Uc A, Hoon A, Di Lorenzo C, Hyman P E
Depts. of Pediatrics, University of Iowa Hospitals and Clinics, Iowa City 52242, USA.
Scand J Gastroenterol. 1997 Jul;32(7):681-5. doi: 10.3109/00365529708996518.
The interpretation of antroduodenal manometry in children with gastrointestinal motility disorder has been limited by a paucity of data from normal children. The purpose of this study was to define antroduodenal manometry findings in children with no upper gastrointestinal symptoms.
We reviewed 260 consecutive antroduodenal manometries and selected 18 studies from subjects aged 2-12 years with no symptoms referable to a gastrointestinal motility disorder involving the stomach and/or the small bowel.
During fasting, phase 3 of the migrating motor complex (MMC) was present in 14 of 18 children, and it was induced by erythromycin in 4 who failed to have a spontaneous phase 3. Phase 3 propagation velocity increased significantly with age. The cycle length between MMCs showed no age-dependent variation. Phase 3 occupied 3%; phase 1, 10%; and phase 2, 87% of the fasting recording time.
Antroduodenal manometry findings in children with no upper gastrointestinal symptoms are similar to those in adults.
由于正常儿童的数据匮乏，胃肠动力障碍患儿的十二指肠测压解读受到限制。本研究的目的是确定无上消化道症状儿童的十二指肠测压结果。
我们回顾了连续260例十二指肠测压病例，并从2至12岁无涉及胃和/或小肠的胃肠动力障碍相关症状的受试者中选取了18例研究。
在禁食期间，18名儿童中有14名出现移行性运动复合波（MMC）的第3相，4名未自发出现第3相的儿童中，红霉素诱导出了第3相。第3相传播速度随年龄显著增加。MMC之间的周期长度未显示出年龄依赖性变化。第3相占禁食记录时间的3%；第1相占10%；第2相占87%。
无上消化道症状儿童的十二指肠测压结果与成人相似。
