Gastroparesis other diagnostic studies: Difference between revisions
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==Overview== | ==Overview== | ||
Other diagnostic studies for [[diagnosis]] of gastroparesis include 13C-octanoic acid breath test, the SmartPill wireless motility capsule (WMC) system, and electrogastrography. All of them could measure the [[Stomach|gastric]] motility and recognize delayed [[Stomach|gastric]] emptying. Electrogastrography is useful for differentiating gastroparesis from [[Dyspepsia|functional dyspepsia]] by identifying underlying myoelectrical activity. | |||
==Other Diagnostic Studies== | ==Other Diagnostic Studies== | ||
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===Breath Test=== | ===Breath Test=== | ||
* 13C-octanoic acid breath test may be helpful for diagnosis of gastroparesis. Features of breath test in diagnosis of gastroparesis include:<ref>{{cite journal |vauthors=Zahn A, Langhans CD, Hoffner S, Haberkorn U, Rating D, Haass M, Enck P, Stremmel W, Rühl A |title=Measurement of gastric emptying by 13C-octanoic acid breath test versus scintigraphy in diabetics |journal=Z Gastroenterol |volume=41 |issue=5 |pages=383–90 |year=2003 |pmid=12772050 |doi=10.1055/s-2003-39331 |url=}}</ref><ref name="TangFriedenberg2011">{{cite journal|last1=Tang|first1=Derek M.|last2=Friedenberg|first2=Frank K.|title=Gastroparesis: Approach, Diagnostic Evaluation, and Management|journal=Disease-a-Month|volume=57|issue=2|year=2011|pages=74–101|issn=00115029|doi=10.1016/j.disamonth.2010.12.007}}</ref><ref name="KochCalles-Escandón2015">{{cite journal|last1=Koch|first1=Kenneth L.|last2=Calles-Escandón|first2=Jorge|title=Diabetic Gastroparesis|journal=Gastroenterology Clinics of North America|volume=44|issue=1|year=2015|pages=39–57|issn=08898553|doi=10.1016/j.gtc.2014.11.005}}</ref> | * 13C-octanoic acid breath test may be helpful for diagnosis of gastroparesis. Features of breath test in diagnosis of gastroparesis include:<ref>{{cite journal |vauthors=Zahn A, Langhans CD, Hoffner S, Haberkorn U, Rating D, Haass M, Enck P, Stremmel W, Rühl A |title=Measurement of gastric emptying by 13C-octanoic acid breath test versus scintigraphy in diabetics |journal=Z Gastroenterol |volume=41 |issue=5 |pages=383–90 |year=2003 |pmid=12772050 |doi=10.1055/s-2003-39331 |url=}}</ref><ref name="TangFriedenberg2011">{{cite journal|last1=Tang|first1=Derek M.|last2=Friedenberg|first2=Frank K.|title=Gastroparesis: Approach, Diagnostic Evaluation, and Management|journal=Disease-a-Month|volume=57|issue=2|year=2011|pages=74–101|issn=00115029|doi=10.1016/j.disamonth.2010.12.007}}</ref><ref name="KochCalles-Escandón2015">{{cite journal|last1=Koch|first1=Kenneth L.|last2=Calles-Escandón|first2=Jorge|title=Diabetic Gastroparesis|journal=Gastroenterology Clinics of North America|volume=44|issue=1|year=2015|pages=39–57|issn=08898553|doi=10.1016/j.gtc.2014.11.005}}</ref> | ||
** Determining delayed gastric emptying | ** Determining delayed [[Stomach|gastric]] emptying | ||
** High [[Sensitivity (tests)|sensitivity]] and [[Validity (statistics)|validity]] | ** High [[Sensitivity (tests)|sensitivity]] and [[Validity (statistics)|validity]] | ||
** Positive correlation to [[Nuclear medicine|scintigraphy]] | ** Positive correlation to [[Nuclear medicine|scintigraphy]] | ||
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===The SmartPill wireless motility capsule (WMC) system === | ===The SmartPill wireless motility capsule (WMC) system === | ||
* The SmartPill is a small device in capsule form that can be swallowed and collects information from the [[gastrointestinal tract]].<ref name="pmid24881810">{{cite journal |vauthors=Hasler WL |title=The use of SmartPill for gastric monitoring |journal=Expert Rev Gastroenterol Hepatol |volume=8 |issue=6 |pages=587–600 |year=2014 |pmid=24881810 |doi=10.1586/17474124.2014.922869 |url=}}</ref> | * The SmartPill is a small device in capsule form that can be swallowed and collects information from the [[gastrointestinal tract]].<ref name="pmid24881810">{{cite journal |vauthors=Hasler WL |title=The use of SmartPill for gastric monitoring |journal=Expert Rev Gastroenterol Hepatol |volume=8 |issue=6 |pages=587–600 |year=2014 |pmid=24881810 |doi=10.1586/17474124.2014.922869 |url=}}</ref> | ||
* It is used to evaluate suspected delayed emptying in gastroparesis and [[Dyspepsia|functional dyspepsia]] by measuring transit time in the [[stomach]], [[small intestine]], and [[Colon (anatomy)|colon]]. | * It is used to evaluate suspected delayed emptying in gastroparesis and [[Dyspepsia|functional dyspepsia]] by measuring transit time in the [[stomach]], [[small intestine]], and [[Colon (anatomy)|colon]]. | ||
* It assess both regional and whole [[Gastrointestinal tract|gut]] transit by measuring temperature, pH, and the pressure of its immediate surroundings.<ref name="pmid26908282">{{cite journal |vauthors=Saad RJ |title=The Wireless Motility Capsule: a One-Stop Shop for the Evaluation of GI Motility Disorders |journal=Curr Gastroenterol Rep |volume=18 |issue=3 |pages=14 |year=2016 |pmid=26908282 |doi=10.1007/s11894-016-0489-x |url=}}</ref> | |||
=== Electrogastrography === | === Electrogastrography === | ||
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
Overview
Other diagnostic studies for diagnosis of gastroparesis include 13C-octanoic acid breath test, the SmartPill wireless motility capsule (WMC) system, and electrogastrography. All of them could measure the gastric motility and recognize delayed gastric emptying. Electrogastrography is useful for differentiating gastroparesis from functional dyspepsia by identifying underlying myoelectrical activity.
Other Diagnostic Studies
Breath Test
- 13C-octanoic acid breath test may be helpful for diagnosis of gastroparesis. Features of breath test in diagnosis of gastroparesis include:[1][2][3]
- Determining delayed gastric emptying
- High sensitivity and validity
- Positive correlation to scintigraphy
The SmartPill wireless motility capsule (WMC) system
- The SmartPill is a small device in capsule form that can be swallowed and collects information from the gastrointestinal tract.[4]
- It is used to evaluate suspected delayed emptying in gastroparesis and functional dyspepsia by measuring transit time in the stomach, small intestine, and colon.
- It assess both regional and whole gut transit by measuring temperature, pH, and the pressure of its immediate surroundings.[5]
Electrogastrography
- Electrogastrography is used to evaluate gastric electrical activity.[6][7]
- Electrogastrography is useful for differentiating gastroparesis from functional dyspepsia by identifying underlying myoelectrical activity.
References
- ↑ Zahn A, Langhans CD, Hoffner S, Haberkorn U, Rating D, Haass M, Enck P, Stremmel W, Rühl A (2003). "Measurement of gastric emptying by 13C-octanoic acid breath test versus scintigraphy in diabetics". Z Gastroenterol. 41 (5): 383–90. doi:10.1055/s-2003-39331. PMID 12772050.
- ↑ Tang, Derek M.; Friedenberg, Frank K. (2011). "Gastroparesis: Approach, Diagnostic Evaluation, and Management". Disease-a-Month. 57 (2): 74–101. doi:10.1016/j.disamonth.2010.12.007. ISSN 0011-5029.
- ↑ Koch, Kenneth L.; Calles-Escandón, Jorge (2015). "Diabetic Gastroparesis". Gastroenterology Clinics of North America. 44 (1): 39–57. doi:10.1016/j.gtc.2014.11.005. ISSN 0889-8553.
- ↑ Hasler WL (2014). "The use of SmartPill for gastric monitoring". Expert Rev Gastroenterol Hepatol. 8 (6): 587–600. doi:10.1586/17474124.2014.922869. PMID 24881810.
- ↑ Saad RJ (2016). "The Wireless Motility Capsule: a One-Stop Shop for the Evaluation of GI Motility Disorders". Curr Gastroenterol Rep. 18 (3): 14. doi:10.1007/s11894-016-0489-x. PMID 26908282.
- ↑ Rossi Z, Forlini G, Fenderico P, Cipolla R, Nasoni S (2005). "Electrogastrography". Eur Rev Med Pharmacol Sci. 9 (5 Suppl 1): 29–35. PMID 16457127.
- ↑ Sanmiguel CP, Mintchev MP, Bowes KL (1998). "Electrogastrography: a noninvasive technique to evaluate gastric electrical activity". Can. J. Gastroenterol. 12 (6): 423–30. PMID 9784898.