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01-02-2015 | Original Contributions

Association Between Postprandial Symptoms and Gastric Emptying After Sleeve Gastrectomy

Authors: Jan S. Burgerhart, Pim W. J. van Rutte, Michela A. L. Edelbroek, Dirk N. J. Wyndaele, Johannes F. Smulders, Paul C. van de Meeberg, Peter D. Siersema, André J. P. M. Smout

Published in: Obesity Surgery | Issue 2/2015

Abstract

Background

Laparoscopic sleeve gastrectomy (LSG) is an effective bariatric procedure. However, postprandial symptoms can compromise its beneficial effect. It is not known if a changed gastric emptying and these symptoms are related. This study aimed to assess the association between postprandial symptoms and the gastric emptying pattern after LSG.

Methods

A gastric emptying study with a solid and liquid meal component was performed in the second year after LSG. Before the test, symptoms were assessed using a standardized questionnaire, and during the test, symptoms were scored on a visual analog scale (VAS). Gastric emptying results were expressed as lag phase, half time of gastric emptying (T½), and caloric emptying rate/minute.

Results

Twenty patients (14 F/6 M; age 45.6 ± 7.7 years, weight 93.4 ± 28.2 kg, BMI 31.6 ± 8.1 kg/m²) participated in this study; 13 had a low symptom score (≤9, group I), 7 a high symptom score (≥18, group II). VAS scores for epigastric pain, nausea, and belching were significantly higher in group II. Lag phase (solid) was 6.4 ± 4.5 min in group I, 7.3 ± 6.3 in group II (p = 0.94); T½ (solid) was 40.6 ± 10.0 min in group I, 34.4 ± 9.3 in group II (p = 0.27); caloric emptying rate was 3.9 ± 0.6 kcal/min in group I, 3.9 ± 1.0 kcal/min in group II (p = 0.32).

Conclusions

Patients with postprandial symptoms after LSG reported more symptoms during the gastric emptying study than patients without symptoms. However, there was no difference between gastric emptying characteristics between both groups, suggesting that abnormal gastric emptying is not a major determinant of postprandial symptoms after LSG.

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Title: Association Between Postprandial Symptoms and Gastric Emptying After Sleeve Gastrectomy
Authors: Jan S. Burgerhart
Pim W. J. van Rutte
Michela A. L. Edelbroek
Dirk N. J. Wyndaele
Johannes F. Smulders
Paul C. van de Meeberg
Peter D. Siersema
André J. P. M. Smout
Publication date: 01-02-2015
Publisher: Springer US
Published in: Obesity Surgery / Issue 2/2015
Print ISSN: 0960-8923
Electronic ISSN: 1708-0428
DOI: https://doi.org/10.1007/s11695-014-1410-z

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Association Between Postprandial Symptoms and Gastric Emptying After Sleeve Gastrectomy

Abstract

Background

Methods

Results

Conclusions

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Background

Methods

Results

Conclusions

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