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http://dx.doi.org/10.22246/jikm.2021.42.6.1173

Clinical Characteristics of Patients with Functional Dyspepsia Diagnosed as Food Retention  

Jeong, Hae-in (Dept. of Digestive Diseases, Kyung Hee University, Korean Medicine Hospital)
Lee, Hanul (Dept. of Digestive Diseases, Kyung Hee University, Korean Medicine Hospital)
Lee, Hyun-jin (Dept. of Digestive Diseases, Kyung Hee University, Korean Medicine Hospital)
Cho, Yun-jae (Dept. of Digestive Diseases, Kyung Hee University, Korean Medicine Hospital)
Han, Aram (Dept. of Digestive Diseases, Kyung Hee University, Korean Medicine Hospital)
Keum, Chang-yul (Dept. of Digestive Diseases, Kyung Hee University, Korean Medicine Hospital)
Ha, Na-yeon (Dept. of Digestive Diseases, Kyung Hee University, Korean Medicine Hospital)
Kim, Jin-sung (Dept. of Digestive Diseases, Kyung Hee University, Korean Medicine Hospital)
Publication Information
The Journal of Internal Korean Medicine / v.42, no.6, 2021 , pp. 1173-1183 More about this Journal
Abstract
Objectives: This study investigated the clinical characteristics of functional dyspepsia (FD) patients with food retention (FR) in regard to the parameters of cutaneous electrogastrography (EGG), Ryodoraku, and heart rate variability (HRV). Methods: This study reviewed the clinical records of 33 FD patients with FR who filled out the FR Questionnaire for FD (FRQ-FD) and underwent EGG for six months from March 1st, 2021. We summarized the clinical characteristics of FD patients with FR and analyzed the correlation between FRQ-FD score and parameters of EGG, Ryodoraku, and HRV. Results: FRQ-FD scores had a positive correlation with percentage of postprandial bradygastria and negative correlation with power ratio, detected on Channel 2, 3 of EGG. The total average (TA) Ryodoraku score was lower, and the high frequency density (HF) of HRV was higher than the normal value. Conclusions: The results of this study suggest that clinicians can use EGG, Ryodoraku, and HRV to increase the accuracy of diagnosing FR in FD patients.
Keywords
functional dyspepsia; food retention questionnaire; electrogastrography; EGG; clinical characteristics;
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1 Lee KJ, Kim JH, Hahm KB, Kim YS, Cho SW. Reproducibility of the Parameters Measured By Electrogastrography. The Korean Journal of Gastroenterology 1999;33(6):735-40.
2 Oh JH, Kwon JG, Jung HK, Tae CH, Song KH, Kang SJ, et al. Clinical Practice Guidelines for the Treatment of Functional Dyspepsia in Korea. Korean J Med 2021;96(2):116-38.   DOI
3 Park YC, Cho JH, Choi SM, Song CG. Analytic Study of 68 Patients with Functional Dyspepsia According To Syndrome Differentiation. Korean J Oriental Int Med 2008;29(3):574-81.
4 Koch KL, Stewart WR, Stern RM. Effect of barium meals on gastric electromechanical activity in man. A fluoroscopic-electrogastrographic study. Dig Dis Sci 1987;32(11):1217-22.   DOI
5 Committee of Pathology, National Korean Medicine College. Korean Medical Pathology. Seoul: Iljoong; 2001, p. 407.
6 Zhu WF, Gao EX, Ji SL, Wang HM, Deng ZY, et al. Textbook of traditional Chinese medical diagnosis: Etiological factors and Qi-Blood-Fluid pattern identifying method. Beijing: Ren min wei sheng chu ban she; 2002, p. 569-655.
7 Lim JS, Oh HS, Lee SH, Park YB. Developing questionnaire for pathogenesis analysis of Pyungweesan symptom. J Korea Instit Orient Med Diagn 2007;11(1):72-81.
8 Park YJ, Lim JS, Park YB. Development of a valid and reliable food retention questionnaire. Eur J Integr Med 2013;5(5):432-7.   DOI
9 Parkman HP, Hasler WL, Barnett JL, Eaker EY. Electrogastrography: a document prepared by the gastric section of the American Motility Society Clinical GI Motility Testing Task Force. Neurogastroenterol Motil 2003;15(2):89-102.   DOI
10 Kim YS, Park YB. Integrative Medicine of Ryodoraku. Seoul: Koonja publisher; 2009, p. 5-21.
11 Lim DJ, Hwang GH, Hwang JS, Cho HS, Kim KH, Kim KS. Study of the Relation of Autonomic Nerve System and Peripheral Facial Palsy by the Heart Rate Variability. Journal of Korean Acupuncture & Moxibustion Society 2005;22(6):51-60.
12 Lee TK, Choi KM, Park YJ, Park YB. A Study on the Relationship between signs and symptoms of patient and Biosignal Data from Pulse Rate Variability. The Journal of the Korea Institute of Oriental Medical Diagnostics 2003;7(2):83-100.
13 Breger RD, Saul JP, Cohen RJ. Transfer function analysis of autonomic regulation. Am J physiol 1989;256:H142-52.
14 Han G, Kim J, Park JW, Ryu B. Pattern Identification of 97 Functional Dyspepsia Patients and the Characteristics of Each Pattern Type. J Korean Oriental Med 2011;32(2):42-62.
15 Jeong HI, Kim DY, Baek SY, Lee HN, Lee HJ, Cho YJ, et al. Clinical Features of Electrogastrogram in Dyspeptic Patients with Stomach Qi Deficiency. J Int Korean Med 2020;41(3):467-77.   DOI
16 Breit S, Kupferberg A, Rogler G, Hasler G. Vagus Nerve as Modulator of the Brain-Gut Axis in Psychiatric and Inflammatory Disorders. Front Psychiatry 2018;(9):article 44.
17 Ko WH, Ha NY, Ko SJ, Park JW, Kim JS. A Clinical Study on the Relationship between Pattern and Ryodoraku Test Identifications for Patients with Functional Dyspepsia. J Int Korean Med 2019;40(3):369-89.   DOI
18 Kim YS, Ryu BH, Kim JS, Hong IA, Park YS, Jung YJ, et al. Changes in Multi-Channel Electrogastrography after Acupuncture Treatmet in Patients with Functional Dyspepsia. Korean J Oriental Physiology & Pathology 2010;24(1):152-7.
19 Yin J, Chen JDZ. Electrogastrography: Methodology Validation and Applications. J Neurogastroenterol Motil 2013;19(1):5-17.   DOI
20 Talley NJ, Ford AC. Functional Dyspepsia. N Engl J Med 2015;373(10):1853-63.   DOI
21 Ko SJ, Kim JS, Park JW, Ha NY. Korean Medicine Clinical Practice Guideline for Functional Dyspepsia. National Institue for Korean Medicine Development; 2020.
22 Kim GM, Woo JM. Determinants for Heart Rate Variability in a Normal Korean Population. J Korean Med Sci 2011;26(10):1293-8.   DOI
23 Hwang MN, Ha NY, Ko SJ, Park JW, Kim JS. Development of a Food Retention Questionnaire for Functional Dyspepsia and the Analysis of Its Reliability and Validity. J Int Korean Med 2019;40(3):390-408.   DOI
24 Haa SY, Kim MY, Park YJ, Park YB. A study on the characteristics of electrogastrography according to the heat-cold patternization. Journal of the Korea Institute of Oriental Medical Diagnostics 2008;12(1):131-41.
25 Ryu JM, Yoon SH, Lim JH, Han SY, Jang SY, Lee HK, et al. The Usefulness of Electrogastrography on the Differential Diagnosis of Deficiency or Excess Condition in Patients with Functional Dyspepsia. Korean J Oriental Int Medicine 2004;25(4):346-55.
26 Jeong HD, Yoon SH, Kim JS, Ryu BH, Ryu KY. Relationship between Gastric Motility and Health Condition Graded by Total Symptom Scores in Comprehensive Diagnosis of Qui Xue Shui in Functional Dyspeptic Patients. Korean J Oriental Int Med 2004;25(4):158-66.
27 Kim SY, Hang CW, Park SH, Kwon JN, Lee I, Hong JW, et al. Correlation Study between Electrogastrography and Heart Rate Variability in Dyspeptic Patients. Korean J Oriental Physiology & Pathology 2012;26(4):532-8.