Artículos de revistas
Gastric Emptying Study By Scintigraphy In Patients With Chronic Renal Failure [estudo Do Esvaziamento Gástrico Por Cintilografia Em Pacientes Com Insuficiência Renal Crônica]
Registro en:
Revista Brasileira De Anestesiologia. , v. 62, n. 1, p. 39 - 47, 2012.
347094
10.1016/S0034-7094(12)70101-0
2-s2.0-84855879266
Autor
Hirata E.S.
Mesquita M.A.
Filho G.A.
Camargo E.E.
Institución
Resumen
Background and objectives: This study had the purpose of studying gastric emptying in patients with chronic renal failure. Material and method: Thirty patients with chronic renal failure were studied, 16 in conservative clinical treatment and 14 in hemodialysis for over six months. The control group (CTL) was composed of 18 asymptomatic volunteers. The method of gastric emptying study was scintigraphy. The standardized test meal was an omelet of three chicken eggs prepared with colloidal sulfur marked with 185 MBq of 99m technetium. Gastric retention curves were studied and T of gastric emptying was obtained from them. A T value corresponding to the average of T values of control group plus twice standard deviation was considered nornmal. Statistical tests used were χ2 and Kruskal-Wallis. Results: There was no statistically significant difference with regard to total gastric retention curves and T of gastric emptying, which was similar in three studied groups. Nine patients had high T of gastric emptying, above 125 minutes. These patients were equally distributed among both genders and conservative clinical treatment and hemodialysis groups. Conclusions: We concluded that gastric retention rate and T of gastric emptying in patients with chronic renal failure in conservative clinical treatment and hemodialysis does not differ from the healthy patients group. Hemodialysis does not seem to reduce the risk of gastric retention in patients with chronic renal failure. © 2012 Elsevier Editora Ltda. 62 1 39 47 Goldstein, H., Murphy, D., Sokol, A., Gastric acid secretion in patients undergoing chronic dialysis (1967) Arch Intern Med, 120, pp. 645-653 Brown-Cartwright, D., Smith, H.J., Feldman, M., Gastric emptying of an indigestible solid in patients with end-stage renal disease on continuous ambulatory peritoneal dialysis (1988) Gastroenterology, 95, pp. 49-51 Strid, H., Simrén, M., Stotzer, P.O., Delay in gastric emptying in patients with chronic renal failure (2004) Scand J Gastroenterol, 39, pp. 516-520 Dimitrascu, D.L., Barnet, J., Kirschner, T., Astral emptying of semisolid meal measured by real-time ultrasonography in chronic renal failure (1995) Dig Dis Sci, 40, pp. 636-644 Ravelli, A.M., Gastrointestinal function in chronic renal failure (1995) Pediatr Nephrol, 9, pp. 756-762 Dimitrascu, D.L., Barnet, J., Kirchner, T., Delayed gastric emptying in non-diabetic chronic renal failure (CRF): evidence of «uremic gastroparesis » (1993) Gastroenterology, 104 (4), pp. A500. , part 2 Margolis, D.M., Saylor, J.L., Geisse, D., Upper gastrointestinal disease in chronic renal failure: a prospective evaluation (1978) Arch Inter Med, 138, pp. 1214-1217 Kallar, S.K., Everett, L.L., Potencial risks and preventive measures for pulmonary aspiration: new concepts in preoperative measures for pulmonary aspiration: new concepts in preoperative fasting guidelines (1993) Anesth. Analg., 77, pp. 171-182 Hadjiyannakis, E.J., Evans, D.B., Smellie, W.A.B., Gastrointestinal complication following renal transplantation (1971) Lancet, 2, pp. 781-785 Vantrappen, G., Methods to study gastric emptying (1994) Dig Dis Sci, 39 (SUPPL.), pp. 91S-94S Lorena, S.L.S., Tinois, E., Hirata, E.S., Estudo do esvaziamento gástrico e da distribuição intragástrica de uma dieta sólida através da cintilografia: diferença entre sexos (2000) Arq Gastroenterol, 37 (2), pp. 102-106 Knight, L.C., Parkman, H.P., Brown, K.L., Delayed gastric emptying and decreased antral contractility in normal premenopausal women compared with men (1997) Am J Gastroenterol, 92, pp. 968-975 Kumar, D., In vitro inhibitory effect of progesterone on extrauterine human smooth muscle (1962) Am J Obstet Gynecol, 84, pp. 1300-1304 Hutson, W.R., Roehrkasse, R.L., Wald, A., Influence of gender and menopause on gastric emptying and motility (1989) Gastroenterology, 96, pp. 11-17 Kao, C.H., Lai, T.L., Wang, S.J., Influence of age on gastric emptying in healthy chinese (1994) Clin Nucl Med, 19, pp. 401-404 Urbain, J.L.C., Vekemans, M.C., Bouillon, R., Characterization of gastric antral motility disturbances in diabetes using a scintigraphic technique (1993) J Nucl Med, 4, pp. 578-581 Kong, M.F., Horowitz, M., Diabetic gastroparesis (2005) Diabet Med, 22, pp. 3-18 Minami, H., McCallum, R.W., The physiology and pathophysiology of gastric emptying in humans (1984) Gastroenterology, 86, pp. 1592-1610 Urbain, J.L.C., Charkes, N.D., Recent advances in gastric emptying scintigraphy (1995) Seminars Nucl Med, 25, pp. 318-325 Fried, M., Methods to study gastric emptying (1994) Dig Dis Sci, 39 (SUPPL.), pp. 114S-115S Milito, G., Taccone-Gallucci, M., Brancaleone, C., Assessment of the upper gastrointestinal tract in hemodialisys patients awaiting renal transplantation (1983) Am J Gastroenterol, 78, pp. 328-331 de Schoenmakere, G., Vanholder, R., Rottey, S., Relationship between gastric emptying and clinical and biochemical factors in chronic haemodialysis patients (2001) Nephrol Dial Transplant, 16, pp. 1850-1855 Adachi, H., Kamiya, T., Hirako, M., Improvement of gastric motility by hemodialysis in patients with chronic renal failure (2007) J Smooth Muscle Res, 43, pp. 179-189 Kao, C.H., Hsu, Y., Wang, S.J., Delayed gastric emptying and Helicobacter pylori infection in patients with chronic renal failure (1995) Eur J Nucl Med, 22, pp. 1282-1291