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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
9
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pubmed:dateCreated |
1989-10-12
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pubmed:abstractText |
We measured gastric emptying and gastric myoelectrical activity with solid-phase gastric-emptying tests and cutaneously recorded electrogastrograms (EGGs), respectively, in six insulin-dependent diabetic patients with nausea and vomiting who did not respond to standard treatments. Baseline solid phase gastric emptying was markedly delayed (78 +/- 8% retained at 120 min) and EGG recordings revealed gastric dysrhythmias; tachygastria (4-9 cpm signals) in one patient, 1- to 2-cpm waves in two patients, and flatline patterns in three patients. No patient had a normal 3-cpm EGG pattern. After 6 months of domperidone treatment, mean upper gastrointestinal symptoms scores decreased from 17.8 to 3.7 (p less than 0.01), and normal 3-cpm EGG frequencies were recorded from each of the six patients. The mean percentage of meal retained at 120 min decreased but did not improve significantly. Thus, establishment of normal 3-cpm gastric myoelectric activity and resolution of dysrhythmias, not normalization of emptying rates, was associated with improvement in upper gastrointestinal symptoms in these diabetic patients.
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:chemical | |
pubmed:status |
MEDLINE
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pubmed:month |
Sep
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pubmed:issn |
0002-9270
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
84
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
1069-75
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pubmed:dateRevised |
2004-11-17
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pubmed:meshHeading |
pubmed-meshheading:2773901-Adult,
pubmed-meshheading:2773901-Aged,
pubmed-meshheading:2773901-Diabetes Mellitus, Type 1,
pubmed-meshheading:2773901-Domperidone,
pubmed-meshheading:2773901-Electrophysiology,
pubmed-meshheading:2773901-Female,
pubmed-meshheading:2773901-Gastric Emptying,
pubmed-meshheading:2773901-Humans,
pubmed-meshheading:2773901-Male,
pubmed-meshheading:2773901-Middle Aged,
pubmed-meshheading:2773901-Paralysis,
pubmed-meshheading:2773901-Prospective Studies,
pubmed-meshheading:2773901-Stomach,
pubmed-meshheading:2773901-Stomach Diseases
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pubmed:year |
1989
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pubmed:articleTitle |
Gastric emptying and gastric myoelectrical activity in patients with diabetic gastroparesis: effect of long-term domperidone treatment.
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pubmed:affiliation |
Department of Medicine, Pennsylvania State University, Hershey.
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pubmed:publicationType |
Journal Article
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