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. 1993 Jul;69(1 Spec No):32–36. doi: 10.1136/adc.69.1_spec_no.32

Ultrasonic assessment of gastric emptying in the preterm infant.

S J Newell 1, S Chapman 1, I W Booth 1
PMCID: PMC1029394  PMID: 8346950

Abstract

The study of gastric emptying in the preterm infant has been hampered by the absence of a suitable, valid technique. We have evaluated gastric antral clearance using serial ultrasonic measurement of the antral cross sectional area (ACSA). The study was easy to perform, providing successful results in 15 of 17 low birth-weight infants, with feed volumes of 8-31 ml/kg. ACSA was closely related to intragastric volume (mean (range) r = 0.96 (0.89-0.99)). Measurements were reproducible: mean (SE) coefficient of variation was 7.7% (1.1). Gastric antral clearance was observed as a fall in ACSA that began shortly after completion of the feed and returned to prefeed values at a variable rate. The pattern of gastric antral transit was entirely consistent with recognised patterns of gastric emptying and half gastric antral clearance times ranged from 20-63 minutes. Ultrasonic measurement of gastric antral clearance is a new technique allowing the study of gastric emptying in the preterm infant.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Bateman D. N., Whittingham T. A. Measurement of gastric emptying by real-time ultrasound. Gut. 1982 Jun;23(6):524–527. doi: 10.1136/gut.23.6.524. [DOI] [PMC free article] [PubMed] [Google Scholar]
  2. Blumenthal I., Pildes R. S. Effect of posture on the pattern of stomach emptying in the newborn. Pediatrics. 1979 Apr;63(4):532–536. [PubMed] [Google Scholar]
  3. Bolondi L., Bortolotti M., Santi V., Calletti T., Gaiani S., Labò G. Measurement of gastric emptying time by real-time ultrasonography. Gastroenterology. 1985 Oct;89(4):752–759. doi: 10.1016/0016-5085(85)90569-4. [DOI] [PubMed] [Google Scholar]
  4. Cavell B. Gastric emptying in preterm infants. Acta Paediatr Scand. 1979 Sep;68(5):725–730. doi: 10.1111/j.1651-2227.1979.tb18446.x. [DOI] [PubMed] [Google Scholar]
  5. Cavell B. Reservoir and emptying function of the stomach of the premature infant. Acta Paediatr Scand Suppl. 1982;296:60–61. doi: 10.1111/j.1651-2227.1982.tb09598.x. [DOI] [PubMed] [Google Scholar]
  6. George J. D. New clinical method for measuring the rate of gastric emptying: the double sampling test meal. Gut. 1968 Apr;9(2):237–242. doi: 10.1136/gut.9.2.237. [DOI] [PMC free article] [PubMed] [Google Scholar]
  7. Holt S., Cervantes J., Wilkinson A. A., Wallace J. H. Measurement of gastric emptying rate in humans by real-time ultrasound. Gastroenterology. 1986 Apr;90(4):918–923. doi: 10.1016/0016-5085(86)90868-1. [DOI] [PubMed] [Google Scholar]
  8. Hunt J. N., Smith J. L., Jiang C. L. Effect of meal volume and energy density on the gastric emptying of carbohydrates. Gastroenterology. 1985 Dec;89(6):1326–1330. doi: 10.1016/0016-5085(85)90650-x. [DOI] [PubMed] [Google Scholar]
  9. Lambrecht L., Robberecht E., Deschynkel K., Afschrift M. Ultrasonic evaluation of gastric clearing in young infants. Pediatr Radiol. 1988;18(4):314–318. doi: 10.1007/BF02389000. [DOI] [PubMed] [Google Scholar]
  10. Lebenthal E., Siegel M. Understanding gastric emptying: implications for feeding the healthy and compromised infant. J Pediatr Gastroenterol Nutr. 1985 Feb;4(1):1–3. [PubMed] [Google Scholar]
  11. LiVoti G., Tulone V., Bruno R., Cataliotti F., Iacono G., Cavataio F., Balsamo V. Ultrasonography and gastric emptying: evaluation in infants with gastroesophageal reflux. J Pediatr Gastroenterol Nutr. 1992 May;14(4):397–399. doi: 10.1097/00005176-199205000-00004. [DOI] [PubMed] [Google Scholar]
  12. Marzio L., Giacobbe A., Conoscitore P., Facciorusso D., Frusciante V., Modoni S. Evaluation of the use of ultrasonography in the study of liquid gastric emptying. Am J Gastroenterol. 1989 May;84(5):496–500. [PubMed] [Google Scholar]
  13. Minami H., McCallum R. W. The physiology and pathophysiology of gastric emptying in humans. Gastroenterology. 1984 Jun;86(6):1592–1610. [PubMed] [Google Scholar]
  14. Pildes R. S., Blumenthal I., Ebel A. Stomach emptying in the newborn. Pediatrics. 1980 Sep;66(3):482–483. [PubMed] [Google Scholar]
  15. Sidebottom R., Curran J. S., Williams P. R., Kanarek K. S., Bramson R. T. Effects of long-chain vs medium-chain triglycerides on gastric emptying time in premature infants. J Pediatr. 1983 Mar;102(3):448–450. doi: 10.1016/s0022-3476(83)80674-x. [DOI] [PubMed] [Google Scholar]
  16. Siegel M., Krantz B., Lebenthal E. Effect of fat and carbohydrate composition on the gastric emptying of isocaloric feedings in premature infants. Gastroenterology. 1985 Oct;89(4):785–790. doi: 10.1016/0016-5085(85)90573-6. [DOI] [PubMed] [Google Scholar]
  17. Victor Y. H. Effect of body position on gastric emptying in the neonate. Arch Dis Child. 1975 Jul;50(7):500–504. doi: 10.1136/adc.50.7.500. [DOI] [PMC free article] [PubMed] [Google Scholar]

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