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Short- and medium-term reproducibility of gastric emptying of a solid meal determined by a low dose of ^(13)c-octanoic acid and nondispersive isotope-selective infrared spectrometry

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World Journal of Gastroenterology 2006年第8期12卷 1243-1248页

作者： Anna Kasicka-Jonderko Magdalena Kami■ska Krzysztof Jonderko Olga Setera Barbara Blo■ska-Fajfrowska Department of Basic Biomedical Science.School of Pharmacy Medical University of SilesiaSosnowiecPoland Department of Basic Biomedical Science.School of Pharmacy Medical University of SilesiaSosnowiecPoland Department of PhysiologyInstitute of Occupational Medicine and Environmental HealthSosnowiecPoland

AIM： To evaluate the reproducibility of a modified 13^c breath test-based measurement of solid phase gastric emptying （GE） within the frames of a simple-repeated measure study protocol. METHODS： Twelve healthy subjects （6 females and 6 males, mean age 24.9＋0.7 years） were recruited to undergo three identical GE examinations. In six subjects the first two examinations were performed 2 d apart, and the third session was carried out at a median interval of 19.5 d （range 18 - 20 d） from the second one. In another six subjects the first two measurements were taken 20 d apart （median, range： 17-23 d）, whereas the third session took place 2 d after the second one. Probes of expiratory air collected before and during six hours after intake of a solid meal （378 kcal） labelled with 75 μL （68 mg） 13^c-octanoic acid, were measured for 13^cO2 enrichment with the nondispersive isotopeselective infrared spectrometry NDIRS apparatus. RESULTS： Taking coefficients of variation for paired examinations into account, the short-term reproducibility of the GE measurement was slightly but not significantly better than the medium-term one： 7.7% and 11.2% for the lag phase （T-Lag）, 7.3% and 10.9% for the gastric half emptying time （T1/2）. The least differences in GE parameters detectable at P= 0.05 level in the 12 paired examinations were 9.6 and 15.6 min for T-Lag, 11.6 and 19.7 min for T1/2 by a two-day or two to three-week time gap, respectively cONcLUSION： The low-cost modification of the breath test involving a lower dose of 13^c-octanoic acid and NDIRS, renders good short- and medium-term reproducibility, as well as sensitivity of the measurement of gastric emptying of solids.

关键词： 13^c breath test Gastric emptying Nondispersive isotope-selective infrared spectrometry 13^c-octanoic acid Reproducibility

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