DOI QR코드

DOI QR Code

Clinical Application of Electrogastrography in Patients with Stomach Cancer Who Undergo Distal Gastrectomy

  • Kim, Ho Yeun (Department of Surgery, Kyung Hee University School of Medicine) ;
  • Park, Sun Jin (Department of Surgery, Kyung Hee University School of Medicine) ;
  • Kim, Yong Ho (Department of Surgery, Kyung Hee University School of Medicine)
  • Received : 2014.03.03
  • Accepted : 2014.03.26
  • Published : 2014.03.31

Abstract

Purpose: Electrogastrography is a method of measuring action potentials of the stomach. The purpose of this study was to investigate early postoperative changes in the electrogastrography and determine the correlation between electrogastrography and quality of life of patients with stomach cancer who underwent distal gastrectomy. Materials and Methods: This study analyzed 20 patients with stomach cancer who underwent electrogastrography and quality of life was measured 1, 12, and 24 weeks after the operation. Quality of life-C30 version 3.0 and quality of life-STO22, were used. Results: Fasting and postprandial mean dominant frequency at 1 week after the operation was 2.7 and 2.7 cycles per minute, and 2.8 and 2.7 cycles per minute at 12 weeks, 2.6 and 2.8 cycles per minute at 24 weeks. Fasting and postprandial mean dominant power at 1 week was 36.5 and 36.4 dB, 36.3 and 40.1 dB at 12 weeks and 40.9 and 42.3 dB at 24 weeks. The percentage of tachygastria was increased whereas the percentage of bradygradia was decreased during the postoperative periods (P<0.05). Global health, physical, emotional and social functioning scales were improved, but role and cognitive functioning were not changed. Pain, insomnia, diarrhea and financial difficulties were significantly improved according to the postoperative periods (P<0.05). The correlation between the STO22 and electrogastrography parameters was not significant (P>0.05). Conclusions: These may suggest that electrogastrography is a simple and noninvasive method and may be applicated for evaluating motility and autonomic functions of the remnant stomach.

Keywords

References

  1. Quigley EMM. Gastric motor and sensory function and motor disorders of the stomach. In: Feldman M, Friedman LS, Brandt LJ, eds. Sleisenger & Fordtran's Gastrointestinal and Liver Disease Pathophysiology/Diagnosis/Management. 8th ed. Philadelphia: WB Saunders/Elsevier, 2006:999-1028.
  2. Parkman HP, Hasler WL, Barnett JL, Eaker EY; American Motility Society Clinical GI Motility Testing Task Force. Electrogastrography: a document prepared by the gastric section of the American Motility Society Clinical GI Motility Testing Task Force. Neurogastroenterol Motil 2003;15:89-102. https://doi.org/10.1046/j.1365-2982.2003.00396.x
  3. Alvarez WC. The electrogastrogram and what it shows. JAMA 1922;78:1116-1119. https://doi.org/10.1001/jama.1922.02640680020008
  4. Yin J, Chen JD. Roles of interstitial cells of Cajal in regulating gastrointestinal motility: in vitro versus in vivo studies. J Cell Mol Med 2008;12:1118-1129. https://doi.org/10.1111/j.1582-4934.2008.00352.x
  5. Smout AJPM, Jebbink HJA, Samson JM. Acquisition and analysis of electrogastrographic data, the Dutch experience. In: Chen JZ, McCallum RW, eds. Electrogastrography, Principles and Applications. New York: Raven Press, 1994:3-30.
  6. Chang FY. Electrogastrography: basic knowledge, recording, processing and its clinical applications. J Gastroenterol Hepatol 2005;20:502-516. https://doi.org/10.1111/j.1440-1746.2004.03751.x
  7. Hinder RA, Kelly KA. Human gastric pacesetter potential. Site of origin, spread, and response to gastric transection and proximal gastric vagotomy. Am J Surg 1977;133:29-33. https://doi.org/10.1016/0002-9610(77)90187-8
  8. Sarna SK, Bowes KL, Daniel EE. Gastric pacemakers. Gastroenterology 1976;70:226-231.
  9. Chen JD, McCallum RW. Clinical applications of electrogastrography. Am J Gastroenterol 1993;88:1324-1336.
  10. Chen JD, Richards RD, McCallum RW. Identification of gastric contractions from the cutaneous electrogastrogram. Am J Gastroenterol 1994;89:79-85.
  11. Sun WM, Smout A, Malbert C, Edelbroek MA, Jones K, Dent J, et al. Relationship between surface electrogastrography and antropyloric pressures. Am J Physiol 1995;268:G424-G430.
  12. van Dielen FM, de Cock AF, Daams F, Brummer RJ, Greve JW. Gastric myoelectrical activity in morbidly obese patients before and 3 months after gastric restrictive surgery. Obes Surg 2003;13:721-727. https://doi.org/10.1381/096089203322509282
  13. Richter HM 3rd. Physiologic consequences of vagotomy and gastric resection. Gastroenterol Clin North Am 1994;23:193-213.
  14. Mackay S, Hayes T, Yeo A. Management of gastric cancer. Aust Fam Physician 2006;35:208-211.
  15. Houghton J, Wang TC. Tumors of the stomach. In: Feldman M, Friedman LS, Brandt LJ, eds. Sleisenger & Fordtran's Gastrointestinal and Liver disease, Pathophysiology/Diagnosis/ Management. 8th ed. Philadelphia: WB Saunders/Elsevier, 2006:1139-1170.
  16. Carter DC. Carcinoma of the stomach and other tumors. In: Shearman DJC, Finlayson N, Camilleri M, Carter SD, eds. Diseases of the Gastrointestinal Tract and Liver. 3rd ed. New York: Churchill Livingstone, 1997:293-322.
  17. Zhang Q, Yu JC, Ma ZQ, Kang WM, Ke MY, Qian JM. The effects of enteral nutrition vs parenteral nutrition on gastric motility and gastroenteric hormones after subtotal gastrectomy: a perspective randomized compared clinical trial. Zhonghua Wai Ke Za Zhi 2006;44:728-732.
  18. Lee HF, Chang FY, Lu CL, Luo JC, Chen CY, Wu HC. Electrogastrographic characteristics in subjects with stomach remnant. J Gastroenterol Hepatol 2010;25:339-344. https://doi.org/10.1111/j.1440-1746.2009.06038.x
  19. Homma S, Kobayashi Y, Kosugi S, Ohashi M, Kanda T, Okamoto H, et al. Postoperative reorganization of gastric pacemaker activity in patients after an extended period following distal gastrectomy. J Smooth Muscle Res 2008;44:113-122. https://doi.org/10.1540/jsmr.44.113
  20. Imai K, Sakita M. Preand postoperative electrogastrography in patients with gastric cancer. Hepatogastroenterology 2005;52:639-644.
  21. Hayashi T, Kinami S, Fushida S, Fujimura T, Miwa K, Inoue K. Evaluation of residual stomach motility after proximal gastrectomy for gastric cancer by electrogastrography. Dig Dis Sci 2006;51:268-273. https://doi.org/10.1007/s10620-006-3123-1
  22. Koch KL. Electrogastrography: physiological basis and clinical application in diabetic gastropathy. Diabetes Technol Ther 2001;3:51-62. https://doi.org/10.1089/152091501750220019
  23. Camilleri M, Hasler WL, Parkman HP, Quigley EM, Soffer E. Measurement of gastrointestinal motility in the GI laboratory. Gastroenterology 1998;115:747-762. https://doi.org/10.1016/S0016-5085(98)70155-6
  24. Riezzo G, Chiloiro M, Guerra V. Electrogastrography in healthy children: evaluation of normal values, influence of age, gender, and obesity. Dig Dis Sci 1998;43:1646-1651. https://doi.org/10.1023/A:1018894511181
  25. Cheung B, Vaitkus P. Perspectives of electrogastrography and motion sickness. Brain Res Bull 1998;47:421-431. https://doi.org/10.1016/S0361-9230(98)00095-1
  26. You CH, Chey WY, Lee KY, Menguy R, Bortoff A. Gastric and small intestinal myoelectric dysrhythmia associated with chronic intractable nausea and vomiting. Ann Intern Med 1981;95:449-451. https://doi.org/10.7326/0003-4819-95-4-449
  27. van der Schee EJ, Grashuis JL. Contraction-related, lowfrequency components in canine electrogastrographic signals. Am J Physiol 1983;245:G470-G475.
  28. Bracci F, Matarazzo E, Mosiello G, Caione P, Cianchi D, Ponticelli A. Preliminary report of electrogastrography in pediatric gastroresection: can it be predictive of alteration of gastric motility? J Pediatr Surg 2001;36:1157-1159. https://doi.org/10.1053/jpsu.2001.25735
  29. Bures J, Kabelac K, Kopacova M, Vorisek V, Siroky M, Palicka V, et al. Electrogastrography in patients with Roux-en-Y reconstruction after previous Billroth gastrectomy. Hepatogastroenterology 2008;55:1492-1496.
  30. Murakami H, Matsumoto H, Kubota H, Higashida M, Nakamura M, Hirai T. Evaluation of electrical activity after vagus nerve-preserving distal gastrectomy using multichannel electrogastrography. J Smooth Muscle Res 2013;49:1-14. https://doi.org/10.1540/jsmr.49.1

Cited by

  1. Analysis of gastric myoelectrical activity from the electrogastrogram signals based on wavelet transform and line length feature vol.232, pp.4, 2014, https://doi.org/10.1177/0954411918757812
  2. Impact of spinal kyphosis on gastric myoelectrical activity in elderly patients with osteoporosis vol.40, pp.6, 2014, https://doi.org/10.2220/biomedres.40.215