Meal-Induced Symptoms in Children with Dyspepsia–Relationships to Sex and the Presence of Gastroparesis - 22/03/21
, Bruno P. Chumpitazi, MD 1, 2, Salma Musaad, PhD 2, Andrew C. Sher, MD 3, Robert J. Shulman, MD 1, 2Abstract |
Objectives |
To test the hypothesis that in children with dyspepsia, prospective symptom severity following ingestion of a meal would correlate with percent gastric retention, and those ultimately diagnosed with gastroparesis would report worse symptoms.
Study design |
Prospective, single-center study with 104 children with dyspepsia completing a prospective dyspepsia symptom questionnaire before and after eating a standardized Tougas meal during gastric emptying scintigraphy. Main outcomes included correlation between gastric retention and symptoms and comparison of symptom severity between those with and without gastroparesis.
Results |
Fifty-two children (50%) had gastroparesis (gastroparesis: 12.5 ± 2.9 years, 65% female; nongastroparesis: 13.0 ± 2.9 years, 60% female; all P > .05). Bloating was the only symptom significantly worse in youth with gastroparesis. For the entire cohort, bloating and fullness correlated with percent retention. However, in those with gastroparesis, only nausea correlated with retention (4 hours.; rs = 0.275, P < .05). Girls with gastroparesis had significantly worse symptoms (except satiety) when compared with boys with gastroparesis (P < .05).
Conclusions |
Overall in children, there is little difference in symptom severity between children with gastroparesis vs normal emptying based on current standards. However, girls with gastroparesis have worse symptoms vs boys with gastroparesis, underscoring a need for further studies into the role of sex in gastroparesis symptoms. In all children, both bloating and fullness correlated modestly with gastric retention, and nausea correlated in those with gastroparesis.
Le texte complet de cet article est disponible en PDF.Keywords : pediatrics, gastroparesis, gastric emptying scintigraphy, dyspepsia
Abbreviations : BMI, GCSI, GES, GI
Plan
| Supported by the National Institutes of Health (DK112194 [to R.S.]), the United States Department of Agriculture/Adolph and Ruth Schnurmacher Foundation under Cooperative Agreement No. 58-3092-0-001, and P30 DK56338 which funds the Texas Medical Center Digestive Disease Center. The content is solely the responsibility of the authors and does not necessarily represent the official views of the National Institutes of Health. This work is a publication of the USDA/ARS Children's Nutrition Research Center, Department of Pediatrics, Baylor College of Medicine, and Texas Children's Hospital. The contents do not necessarily reflect the views or policies of the USDA, nor does mention of trade names, commercial products, or organizations imply endorsement by the US Government. B.C. and R.S. report potential royalties from the Rome Foundation for licensing usage of the modified Bristol Stool Scale for Children (not used in this study). The other authors declare no conflicts of interest. |
Vol 231
P. 117-123 - avril 2021 Retour au numéro
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