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Disorder of Gastric Myoelectric Activity in Patients with Cerebral Infarction:Electrogastrographic Assessment Fumihiko KINEKAWA 1,2 , Noboru SASAOKA 3 , Kazuya MATSUDA 4 , Yuko KITA 5 , Ryoichi OKURA 1 , Ryota NAKABAYASHI 1,6 , Akiko OHARA 1 , Katsuyuki NAKAO 1 , Toshihiko INOUE 1 , Michiaki TOKUDA 1 , Yohei KOKUDO 7 , Tsutomu MASAKI 7 1Department of Internal Medicine, Sanuki Municipal Hospital 2Department of Gastroenterology, The TAIJYU-KAI Foundation(Social Medical Corporation)Kaisei General Hospital 3Department of Neurosurgery, Sanuki Municipal Hospital 4Department of Internal Medicine, Matsuda Clinic 5Department of Inflammatory Bowel Disease, Division of Internal Medicine, Hyogo College of Medicine 6Postgraduate Education Center, Kagawa University Hospital 7Department of Gastroenterology and Neurology, Faculty of Medicine, Kagawa University Keyword: cerebral infarction , NIHSS , electrogastrography , motility of the stomach , Gastrointestinal Symptom Rating Scale(GSRS) pp.575-582
Published Date 2017/7/10
DOI https://doi.org/10.11477/mf.1436203554
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 In this study, gastric myoelectric activity in patients with acute cerebral infarction was investigated using electrogastrography. The patients were divided into four groups;those with mild brainstem infarction(group A, n=13, men:8, women:5, 75±2 years old), severe brainstem infarction(group B, n=6, men:4, women:2, 79±4 years old), mild non-brainstem infarction(group C, n=14, men:7, women:7, 76±3 years old), and severe non-brainstem infarction(group D, n=9, men:3, women:6, 87±2 years old). In group B, the% ratio of normogastria(2.4-3.6 cycles per minute)was significantly lower in the fasting period. The dominant power(DP)significantly increased after the meal in group C, but did not in group A, compared to before the meal. The DP increased in all patients in group C after the meal, whereas it increased in only five of ten patients in group A. The possibility of gastric dysfunction should be considered in patients with brainstem infarction.


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電子版ISSN 1882-1251 印刷版ISSN 0301-2603 医学書院

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