Dyspeptic symptoms and delayed gastric emptying of solids in patients with inactive Crohn’s disease
<p>Abstract</p> <p>Background</p> <p>Patients with Crohn’s disease (CD) have been shown to present dyspeptic symptoms more frequently than the general population. Some of these symptoms could be related to motility disorders to some degree. Then, we propose to investiga...
| Main Authors: | , , , , , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2012-12-01
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| Series: | BMC Gastroenterology |
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| Online Access: | http://www.biomedcentral.com/1471-230X/12/175 |
| _version_ | 1818492594964922368 |
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| author | Nóbrega Ana Carolina Mello Ferreira Bruno Roberto Silva Oliveira Graciela Josué Sales Kamila Maria Oliveira Santos Armênio Aguiar Nobre e Souza Miguel Ângelo Braga Lúcia Libanês Bessa Campelo Troncon Luiz Ernesto de Almeida Souza Marcellus Henrique Loiola Ponte |
| author_facet | Nóbrega Ana Carolina Mello Ferreira Bruno Roberto Silva Oliveira Graciela Josué Sales Kamila Maria Oliveira Santos Armênio Aguiar Nobre e Souza Miguel Ângelo Braga Lúcia Libanês Bessa Campelo Troncon Luiz Ernesto de Almeida Souza Marcellus Henrique Loiola Ponte |
| author_sort | Nóbrega Ana Carolina Mello |
| collection | DOAJ |
| description | <p>Abstract</p> <p>Background</p> <p>Patients with Crohn’s disease (CD) have been shown to present dyspeptic symptoms more frequently than the general population. Some of these symptoms could be related to motility disorders to some degree. Then, we propose to investigate whether gastric emptying of solids in patients with inactive CD is delayed and to determine the relationships between gastric emptying and dyspeptic symptoms in inactive CD.</p> <p>Methods</p> <p>Twenty-six patients with inactive Crohn’s disease, as defined by a Crohn’s Disease Activity Index (CDAI) < 150, underwent a gastric emptying test by breath test using <sup>13</sup>C octanoic acid coupled to a solid meal and answered a validated questionnaire (The Porto Alegre Dyspeptic Symptoms Questionnaire) to assess dyspeptic symptoms. Patients with scores ≥ 6 were considered to have dyspepsia. The control group was composed by 19 age- and sex-matched healthy volunteers.</p> <p>Results</p> <p>Patients with CD had a significantly longer t 1/2 and t lag (p<0.05) than the controls. CD patients with dyspepsia had significantly (p<0.05) prolonged gastric emptying when compared to patients without dyspeptic symptoms. When the individual symptom patterns were analyzed, only vomiting was significantly associated with delayed gastric emptying (p<0.05). There was no difference between the subgroups of patients with respect to gender, CDAI scores, disease location, clinical behavior (obstructive/obstructive) or previous gastrointestinal surgery.</p> <p>Conclusion</p> <p>Delayed gastric emptying in inactive Crohn’s disease patients seems to be associated with dyspeptic symptoms, particularly vomiting, even without any evidence of gastrointestinal obstruction.</p> |
| first_indexed | 2024-12-10T17:45:12Z |
| format | Article |
| id | doaj.art-f51c8c3d5dba461992d2c09184138eba |
| institution | Directory Open Access Journal |
| issn | 1471-230X |
| language | English |
| last_indexed | 2024-12-10T17:45:12Z |
| publishDate | 2012-12-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Gastroenterology |
| spelling | doaj.art-f51c8c3d5dba461992d2c09184138eba2022-12-22T01:39:15ZengBMCBMC Gastroenterology1471-230X2012-12-0112117510.1186/1471-230X-12-175Dyspeptic symptoms and delayed gastric emptying of solids in patients with inactive Crohn’s diseaseNóbrega Ana Carolina MelloFerreira Bruno Roberto SilvaOliveira Graciela JosuéSales Kamila Maria OliveiraSantos Armênio AguiarNobre e Souza Miguel ÂngeloBraga Lúcia Libanês Bessa CampeloTroncon Luiz Ernesto de AlmeidaSouza Marcellus Henrique Loiola Ponte<p>Abstract</p> <p>Background</p> <p>Patients with Crohn’s disease (CD) have been shown to present dyspeptic symptoms more frequently than the general population. Some of these symptoms could be related to motility disorders to some degree. Then, we propose to investigate whether gastric emptying of solids in patients with inactive CD is delayed and to determine the relationships between gastric emptying and dyspeptic symptoms in inactive CD.</p> <p>Methods</p> <p>Twenty-six patients with inactive Crohn’s disease, as defined by a Crohn’s Disease Activity Index (CDAI) < 150, underwent a gastric emptying test by breath test using <sup>13</sup>C octanoic acid coupled to a solid meal and answered a validated questionnaire (The Porto Alegre Dyspeptic Symptoms Questionnaire) to assess dyspeptic symptoms. Patients with scores ≥ 6 were considered to have dyspepsia. The control group was composed by 19 age- and sex-matched healthy volunteers.</p> <p>Results</p> <p>Patients with CD had a significantly longer t 1/2 and t lag (p<0.05) than the controls. CD patients with dyspepsia had significantly (p<0.05) prolonged gastric emptying when compared to patients without dyspeptic symptoms. When the individual symptom patterns were analyzed, only vomiting was significantly associated with delayed gastric emptying (p<0.05). There was no difference between the subgroups of patients with respect to gender, CDAI scores, disease location, clinical behavior (obstructive/obstructive) or previous gastrointestinal surgery.</p> <p>Conclusion</p> <p>Delayed gastric emptying in inactive Crohn’s disease patients seems to be associated with dyspeptic symptoms, particularly vomiting, even without any evidence of gastrointestinal obstruction.</p>http://www.biomedcentral.com/1471-230X/12/175DyspepticGastric emptyingCrohn |
| spellingShingle | Nóbrega Ana Carolina Mello Ferreira Bruno Roberto Silva Oliveira Graciela Josué Sales Kamila Maria Oliveira Santos Armênio Aguiar Nobre e Souza Miguel Ângelo Braga Lúcia Libanês Bessa Campelo Troncon Luiz Ernesto de Almeida Souza Marcellus Henrique Loiola Ponte Dyspeptic symptoms and delayed gastric emptying of solids in patients with inactive Crohn’s disease BMC Gastroenterology Dyspeptic Gastric emptying Crohn |
| title | Dyspeptic symptoms and delayed gastric emptying of solids in patients with inactive Crohn’s disease |
| title_full | Dyspeptic symptoms and delayed gastric emptying of solids in patients with inactive Crohn’s disease |
| title_fullStr | Dyspeptic symptoms and delayed gastric emptying of solids in patients with inactive Crohn’s disease |
| title_full_unstemmed | Dyspeptic symptoms and delayed gastric emptying of solids in patients with inactive Crohn’s disease |
| title_short | Dyspeptic symptoms and delayed gastric emptying of solids in patients with inactive Crohn’s disease |
| title_sort | dyspeptic symptoms and delayed gastric emptying of solids in patients with inactive crohn s disease |
| topic | Dyspeptic Gastric emptying Crohn |
| url | http://www.biomedcentral.com/1471-230X/12/175 |
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