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Article: Gastric emptying in diabetic and non-diabetic patients on continuous ambulatory peritoneal dialysis

TitleGastric emptying in diabetic and non-diabetic patients on continuous ambulatory peritoneal dialysis
Authors
KeywordsAnorexia
Continuous Ambulatory Peritoneal Dialysis
Diabetes Mellitus
Gastric Motility
Radionuclide Techniques
Issue Date1997
PublisherBlackwell Publishing Asia. The Journal's web site is located at http://www.blackwellpublishing.com/journals/NEP
Citation
Nephrology, 1997, v. 3 n. 2, p. 159-162 How to Cite?
AbstractAs anorexia is common in continuous ambulatory peritoneal dialysis (CAPD) particularly in diabetic patients, we conducted this study to investigate gastric motility and the effect of 2 L of intraperitoneal dialysate in diabetic (DM) and non-diabetic (NDM) CAPD patients. A standard test meal labeled with technetium-99m was given after an overnight fast to 11 DM and 10 asymptomatic NDM CAPD patients (matched for age and sex) on two occasions, each 1 week apart, with an empty (postdrainage) and 2 L dialysate- filled (pre-drainage) peritoneal cavity. Serial anterior images of the abdomen were taken in a standard manner for up to 2 h. The percentage of radioactivity retained at the end of 2 h (%2h), half emptying time (ET( 1/4 )), and emptying rate (ER) were determined. These three parameters were also obtained from six normal individuals matched for age and sex. The mean age was 53.9 for NDM and 54 for DM patients; the mean dialysis duration was 37.9 and 22.3 months, respectively. The mean age in the control group was 49.5. Comparing the DM and NDM groups individually and with the control group, there were no statistical differences in the three gastric emptying parameters, but the latter were slightly more often abnormal in DM (8) than in NDM (6) patients. There was also a significant difference in the fractional changes of all three parameters pre- and postdrainage in the DM group, but not in the NDM group. We conclude that gastric emptying is impaired in the presence of peritoneal dialysate in DM but not in NDM patients. These findings may explain the higher prevalence of anorexia among DM CAPD patients.
Persistent Identifierhttp://hdl.handle.net/10722/163426
ISSN
2015 Impact Factor: 1.796
2015 SCImago Journal Rankings: 0.894
References

 

DC FieldValueLanguage
dc.contributor.authorTang, Sen_US
dc.contributor.authorLo, WKen_US
dc.contributor.authorHui, WMen_US
dc.contributor.authorYeung, Hen_US
dc.contributor.authorLai, KCen_US
dc.contributor.authorCheng, IKPen_US
dc.date.accessioned2012-09-05T05:31:13Z-
dc.date.available2012-09-05T05:31:13Z-
dc.date.issued1997en_US
dc.identifier.citationNephrology, 1997, v. 3 n. 2, p. 159-162en_US
dc.identifier.issn1320-5358en_US
dc.identifier.urihttp://hdl.handle.net/10722/163426-
dc.description.abstractAs anorexia is common in continuous ambulatory peritoneal dialysis (CAPD) particularly in diabetic patients, we conducted this study to investigate gastric motility and the effect of 2 L of intraperitoneal dialysate in diabetic (DM) and non-diabetic (NDM) CAPD patients. A standard test meal labeled with technetium-99m was given after an overnight fast to 11 DM and 10 asymptomatic NDM CAPD patients (matched for age and sex) on two occasions, each 1 week apart, with an empty (postdrainage) and 2 L dialysate- filled (pre-drainage) peritoneal cavity. Serial anterior images of the abdomen were taken in a standard manner for up to 2 h. The percentage of radioactivity retained at the end of 2 h (%2h), half emptying time (ET( 1/4 )), and emptying rate (ER) were determined. These three parameters were also obtained from six normal individuals matched for age and sex. The mean age was 53.9 for NDM and 54 for DM patients; the mean dialysis duration was 37.9 and 22.3 months, respectively. The mean age in the control group was 49.5. Comparing the DM and NDM groups individually and with the control group, there were no statistical differences in the three gastric emptying parameters, but the latter were slightly more often abnormal in DM (8) than in NDM (6) patients. There was also a significant difference in the fractional changes of all three parameters pre- and postdrainage in the DM group, but not in the NDM group. We conclude that gastric emptying is impaired in the presence of peritoneal dialysate in DM but not in NDM patients. These findings may explain the higher prevalence of anorexia among DM CAPD patients.en_US
dc.languageengen_US
dc.publisherBlackwell Publishing Asia. The Journal's web site is located at http://www.blackwellpublishing.com/journals/NEPen_US
dc.relation.ispartofNephrologyen_US
dc.subjectAnorexiaen_US
dc.subjectContinuous Ambulatory Peritoneal Dialysisen_US
dc.subjectDiabetes Mellitusen_US
dc.subjectGastric Motilityen_US
dc.subjectRadionuclide Techniquesen_US
dc.titleGastric emptying in diabetic and non-diabetic patients on continuous ambulatory peritoneal dialysisen_US
dc.typeArticleen_US
dc.identifier.emailTang, S:scwtang@hku.hken_US
dc.identifier.authorityTang, S=rp00480en_US
dc.description.naturelink_to_subscribed_fulltexten_US
dc.identifier.scopuseid_2-s2.0-8244236420en_US
dc.relation.referenceshttp://www.scopus.com/mlt/select.url?eid=2-s2.0-8244236420&selection=ref&src=s&origin=recordpageen_US
dc.identifier.volume3en_US
dc.identifier.issue2en_US
dc.identifier.spage159en_US
dc.identifier.epage162en_US
dc.publisher.placeAustraliaen_US
dc.identifier.scopusauthoridTang, S=7403437082en_US
dc.identifier.scopusauthoridLo, WK=7201502414en_US
dc.identifier.scopusauthoridHui, WM=7103196477en_US
dc.identifier.scopusauthoridYeung, H=25230600500en_US
dc.identifier.scopusauthoridLai, KC=7402135595en_US
dc.identifier.scopusauthoridCheng, IKP=7102537483en_US

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