Early satiety and postprandial fullness in gastroparesis correlate with gastroparesis severity, gastric emptying, and water load testing

© 2016 John Wiley & Sons Ltd..

BACKGROUND: Early satiety (ES) and postprandial fullness (PPF) are often present in gastroparesis, but the importance of these symptoms in gastroparesis has not been well-described. The aims were: (i) Characterize ES and PPF in patients with gastroparesis. (ii) Assess relationships of ES and PPF with etiology of gastroparesis, quality of life, body weight, gastric emptying, and water load testing.

METHODS: Gastroparetic patients filled out questionnaires assessing symptoms (PAGI-SYM) and quality of life (PAGI-QOL, SF-36v2). Patients underwent gastric emptying scintigraphy and water load testing.

KEY RESULTS: 198 patients with gastroparesis (134 IG, 64 DG) were evaluated. Early satiety was severe or very severe in 50% of patients. Postprandial fullness was severe or very severe in 60% of patients. Severity scores for ES and PPF were similar between idiopathic and diabetic gastroparesis. Increasing severity of ES and PPF were associated with other gastroparesis symptoms including nausea/vomiting, satiety/early fullness, bloating, and upper abdominal pain and GERD subscores. Increasing severity of ES and PPF were associated with increasing gastroparesis severity, decreased BMI, decreased quality of life from PAGI-QOL and SF-36 physical health. Increasing severity of ES and PPF were associated with increasing gastric retention of a solid meal and decreased volume during water load test.

CONCLUSIONS & INFERENCES: Early satiety and PPF are commonly severe symptoms in both diabetic and idiopathic gastroparesis. Early satiety and PPF severity are associated with other gastroparesis symptom severities, body weight, quality of life, gastric emptying, and water load testing. Thus, ES and PPF are important symptoms characterizing gastroparesis. ClinicalTrials.gov number: NCT NCT01696747.

Medienart:

E-Artikel

Erscheinungsjahr:

2017

Erschienen:

2017

Enthalten in:

Zur Gesamtaufnahme - volume:29

Enthalten in:

Neurogastroenterology and motility - 29(2017), 4 vom: 26. Apr.

Sprache:

Englisch

Beteiligte Personen:

Parkman, H P [VerfasserIn]
Hallinan, E K [VerfasserIn]
Hasler, W L [VerfasserIn]
Farrugia, G [VerfasserIn]
Koch, K L [VerfasserIn]
Nguyen, L [VerfasserIn]
Snape, W J [VerfasserIn]
Abell, T L [VerfasserIn]
McCallum, R W [VerfasserIn]
Sarosiek, I [VerfasserIn]
Pasricha, P J [VerfasserIn]
Clarke, J [VerfasserIn]
Miriel, L [VerfasserIn]
Tonascia, J [VerfasserIn]
Hamilton, F [VerfasserIn]
NIDDK Gastroparesis Clinical Research Consortium (GpCRC) [VerfasserIn]

Links:

Volltext

Themen:

Diabetic gastroparesis
Early satiety
Gastric emptying
Gastroparesis
Journal Article
Multicenter Study
Observational Study

Anmerkungen:

Date Completed 15.02.2018

Date Revised 13.11.2018

published: Print-Electronic

ClinicalTrials.gov: NCT01696747

Citation Status MEDLINE

doi:

10.1111/nmo.12981

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM265653053