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特发性胃潴留和肠道转运障碍在功能性消化不良中的发生率

Frequency of idiopathic gastric stasis and intestinal transit disorders in essential dyspepsia.

作者信息

Wegener M, Börsch G, Schaffstein J, Reuter C, Leverkus F

机构信息

Department of Medicine, St. Josef-Hospital, Ruhr-University Bochum, F.R.G.

出版信息

J Clin Gastroenterol. 1989 Apr;11(2):163-8. doi: 10.1097/00004836-198904000-00010.

Abstract

Gastric emptying, mouth-to-cecum transit (MCT), and whole-gut transit of a solid-liquid meal was measured in 30 control subjects and in 43 patients with essential dyspepsia, in whom organic digestive diseases and secondary disorders of gastric emptying had been excluded. The rate of gastric emptying was determined by an anterior gamma camera technique, MCT by the hydrogen breath test, and whole-gut transit by the first appearance of stool makers. Approximately 30% of patients with essential dyspepsia, predominantly women, in whom statistical analysis failed to reveal any specific pattern of symptoms, had significantly delayed gastric emptying suggesting idiopathic gastric stasis. Concerning MCT and whole-gut transit, significant differences between the control and study group could not be detected.

摘要

在30名对照受试者和43名功能性消化不良患者中测量了固体-液体餐的胃排空、口至盲肠转运(MCT)和全肠道转运,这些患者已排除器质性消化系统疾病和继发性胃排空障碍。胃排空率通过前位γ相机技术测定,MCT通过氢呼气试验测定,全肠道转运通过粪便标志物首次出现来测定。约30%的功能性消化不良患者,主要为女性,统计分析未能揭示任何特定的症状模式,其胃排空明显延迟,提示特发性胃潴留。关于MCT和全肠道转运,对照组和研究组之间未检测到显著差异。

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