Evidence map›Paper›PMID 40106804›Full record

ArticleNeurogastroenterology and motility2025

Body Surface Gastric Mapping Delineates Specific Patient Phenotypes in Adolescents With Functional Dyspepsia and Gastroparesis.

Gayl Humphrey, Celia Keane, Gabriel Schamberg, Alain Benitez, Stefan Calder, Xu Binghong, Christian Sadaka, Christopher N Andrews, Greg O'Grady, Armen Gharibans and 1 more

Abstract read
In one paragraph

Article in Neurogastroenterology and motility, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

9 citing papers in PubMed.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors.

Gayl HumphreyDepartment of Surgery, Faculty of Medical and Health Sciences, The University of Auckland, Auckland, New Zealand.ORCID https://orcid.org/0000-0002-2837-5707
Celia KeaneDepartment of Surgery, Faculty of Medical and Health Sciences, The University of Auckland, Auckland, New Zealand.
Gabriel SchambergDepartment of Surgery, Faculty of Medical and Health Sciences, The University of Auckland, Auckland, New Zealand.ORCID https://orcid.org/0000-0002-4188-9614
Alain BenitezDivision of Gastroenterology, The Children's Hospital of Philadelphia, Philadelphia, Pennsylvania, USA.
Stefan CalderDepartment of Surgery, Faculty of Medical and Health Sciences, The University of Auckland, Auckland, New Zealand.
Xu BinghongDivision of Gastroenterology, The Children's Hospital of Philadelphia, Philadelphia, Pennsylvania, USA.
Christian SadakaDivision of Gastroenterology, The Children's Hospital of Philadelphia, Philadelphia, Pennsylvania, USA.ORCID https://orcid.org/0009-0003-5665-5743
Christopher N AndrewsThe Division of Gastroenterology, Cumming School of Medicine, University of Calgary, Calgary, Alberta, Canada.
Greg O'GradyDepartment of Surgery, Faculty of Medical and Health Sciences, The University of Auckland, Auckland, New Zealand.ORCID https://orcid.org/0000-0002-5998-1080
Armen GharibansDepartment of Surgery, Faculty of Medical and Health Sciences, The University of Auckland, Auckland, New Zealand.ORCID https://orcid.org/0000-0002-9139-4740
Hayat MousaDivision of Gastroenterology, The Children's Hospital of Philadelphia, Philadelphia, Pennsylvania, USA.

Funding

New Zealand Health Research Council and the Children's Hospital of Philadelphia
6 · The paper itself

Abstract

backgroundDiagnosing pediatric patients with chronic gastroduodenal symptoms is clinically challenging, with the role of gastric emptying testing being controversial. Body Surface Gastric Mapping (BSGM) is a new diagnostic test that can identify specific patient phenotypes in adults with gastric dysfunction. This study evaluates whether BSGM can delineate specific phenotypes in adolescents and provide clinically meaningful distinctions between gastroparesis and functional dyspepsia diagnoses.

methodsA prospective cross-sectional study recruited adolescents aged 12 to 21 between 2022 and 2024. Controls were recruited from New Zealand and patients from the Children's Hospital of Philadelphia, USA. BSGM followed a standardized protocol, including simultaneous symptom reporting and completion of validated symptom, psychometric, and physical health questionnaires. KEY

resultsFifty-six subjects were recruited (31 controls, 25 patients); median age 16; 96% of patients were female. Control data showed that adult reference intervals provided an acceptable interpretation framework. Patients with FD (n = 10) and gastroparesis (n = 15) had common symptoms, mental health, quality of life, and functional disability (all p > 0.05). Three distinct BSGM phenotypes were identified: BSGM Normal (n = 10), BSGM Delay (n = 8), and Low Stability/Low Amplitude (n = 7), having spectral differences in BMI-Adjusted Amplitude 34.6 versus 39.1 versus 19.9 (p = 0.01) and Gastric Alimetry Rhythm Index: 0.45 versus 0.45 versus 0.19 (p = 0.003). BSGM phenotypes demonstrated differences in symptoms (nausea p = 0.04), physical health (p = 0.04), and psychometrics (anxiety p = 0.03). CONCLUSION AND INFERENCES: Adolescents with FD and gastroparesis have overlapping clinical profiles, making treatment challenging. Conversely, employing BSGM to categorize patients into distinct phenotypes reveals clinically relevant differences, offering avenues for individualized therapeutic pathways.

Indexed as

DyspepsiaGastroparesisStomachAdolescentChildCross-Sectional StudiesFemaleGastric EmptyingHumansMalePhenotypeProspective StudiesYoung Adultdisorders of gut–brain interaction (DGBI)gastric alimetrygastroduodenal symptoms

Identifiers

PMID40106804
PMCPMC12075902

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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.