Gastric antral dysrhythmias in children with chronic idiopathic intestinal pseudoobstruction

Title

Gastric antral dysrhythmias in children with chronic idiopathic intestinal pseudoobstruction

Creator

Devane SP; Ravelli AM; Bisset WM; Smith VV; Lake BD; Milla PJ

Publisher

Gut

Date

1992

Subject

Child; Preschool; Non-U.S. Gov't; infant; Human; Support; Adolescence; Manometry; Gastrointestinal Motility/ph [Physiology]; Intestinal Pseudo-Obstruction/pp [Physiopathology]; Pyloric Antrum/pp [Physiopathology]; Electrophysiology; Ileum/pa [Pathology]; Intestinal Pseudo-Obstruction/di [Diagnosis]; Intestinal Pseudo-Obstruction/pa [Pathology]; Intestine; Large/pa [Pathology]

Description

Chronic idiopathic intestinal pseudoobstruction is a serious disorder of intestinal neuromuscular function resulting in recurrent episodes of intestinal obstruction, and is caused by primary disease of the enteric nerves or enteric smooth muscle. Gastric electrical control activity detected by the non-invasive technique of surface electrogastrography was investigated in 11 children (0.1-16 years) with proven chronic idiopathic intestinal pseudoobstruction (four with known disease of the enteric nerves, three with disease of smooth muscle cells, and four without defined pathology), to determine whether abnormalities were present and whether these were useful in detecting the underlying pathology. Abnormalities were present in eight of 11 patients. Persistent tachygastria (electrical control activity frequency > 5 cycles/minute) was found in three patients, all with a proven neuropathy. A continuously irregular frequency was found in five patients, three with a proven myopathy and two with undefined pathology. A normal electrical control activity frequency was present in three patients, one with a proven neuropathy and two with undefined pathology. It is suggested that this non-invasive technique may provide a useful screening test of the pathophysiological basis of the functional obstruction in children with chronic idiopathic intestinal pseudoobstruction.
1992

Rights

Article information provided for research and reference use only. PedPalASCNET does not hold any rights over the resource listed here. All rights are retained by the journal listed under publisher and/or the creator(s).

Type

Journal Article

Citation List Month

Backlog

Pages

1477-1481

Issue

11

Volume

33

Citation

Devane SP; Ravelli AM; Bisset WM; Smith VV; Lake BD; Milla PJ, “Gastric antral dysrhythmias in children with chronic idiopathic intestinal pseudoobstruction,” Pediatric Palliative Care Library, accessed May 28, 2022, https://pedpalascnetlibrary.omeka.net/items/show/11891.

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