Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo (HCFMUSP), Divisão de Gastroenterologia e Hepatologia Clínica, São Paulo, SP, Brasil.
Hospital Israelita Albert Einstein, Departamento de Endoscopia, Núcleo de Fisiologia Gastrointestinal - NUFIG, São Paulo, SP, Brasil.
Arq Gastroenterol. 2020 Oct-Dec;57(4):428-433. doi: 10.1590/S0004-2803.202000000-78.
Electrogastrography (EGG) is a noninvasive technique for the assessment of gastric myoelectrical activity using electrodes placed on the abdominal surface. Changes in gastric myoelectrical activity may be associated with diseases such as gastroparesis, functional dyspepsia, nausea, and recurrent vomiting. In Brazil, no studies to date have assessed gastric myoelectrical activity using multichannel EGG in healthy individuals.
To establish normal values of transcutaneous multichannel EGG in healthy Brazilian individuals.
This was a prospective study including 20 healthy individuals who underwent EGG. Recording was performed during two periods: a preprandial recording was performed for 30 minutes, and a postprandial recording was performed for 30 minutes after a soft-solid meal of 400 kcal (20 grams of proteins, 60 grams of carbohydrates, and 9 grams of fat).
We assessed dominant frequency (DF) parameters, %DF distribution, the instability coefficient, and the power ratio (PR). A total of 20 individuals (11 women and 9 men) with a mean age of 39.5±7.4 years were included. Mean DF (95%CI) ranged from 2.4 to 3.1 cpm in the resting phase and 2.6 to 3.2 cpm in the postprandial period. The %DF in normogastria range was >70% in all healthy individuals. We identified that only one individual did not present a positive response to the test meal, and the other 19 individuals showed a PR greater than 1. The instability coefficient did not change significantly with meal intake.
Multichannel EGG may be applied in future studies to evaluate gastric motility disorders in the Brazilian population.
胃电图(EGG)是一种通过放置在腹部表面的电极评估胃电活动的非侵入性技术。胃电活动的变化可能与胃轻瘫、功能性消化不良、恶心和反复呕吐等疾病有关。在巴西,迄今为止,尚无研究使用多通道胃电图评估健康个体的胃电活动。
建立健康巴西个体经皮多通道胃电图的正常值。
这是一项前瞻性研究,包括 20 名接受胃电图检查的健康个体。记录分为两个阶段进行:餐前记录持续 30 分钟,餐后记录在摄入 400 卡路里(20 克蛋白质、60 克碳水化合物和 9 克脂肪)的软固体餐后进行 30 分钟。
我们评估了主导频率(DF)参数、%DF 分布、不稳定性系数和功率比(PR)。共纳入 20 名个体(11 名女性和 9 名男性),平均年龄为 39.5±7.4 岁。静息期平均 DF(95%CI)范围为 2.4 至 3.1 cpm,餐后为 2.6 至 3.2 cpm。所有健康个体的正常胃区域的%DF 均大于 70%。我们发现只有一名个体对试验餐没有阳性反应,而其他 19 名个体的 PR 大于 1。进食后不稳定性系数没有明显变化。
多通道胃电图可应用于未来的研究中,以评估巴西人群的胃动力障碍。