Gastric emptying: a comparison of three methods

Scand J Gastroenterol. 2007 Oct;42(10):1182-6. doi: 10.1080/00365520701370922.

Abstract

Objective: A better understanding of the clinical relevance of delayed gastric emptying (e.g. in diabetes) requires a simple, easily accessible and inexpensive method for measuring it. Two "new" methods for measuring gastric emptying of liquids (the paracetamol absorption test and the 13C-acetate breath test) are compared with the gold standard (gastric emptying scintigraphy (GES)).

Material and methods: The three techniques were used simultaneously in 10 healthy subjects. A gastric emptying time-retention curve was drawn for each technique and the results were compared at the 75%, 50% and 25% retention quartiles.

Results: Agreement was found between the paracetamol absorption test and GES (p=0.95; Hotelling's T 2 test). Using the Wagner-Nelson one compartment correction produced a retention curve for the 13C-acetate breath test statistically significantly below GES (p<0.01).

Conclusion: In healthy subjects, the paracetamol absorption test produced results comparable to those of liquid GES, but not to the results of the 13C-acetate breath test.

MeSH terms

  • Acetaminophen / pharmacokinetics*
  • Adult
  • Breath Tests
  • Carbon Isotopes / analysis
  • Eating
  • Female
  • Gastric Emptying / physiology*
  • Humans
  • Intestinal Absorption
  • Male
  • Middle Aged
  • Radionuclide Imaging
  • Reference Values
  • Stomach / diagnostic imaging*
  • Time Factors

Substances

  • Carbon Isotopes
  • Acetaminophen