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Effect of barium meals on gastric electromechanical activity in man

A fluoroscopic-electrogastrographic study

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Abstract

The relationship between the cutaneously recorded electrogastrogram (EGG) and gastric contractions in man is unclear. We investigated: (1) the relationship between the electrogastrogram (EGG) signals and gastric contractions elicited by barium meals and (2) the effects of barium meals on frequency and amplitude of EGG signals. As documented by fluoroscopy in four healthy subjects, barium meals stimulated three per minute gastric peristalsis which corresponded with simultaneously recorded three cycle per minute (cpm) EGG waves. Eighteen other healthy volunteers ingested 45% (w/v) or 60% barium suspensions. As determined by Fourier analysis, the dominant EGG frequency before barium was 3 cpm in 16 subjects; two subjects had no distinct frequency peaks. After barium ingestion, the mean amplitude or power at 3 cpm and 1 cpm increased, but the increase was significant only after 45% barium. In conclusion: (1) individual EGG waves after barium reflect gastric peristaltic sequences, which are reflected in increases in amplitude or power of 3 cpm EGG activity; (2) density or viscosity of the barium meal affects the gastric myoelectric response; and (3) mechanical correlates of 1 cpm EEG activity are unknown.

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References

  1. Smith AWM, Code CF, Schlegel JF: Simultaneous cineradiographic and kymographic studies of human gastric antral motility. J Appl Physiol 2:12–16, 1957

    Google Scholar 

  2. Carlson HC, Code CF, Nelson, RA: Motor action of the canine gastroduodenal junction: A cineradiographic, pressure and electric study. Dig Dis Sci 2:155–172, 1966

    Google Scholar 

  3. Rhodes J, Goodall P, Apsimon HT: Mechanics of gastroduodenal emptying. Gut 7:515–520, 1966

    Google Scholar 

  4. Kwong NK, Brown BH, Whittaker GE, Duthie HL: Electrical activity of the gastric antrum in man. Br J Surg 12:913–916, 1970

    Google Scholar 

  5. Couturier D, Roze C, Paologgi J, Debray C: Electrical activity of the normal human stomach. A comparative study of recordings obtained from serosal and mucosal sides. Dig Dis Sci 17:969–976, 1972

    Google Scholar 

  6. Weber J, Kohatsu S: Pacemaker localization and electrical conduction patterns in the canine stomach. Gastroenterology 59:717–726, 1970

    Google Scholar 

  7. Kelly KA, Code CF: Canine gastric pacemaker. Am J Physiol 220:112–118, 1971

    Google Scholar 

  8. Kelly KA: Motility of the stomach and gastroduodenal function.In Physiology of the Gastrointestinal Tract. LR Johnson (ed). New York, Raven Press, 1981, pp 393–410

    Google Scholar 

  9. Brown BH, Smallwood RH, Duthie HL, Stoddard CJ: Intestinal smooth muscle electrical potentials recorded from surface electrodes. Med Biol Eng 13:97–103, 1975

    Google Scholar 

  10. Abell TL, Malagelada J-R. Glucagon-evoked gastric dysrhythmias in humans shown by an improved electrogastrographic technique. Gastroenterology 88:1932–1940, 1985

    Google Scholar 

  11. Hamilton JW, Bellahsene BE, Reichelderfer M, Webster JH, Bass P: Human electrogastrograms. Comparison of surface and mucosal recordings. Dig Dis Sci 31:33–39, 1986

    Google Scholar 

  12. Nelsen TS, Kohatsu S: Clinical electrogastrography and its relationship to gastric surgery. Am J Surg 116:215–222, 1968

    Google Scholar 

  13. Smout AJPM, van der Schee EJ, Grashuis JL: What is measured in electrogastrography? Dig Dis Sci 25:179–187, 1980

    Google Scholar 

  14. van der Schee EJ, Smout AJPM, Grashuis JL: Application of running spectral analysis to electrogastrographic signals recorded from dog and man.In Motility of the Digestive Tract. M Weinbeck (ed). New York, Raven Press, 1982, pp 241–250

    Google Scholar 

  15. van der Schee EJ, Grashuis JL: Contraction-related, lowfrequency components in canine electrogastrographic signals. Am J Physiol 245:G470-G475, 1983

    Google Scholar 

  16. Holzl R, Loffler K, Muller GM: On conjoint gastrography or what the surface astrograms show.In Electrogastrography: Methodology, Validation and Applications. RM Stern, KL Koch (eds). New York: Praeger, 1985, pp 89–115

    Google Scholar 

  17. Stern RM: Recording the electrogastrogram.In Electrogastrography: Methodology, Validation and Applications. RM Stern, KL Koch (eds). New York: Praeger, 1985, pp 19–28

    Google Scholar 

  18. Dixon, WJ (ed.). BMDP Statistical Software. Los Angeles, University of California Press, 1983

    Google Scholar 

  19. Jennings JR, Wood CC: The epsilon-adjustment procedure for repeated-measures analysis of variance. Psychophysiology 13:277–278, 1976

    Google Scholar 

  20. Russell J, Bass J: Canine gastric emptying of fiber meals: Influence of meal viscosity and antroduodenal motility. Am J Physiol 249:G662-G667, 1985

    Google Scholar 

  21. Meyer JH, Gu YG, Dressman J, Amidon G: Effect of viscosity and flow rate on gastric emptying of solids. Gastroenterology 88:1501, 1985 (abstract)

    Google Scholar 

  22. Prove J, Ehrlein JH: Motor function of gastric antrum and pylorus for evacuation of low and high viscosity meals in dogs. Gut 23:150–156, 1982

    Google Scholar 

  23. Miller RE: Barium sulfate suspensions. Radiology 84:241–251, 1965

    Google Scholar 

  24. Lind JF, Duthie HL, Schlegel JF, Code CF: Motility of the gastric fundus. Am J Physiol 201(1):197–202, 1961

    Google Scholar 

  25. Azpiroz F, Malagelada J-R: Pressure activity patterns in the canine proximal stomach: response to distension. Am J Physiol 247:G265-G272, 1984

    Google Scholar 

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Koch, K.L., Stewart, W.R. & Stern, R.M. Effect of barium meals on gastric electromechanical activity in man. Digest Dis Sci 32, 1217–1222 (1987). https://doi.org/10.1007/BF01296369

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  • DOI: https://doi.org/10.1007/BF01296369

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