Saudi Journal of Gastroenterology
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ORIGINAL ARTICLE
Year : 2012  |  Volume : 18  |  Issue : 1  |  Page : 40-43

Measuring of gastric emptying in Egyptian pediatric patients with portal hypertension by using real-time ultrasound


1 Department of Pediatrics, Research Institute of Ophthalmology, Ain Shams University Faculty of Medicine, Egypt
2 Department of Internal Medicine, Ain Shams University Faculty of Medicine, Egypt
3 Medical Studies, Institute of Postgraduate Childhood Studies, Ain Shams University, Egypt
4 Department of Pediatrics, Mobarak Police Hospital, Egypt
5 Department of Internal Medicine Gastroenterology and Hepatology, Bani Sweif University Faculty of Medicine, Egypt
6 Department of Pediatrics, Cairo University Faculty of Medicine, Egypt

Correspondence Address:
Mona E Fahmy
Department of Pediatrics, Research Institute of Ophthalmology
Egypt
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/1319-3767.91739

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Background/Aim: Among the various methods for evaluating gastric emptying, the real-time ultrasound is safe, does not require intubation, or rely on either radiologic or radionuclide technique. The aim of our work was to measure the gastric emptying in pediatric patients with portal hypertension by using the real-time ultrasound. Patients and Methods: Forty patients with portal hypertension with mean age 7 ± 2.8 years and 20 healthy children as a control group underwent gastric emptying study by using real-time ultrasound. The cross-sectional area of the gastric antrum was measured in the fasting state and then each subject was allowed to drink tap water then calculated by using formula area (π longitudinal Χ anteroposterior diameter/4). The intragastric volume was assumed to be directly proportional to the cross-sectional area of the antrum. Results: The mean gastric emptying half-time volume was significantly delayed in portal hypertension patients (40 ± 6.8 min) compared with the control subjects (27.1 ± 3.6) min (P<0.05). Patients with extrahepatic portal vein obstruction had significant delayed gastric emptying in comparison to patients with portal hypertension due to other etiologies (36.14 ± 4.9 vs 44.41 ± 6.04 min; P<0.01). Conclusion: Ultrasound is a noninvasive and a reliable method for measuring gastric emptying in pediatric patients. Gastric emptying was significantly delayed in patients with portal hypertension. Etiology of portal hypertension may influence gastric emptying time in patients with chronic liver disease.


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