Skip to main content
Log in

Ultrasonographic evaluation of gastric emptying in normal children and children after pyloromyotomy

  • Original Article
  • Published:
Pediatric Surgery International Aims and scope Submit manuscript

Abstract

Gastric emptying in the fundus, body, and antrum of the stomach was evaluated by ultrasonography (US) in 41 control children aged 2 to 18 years and 30 patients aged 1 to 19 years who had undergone pyloromyotomy because of hypertrophic pyloric stenosis. The gastric emptying curve decreased in an exponential manner for both control children and patients, while there was no significant difference in gastric emptying time (GET) between control children and patients within any of the age groups. However, GET was faster for younger children in both groups. An X-ray contrast study of the stomach performed in 2 patients who showed markedly delayed GET showed delayed gastric emptying but no significant deformities of the prepylorus. Our results suggest that US is a reliable method of measuring GET in children.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  1. Bateman DN, Whittingham TA (1982) Measurement of gastric emptying by real-time ultrasound. Gut 23: 524–527

    Google Scholar 

  2. Bolondi L, Bortolotti M, Santi V, Calletti T, Gaiani S, Labò G (1985) Measurement of gastric emptying time by real-time ultrasonography. Gastroenterology 89: 752–759

    Google Scholar 

  3. Elashoff JD, Reedy TJ, Meyer JH (1982) Analysis of gastric emptying data. Gastroenterology 83: 1306–1312

    Google Scholar 

  4. George JD (1968) New clinical method for measuring the rate of gastric emptying: the double sampling test meal. Gut 9: 237–242

    Google Scholar 

  5. Herrmann K, Schickedang H (1968) Radiological findings of the stomach in late follow-up studies of children who have undergone pyloromyotomy. Z Kinderchir 6: 34–38

    Google Scholar 

  6. Horton RF, Ross FGM, Darling GN (1965) Determination of the emptying time of the stomach by use of enteric coated barium granules. BMJ 1: 1537–1539

    Google Scholar 

  7. Lambrecht L, Robberecht E, Deschynkel K, Afschrift M (1988) Ultrasonic evaluation of gastric clearing in young infants. Pediatr Radiol 18: 314–318

    Google Scholar 

  8. LiVoti G, Tulone V, Bruno R, Cataliotti F, Iacono G, Cavataio F, Balsamo V (1992) Ultrasonography and gastric emptying: Evaluation in infants with gastroesophageal reflux. J Pediatr Gastroenterol Nutr 14: 397–399

    Google Scholar 

  9. Sakurada M, Oikawa N, Imai N, Yoda B, Toyota T, Goto Y, Abe Y, Kikuchi H (1985) Gastric emptying time measured by simple two-step ultrasonographic method in diabetic patients. J Japan Diab Soc 28: 739–745

    Google Scholar 

  10. Signer E, Fridrich R (1975) Gastric emptying in newborns and young infants. Measurement of the rate of emptying using indium-113 m-microcolloid. Acta Paediatr Scand 64: 525–530

    Google Scholar 

  11. Solowiejczyk M, Holtzman M, Michowitz M (1980) Congenital hypertrophic pyloric stenosis: A long-term follow-up of 41 cases. Am Surg 46: 567–571

    Google Scholar 

  12. Tam PKH, Saing H, Koo J, Wong J, Ong GB (1985) Pyloric function five to eleven years after Ramstedt's pyloromyotomy. J Pediatr Surg 20: 236–239

    Google Scholar 

  13. Vilmann P, Hjortrup A, Altmann P, Andersen FH, Sorensen C (1986) A long-term gastrointestinal follow-up in patients operated on for congenital hypertrophic pyloric stenosis. Acta Paediatr Scand 75: 156–158

    Google Scholar 

  14. Wanscher B, Jensen HE (1971) Late follow-up studies after operation for congenital pyloric stenosis. Scand J Gastroenterol 6: 597–599

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Rights and permissions

Reprints and permissions

About this article

Cite this article

Asai, A., Takehara, H., Harada, M. et al. Ultrasonographic evaluation of gastric emptying in normal children and children after pyloromyotomy. Pediatr Surg Int 12, 344–347 (1997). https://doi.org/10.1007/BF01076935

Download citation

  • Accepted:

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF01076935

Key words

Navigation