Nieves M A, Gaona C, Alvarado M, Flores J, Garassini M
Departamento de Gastroenterología, Hospital Militar Dr. Carlos Arvelo, Caracas.
G E N. 1990 Jul-Sep;44(3):209-16.
The rate of gastric emptying of different liquid solutions was measured in 80 voluntary normal young male subjects (mean age 19.9 +/- 1.6 years) by direct real-time ultrasonic imaging. Multiple US scans were repeated at regular intervals (15-30 minutes) until complete gastric emptying was established, after ingestion of 500 cc of 8 different liquid test meals: isotonic saline, 50% glucose, 5% glucose, 40 g of proteins, 20 g of protein, 40 g of fat, 20 g of fat and mixed (carbohydrates, proteins and fat). Eight groups of ten subjects were studied, each one with a different test meal. Three types of gastric emptying were identified: slow (177 +/- 12 minutes) in subjects receiving 50% glucose, 40 and 20 grs of proteins and mixed test meals; intermediate (83 +/- 9 minutes) with 5% glucose, 40 and 20 g of fat; rapid (40 +/- 6 minutes) with isotonic saline. The mixed diet had the slowest emptying time (210 +/- 6 min). Our results are in accordance with published data regarding gastric motor physiology and demonstrates the usefulness of ultrasound in the study of gastric emptying of fluids.
通过直接实时超声成像,对80名自愿参与的正常年轻男性受试者(平均年龄19.9±1.6岁)测量了不同液体溶液的胃排空速率。在摄入500毫升8种不同的液体测试餐(等渗盐水、50%葡萄糖、5%葡萄糖、40克蛋白质、20克蛋白质、40克脂肪、20克脂肪和混合餐(碳水化合物、蛋白质和脂肪))后,每隔15 - 30分钟定期重复进行多次超声扫描,直至确定胃完全排空。对八组每组十名受试者进行了研究,每组受试者摄入不同的测试餐。确定了三种类型的胃排空:接受50%葡萄糖、40克和20克蛋白质以及混合测试餐的受试者胃排空缓慢(177±12分钟);接受5%葡萄糖、40克和20克脂肪的受试者胃排空中等(83±9分钟);接受等渗盐水的受试者胃排空迅速(40±6分钟)。混合饮食的排空时间最慢(210±6分钟)。我们的结果与已发表的有关胃运动生理学的数据一致,并证明了超声在研究液体胃排空方面的实用性。