Evidence map›Paper›PMID 34324088›Full record

ArticleDigestive diseases and sciences2022

Meal Eating Characteristics of Patients with Gastroparesis.

Garo G Hagopian, Kathleen P Johnson, Dariush Shahsavari, Henry P Parkman

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Article in Digestive diseases and sciences, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

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3citing papers in PubMed
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3 · Its place in the literature

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3 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

4 authors.

Garo G HagopianSection of Gastroenterology, Department of Medicine, Temple University School of Medicine, Philadelphia, PA, USA.
Kathleen P JohnsonSection of Gastroenterology, Department of Medicine, Temple University School of Medicine, Philadelphia, PA, USA.
Dariush ShahsavariSection of Gastroenterology, Department of Medicine, Temple University School of Medicine, Philadelphia, PA, USA.
Henry P ParkmanSection of Gastroenterology, Department of Medicine, Temple University School of Medicine, Philadelphia, PA, USA. henryp@temple.edu.ORCID 0000-0003-4904-4891

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPatients with gastroparesis often consume only small meals due to early satiety.

aims(1) Describe meal eating characteristics of patients with gastroparesis; (2) Relate meal eating characteristics to symptoms, gastric emptying (GE), and body weight.

methodsPatients with gastroparesis filled out questionnaires including Patient Assessment of Upper GI Symptoms (PAGI-SYM), and questionnaire about meal habits and body weight. Patients underwent gastric emptying scintigraphy.

resultsOf 192 gastroparesis patients, 93% endorsed early satiety (ES) with severity of 3.7 ± 1.5 (scored from 0-5) and 93% endorsed postprandial fullness (PPF) with severity of 3.9 ± 1.3. Time spent consuming meals averaged 13.6 ± 17.7 min. Main reasons patients stopped eating were fullness (61%), nausea (48%), and abdominal pain (31%). Time spent eating correlated inversely with severity of nausea (r = -0.18, p < 0.05), stomach fullness (r = -0.21, p < 0.01), PPF (r = -0.23, p < 0.01), loss of appetite (r = -0.34, p < 0.01). Postprandial fullness lasted for 316 ± 344 min. Duration of PPF correlated with nausea (r = 0.30, p < 0.01), retching (r = 0.29, p < 0.01), vomiting (r = 0.28, p < 0.01), stomach fullness (r = 0.33, p < 0.01), loss of appetite (r = 0.35, p < 0.01), and constipation (r = 0.27, p < 0.01). Underweight patients had increased inability to finish a normal size meal (p < 0.01), loss of appetite (p < 0.01), and lower abdominal pain/discomfort (p < 0.05). Patients had lost 3.06 ± 10.60 kgs from their baseline weight. Weight loss correlated with nausea (r = 0.26, p < 0.01), ES (r = 0.30, p < 0.01), loss of appetite (r = 0.28, p < 0.01).

conclusionsEarly satiety and postprandial fullness were common with high severity. The main reasons for meal cessation were early satiety, nausea, and abdominal pain. Body weight and change in body weight were associated with symptoms of gastroparesis.

Indexed as

GastroparesisAbdominal PainBody WeightGastric EmptyingHumansMealsNauseaVomitingDietaryGastric emptyingGastroparesisNutrition

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.