adaptive enhancement of human electrogastrogram.IEEE Trans.,BME-37, 285–294.

    Google Scholar 

  • Chen, J., Vandewalle, J., Sansen, W., Vantrappen, G. andJannssens, J. (1990b) Adaptive spectral analysis of cutaneous electrogastric signals using autoregressive moving average modelling.Med. Biol. Eng. & Comput.,28, 531–536.

    Google Scholar 

  • Chen, J., Stewart, R. andMcCallum, R. (1990c) Instantaneous determination of dysrhythmic events in gastric myoelectric signals.Gastroenterol.,98, A336.

    Google Scholar 

  • Chen, J., McCallum, R. W. andStewart, W. R. (1990d) Characteristics of cutaneous gastric slow wave recordings after liquid and solid meals in normal subjects.Clin. Res.,38, 533A.

    Google Scholar 

  • Chen, J., Stewart, W. R., McCallum, R. W., Richards, R. D., Davenport, K. G. andAbbitt, P. L. (1990e) Gastric slow wave abnormality in gastroparetic patients (abstract).Am. J. Gastroenterol.,85, 1243.

    Google Scholar 

  • Chen, J., Richards, R. D. andMcCallum, R. W. (1990f) The cutaneous electrogastrogram reveals important information about gastric motility (abstract).Gastroenterol.,99, 1208.

    Google Scholar 

  • Code, C. F. andMarlett, J. A. (1974) Modern medical physiology: canine tachygastria.Mayo Clin. Proc.,49, 325–332.

    Google Scholar 

  • Davis, C. M., McIntosh, M. andMurray, S. (1985) Electrical control and response activity in surface electrogastrographs from adult and infant humans. InElectrogastrography: methodology, validation and application.Stern, R. M. andKoch, K. L. (Eds.), Praeger, New York.

    Google Scholar 

  • Davis, R. C., Garafolo, L. andKveim, K. (1959) Conditions associated with gastrointestinal activity.J. Comp. Physiol. Psychol.,52, 466–475.

    Article  Google Scholar 

  • El-Sharkawy, T. Y., Morgan, K. G. andSzurszewski, J. H. (1978) Intracellular electrical activity of canine and human gastric smooth muscle.J. Physiol. (London),279, 291–307.

    Google Scholar 

  • Familoni, B. O., Kingma, Y. J. andBowes, K. L. (1987) Study of transcutaneous and intraluminal measurement of gastric electrical activity in humans.Med. & Biol. Eng. & Comput.,25, 397–402.

    Google Scholar 

  • Geldof, H., van der Schee, E. J., Smout, A. J. P. M., van de Merwe, J. D., van Blankenstein, M. andGrashuis, J. L. (1989) Myoelectrical activity of the stomach in gastric ulcer patients: an electrogastrographic study.J. Gastrointestinal Motility,1, 122–130.

    Article  Google Scholar 

  • Gullikson, G. W., Okuda, H., Shimizu, M. andBass, P. (1980) Electrical arrhythmias in gastric antrum of the dog.Am. J. Physiol.,239, G59-G68.

    Google Scholar 

  • Hamilton, J. W., Bellahsene, B., Reichelderfer, M., Webster, J. G. andBass, P. (1986) Human electrogastrograms: comparison of surface and mucosal recordings.Dig. Dis. & Sci.,31, 33–39.

    Article  Google Scholar 

  • Hölzl, R., Schröder, G. andKeifer, H. (1979) Indirect gastrointestinal motility measurement for use in experimental psychosomatics: a new method and some data.Behav. Analysis & Modification,3, 77–79.

    Google Scholar 

  • Hölzl, R. (1983) Surface gastrograms as measures of gastric motility. InPsychophysiology of the gastrointestinal tract.Hölzl, R. andWhitehead, W. E. (Eds.), Plenum, New York.

    Google Scholar 

  • Jones, K. R. andJones, G. E. (1985) Pre- and postprandial EGG variation. InElectrogastrography: methodology, validation and application.Stern, R. M. andKoch, K. L. (Eds.), Praeger, New York.

    Google Scholar 

  • Kelly, K. andCode, C. F. (1969) Effect of transthoracic vagotomy on canine electrical activity.Gastroenterol.,55, 51–58.

    Google Scholar 

  • Kentie, M. A., van der Schee, E. J., Grashuis, J. L. andSmout, A. J. P. M. (1981) Adaptive filtering of canine electrogastrographic signals. Part 1: System design.Med. & Biol. Eng. & Comput.,19, 759–764.

    Article  Google Scholar 

  • Kim, C. H., Azpiroz, F. andMalagelada, J.-R. (1986) Characteristics of spontaneous and drug-induced gastric dysrhythmias in a chronic canine model.Gastroenterol.,90, 421–427.

    Google Scholar 

  • Koch, K. L. andStern, R. M. (1985) The relationship between the cutaneously recorded electrogastrogram and antral contractions in man. InElectrogastrography: methodology, validation and application.Stern, R. M. andKoch, K. L. (Eds.), Praeger, New York.

    Google Scholar 

  • Koch, K. L., Stern, R. M., Stewart, W. R. andVasey, M. W. (1989) Gastric emptying and gastric myoelectrical activity in patients with diabetic gastroparesis: effect of long-term domperidone treatment.Am. J. Gastroenterol.,84, 1069–1075.

    Google Scholar 

  • Koch, K. L., Stern, R. M., Vasey, M., Botti, J. J., Creasy, G. W. andDwyer, A. (1990) Gastric dysrhythmias and nausea of pregnancy.Dig. Dis. & Sci.,35, 961–968.

    Article  Google Scholar 

  • Marple, L. S. Jr. (1987)Digital spectral analysis with applications. Prentice Hall, Englewood Cliffs, New Jersey.

    Google Scholar 

  • Mirizzi, N. andScafoglieri, U. (1983) Optimal direction of the electrogastrographic signal in man.Med. & Biol. Eng. & Comput.,21, 385–389.

    Google Scholar 

  • Morgan, K. G., Schmalz, P. F. andSzurszewski, J. H. (1978) The inhibitory effects of vasoactive intestinal polypeptide on the mechanical and electrical activity of canine antral smooth muscle.J. Physiol. (London),282, 437–450.

    Google Scholar 

  • Müller, G. M., Hölzl, R. andBrüchle, H. A. (1983) Conjoint gastrography: principles and techniques. InPsychophysiology of the gastrointestinal tract.Hölzl, R. andWhitehead, W. E. (Eds.) Plenum, New York.

    Google Scholar 

  • Nelsen, T. S. andKohatsu, S. (1968) Clinical electrogastrography and its relationship to gastric surgery.Am. J. Surg.,116, 215–222.

    Article  Google Scholar 

  • Oppenheim, A. V. andSchafer, R. W. (1975)Digital signal processing. Prentice-Hall.

  • Pfister, C. J., Hamilton, J. W., Nagel, N., Bass, P., Webster, J. G. andThompkins, W. J. (1988) Use of spectral analysis in the detection of frequency differences in the electrogastrograms of normal and diabetic subjects.IEEE Trans.,BME-35, 935–941.

    Google Scholar 

  • Smallwood, R. H. (1976) Gastrointestinal electrical activity from surface electrodes. Thesis, Sheffield, UK.

  • Smallwood, R. H. andBrown, B. H. (1983) Non-invasive assessment of gastric activity. InNoninvasive physiological measurements, Vol. 2.Rolfe, P. (Ed.), Academic Press, London.

    Google Scholar 

  • Smout, A. J. P. M. (1980) Myoelectric activity of the stomach: gastroelectromyography and electrogastrography. Ph.D. Dissertation, Erasmus Universiteit Rotterdam, Delft University Press.

  • Smout, A. J. P. M., van der Schee, E. J. andGrashuis, J. L. (1980a) What is measured in electrogastrography?Dig. Dis. & Sci.,25, 179–187.

    Article  Google Scholar 

  • Smout, A. J. P. M., van der Schee, E. J. andGrashuis, J. L. (1980b) Postprandial and interdigestive gastric electrical activity in the dog recorded by means of cutaneous electrodes. InGastrointestinal motility.Christensen, J. (Ed.), Raven Press, New York, 187–194.

    Google Scholar 

  • Stern, R. M. (1983) Responsiveness of the stomach to environmental events. InPsychophysiology of the gastrointestinal tract.Hölzl, R. andWhitehead, W. E. (Eds.), Plenum, New York.

    Google Scholar 

  • Stern, R. M. andKoch, K. L. (Eds.) (1985)Electrogastrography: methodology, validation and application, Praeger, New York.

    Google Scholar 

  • Stern, R. M., Koch, K. L., Leibowitz, H. W., Lindblad, I., Shupert, C. andStewart, W. R. (1985) Tachygastria and motion sickness.Aviat. Space & Environ. Med.,56, 1074–1077.

    Google Scholar 

  • Stern, R. M., Koch, K. L., Stewart, W. R. andLindblad, I. M. (1987a) Spectral analysis of tachygastria recorded during motion sickness.Gastroenterol.,92, 92–97.

    Google Scholar 

  • Stern, R. M., Koch, K. L., Stewart, W. R. andVasey, M. W. (1987b) Electrogastrography: current issues in validation and methodology.Psychophysiol.,24, 55–64.

    Google Scholar 

  • Stern, R. M., Crawford, H. E., Stewart, W. R., Vasey, M. W. andKoch, K. L. (1989) Sham feeding: cephalic-vagal influences on gastric myoelectric activity.Dig. Dis. & Sci.,34, 521–527.

    Article  Google Scholar 

  • Stevens, J. K. andWorrall, N. (1974) External recording of gastric activity: the electrogastrogram.Physiol. Psychol.,2, 175–180.

    Google Scholar 

  • Stewart, W. R., Stern, R. M. andKoch, K. L. (1985) The effects of the ingestion of barium sulfate on the EGG recorded from healthy human subjects. InElectrogastrography: methodology, validation and application.Stern, R. M. andKoch, K. L. (Eds.), Praeger, New York.

    Google Scholar 

  • Stoddard, C. J., Smallwood, R. H. andDuthie, H. L. (1981) Electrical arrythmias in the human stomach.Gut,22, 705–712.

    Google Scholar 

  • Sunshine, A. G., Perry, R., Reynolds, J. C., Cohen, S. andOuyang, A. (1989) Colonic slow wave analysis: limitations of usefulness of fast Fourier transform (FFT).Dig. Dis. & Sci.,34, 1173–1179.

    Article  Google Scholar 

  • Telander, R. L., Morgan, K. G., Kreulen, D. L., Schemalz, P. F., Kelly, K. A. andSzurszewki, J. H. (1978) Human gastric atony with tachygastria and gastric retention.Gastroenterol.,75, 495–501.

    Google Scholar 

  • van der Schee, E. T. andGrashuis, J. L. (1983) Contraction-related, low-frequency components in canine electrogastrographic signals.Am. J. Physiol.,245, G470-G475.

    Google Scholar 

  • van der Schee, E. J. (1984) Electrogastrography: signal analysis aspects and interpretation. Ph.D Dissertation, Erasmus Universiteit.

  • van der Schee, E. J. andGrashuis, J. T. (1987) Running spectrum analysis as an aid in the representation and interpretation of electrogastrographic signals.Med. & Biol. Eng. & Comput.,25, 57–62.

    Article  Google Scholar 

  • Widrow, B., Glover, J. R. Jr., McCool, J. M., Kaunits, J., Williams, C. S., Nearn, R. H., Zeidler, J. R., Dong, E. J. Jr. andGoodlin, R. C. (1975) Adaptive noise cancellation: principles and applications.Proc. IEEE,63, 1692–1716.

    Article  Google Scholar 

  • You, C. H., Lee, K. Y., Chey, W. Y. andMenguy, R. (1980) Electrogastrographic study of patients with unexplained nausea, bloating and vomiting.Gastroenterol.,79, 311–314.

    Google Scholar 

  • You, C. H., Chey, W. Y., Lee, K. Y., Menguy, R. andBortoff, A. (1981) Gastric and small intestinal myoelectrical dysrhythmia associated with chronic intractable nausea and vomiting.Ann. It Med.,95, 449–451.

    Google Scholar 

  • You, C. H. andChey, W. Y. (1984) Study of electromechanical activity of the stomach in human and dogs with particular attention to tachygastria.Gastroenterol.,86, 1460–1468.

    Google Scholar 

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  1. Department of Medicine, University of Virginia Health Science Center, Box 145, 22908, Charlottesville, VA, USA

    J. Chen & R. W. McCallum

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  1. J. Chen
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  2. R. W. McCallum
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Chen, J., McCallum, R.W. Electrogastrography: measuremnt, analysis and prospective applications. Med. Biol. Eng. Comput. 29, 339–350 (1991). https://doi.org/10.1007/BF02441653

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