Measuring of gastric emptying in Egyptian pediatric patients with portal hypertension by using real-time ultrasound

Background/Aim: Among the various methods for evaluating gastric emptying, the real-time ultrasound is safe, does not require intubation, or rely on either radiologic or radionuclide technique. The aim of our work was to measure the gastric emptying in pediatric patients with portal hypertension by...

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Main Authors: Mona E Fahmy, Mahmoud A Osman, Rehab A Mahmoud, Lamiaa K Mohamed, Khaled I Seif-elnasr, Ayman E Eskander
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2012-01-01
Series:The Saudi Journal of Gastroenterology
Subjects:
Online Access:http://www.saudijgastro.com/article.asp?issn=1319-3767;year=2012;volume=18;issue=1;spage=40;epage=43;aulast=Fahmy
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author Mona E Fahmy
Mahmoud A Osman
Rehab A Mahmoud
Lamiaa K Mohamed
Khaled I Seif-elnasr
Ayman E Eskander
author_facet Mona E Fahmy
Mahmoud A Osman
Rehab A Mahmoud
Lamiaa K Mohamed
Khaled I Seif-elnasr
Ayman E Eskander
author_sort Mona E Fahmy
collection DOAJ
description Background/Aim: Among the various methods for evaluating gastric emptying, the real-time ultrasound is safe, does not require intubation, or rely on either radiologic or radionuclide technique. The aim of our work was to measure the gastric emptying in pediatric patients with portal hypertension by using the real-time ultrasound. Patients and Methods: Forty patients with portal hypertension with mean age 7 ± 2.8 years and 20 healthy children as a control group underwent gastric emptying study by using real-time ultrasound. The cross-sectional area of the gastric antrum was measured in the fasting state and then each subject was allowed to drink tap water then calculated by using formula area (π longitudinal Χ anteroposterior diameter/4). The intragastric volume was assumed to be directly proportional to the cross-sectional area of the antrum. Results: The mean gastric emptying half-time volume was significantly delayed in portal hypertension patients (40 ± 6.8 min) compared with the control subjects (27.1 ± 3.6) min (P<0.05). Patients with extrahepatic portal vein obstruction had significant delayed gastric emptying in comparison to patients with portal hypertension due to other etiologies (36.14 ± 4.9 vs 44.41 ± 6.04 min; P<0.01). Conclusion: Ultrasound is a noninvasive and a reliable method for measuring gastric emptying in pediatric patients. Gastric emptying was significantly delayed in patients with portal hypertension. Etiology of portal hypertension may influence gastric emptying time in patients with chronic liver disease.
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spelling doaj.art-8cea884a0e864a31b5d19bd679aff5852022-12-22T03:53:34ZengWolters Kluwer Medknow PublicationsThe Saudi Journal of Gastroenterology1319-37671998-40492012-01-01181404310.4103/1319-3767.91739Measuring of gastric emptying in Egyptian pediatric patients with portal hypertension by using real-time ultrasoundMona E FahmyMahmoud A OsmanRehab A MahmoudLamiaa K MohamedKhaled I Seif-elnasrAyman E EskanderBackground/Aim: Among the various methods for evaluating gastric emptying, the real-time ultrasound is safe, does not require intubation, or rely on either radiologic or radionuclide technique. The aim of our work was to measure the gastric emptying in pediatric patients with portal hypertension by using the real-time ultrasound. Patients and Methods: Forty patients with portal hypertension with mean age 7 ± 2.8 years and 20 healthy children as a control group underwent gastric emptying study by using real-time ultrasound. The cross-sectional area of the gastric antrum was measured in the fasting state and then each subject was allowed to drink tap water then calculated by using formula area (π longitudinal Χ anteroposterior diameter/4). The intragastric volume was assumed to be directly proportional to the cross-sectional area of the antrum. Results: The mean gastric emptying half-time volume was significantly delayed in portal hypertension patients (40 ± 6.8 min) compared with the control subjects (27.1 ± 3.6) min (P<0.05). Patients with extrahepatic portal vein obstruction had significant delayed gastric emptying in comparison to patients with portal hypertension due to other etiologies (36.14 ± 4.9 vs 44.41 ± 6.04 min; P<0.01). Conclusion: Ultrasound is a noninvasive and a reliable method for measuring gastric emptying in pediatric patients. Gastric emptying was significantly delayed in patients with portal hypertension. Etiology of portal hypertension may influence gastric emptying time in patients with chronic liver disease.http://www.saudijgastro.com/article.asp?issn=1319-3767;year=2012;volume=18;issue=1;spage=40;epage=43;aulast=FahmyGastric emptyingliquidpediatricultrasound
spellingShingle Mona E Fahmy
Mahmoud A Osman
Rehab A Mahmoud
Lamiaa K Mohamed
Khaled I Seif-elnasr
Ayman E Eskander
Measuring of gastric emptying in Egyptian pediatric patients with portal hypertension by using real-time ultrasound
The Saudi Journal of Gastroenterology
Gastric emptying
liquid
pediatric
ultrasound
title Measuring of gastric emptying in Egyptian pediatric patients with portal hypertension by using real-time ultrasound
title_full Measuring of gastric emptying in Egyptian pediatric patients with portal hypertension by using real-time ultrasound
title_fullStr Measuring of gastric emptying in Egyptian pediatric patients with portal hypertension by using real-time ultrasound
title_full_unstemmed Measuring of gastric emptying in Egyptian pediatric patients with portal hypertension by using real-time ultrasound
title_short Measuring of gastric emptying in Egyptian pediatric patients with portal hypertension by using real-time ultrasound
title_sort measuring of gastric emptying in egyptian pediatric patients with portal hypertension by using real time ultrasound
topic Gastric emptying
liquid
pediatric
ultrasound
url http://www.saudijgastro.com/article.asp?issn=1319-3767;year=2012;volume=18;issue=1;spage=40;epage=43;aulast=Fahmy
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AT khalediseifelnasr measuringofgastricemptyinginegyptianpediatricpatientswithportalhypertensionbyusingrealtimeultrasound
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