Nausea Predicts Delayed Gastric Emptying in Children

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• 作者：Hilary Jericho ; Papa Adams ; Gang Zhang ; Karen Rychlik ; Miguel Saps
• 关键词：BMI ; Body mass index ; CMH ; Children's Memorial Hospital of Chicago ; GCSI ; Gastroparesis cardinal symptom index ; GES ; Gastric emptying scintigraphy
• 刊名：The Journal of Pediatrics
• 出版年：January, 2014
• 年：2014
• 卷：164
• 期：1
• 页码：89-92
• 全文大小：106 K

文摘

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Objectives

To assess whether the gastroparesis cardinal symptom index (GCSI), or any individual symptom, is associated with delayed gastric emptying in children, and to assess understanding of symptoms associated with delayed gastric emptying.

Study design

Fifty children (36 F), 5-18 years of age, undergoing gastric emptying scintigraphy (GES) at Lurie Children's Hospital in Chicago, Illinois, completed Likert-type GCSI and symptom comprehension questionnaires. Correlation of GES results (normal or abnormal) with questionnaire results using the Wilcoxon rank sum test.

Results

Seventy percent of subjects had a normal GES. Children reported understanding most terms of GCSI (average score 2.59, range 0-3). The GCSI was not associated with delayed gastric emptying. Nausea was associated with delayed gastric emptying only (numerical P = .04, word P = .02). Results were not altered when poorly understood terms were excluded.

Conclusions

The GCSI is not associated with delayed gastric emptying in children. Lack of association does not seem to be related to lack of understanding. Nausea alone was the only symptom that showed an association with delayed gastric emptying on GES.