Gastric emptying in children with type 1 diabetes mellitus: A pilot study

Porter, Jody A; MacKenzie, Karen E; Darlow, Brian A; Butler, Ross N.; Day, Andrew S.

doi:10.1111/jpc.14215

Cited by 5 publications

(2 citation statements)

References 21 publications

(31 reference statements)

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“…Evidence Summary: There were two prospective studies (Table 19). 75,76 In both studies, a standardised pancake meal was given after an overnight fast. The recommendation is based on two small studies in children with type-1 diabetes that did not demonstrate delayed gastric emptying.…”

Section: (2c)mentioning

confidence: 99%

Pre-operative fasting in children

Frykholm

Disma

Andersson

et al. 2022

European Journal of Anaesthesiology

140

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Current paediatric anaesthetic fasting guidelines have recommended conservative fasting regimes for many years and have not altered much in the last decades. Recent publications have employed more liberal fasting regimes with no evidence of increased aspiration or regurgitation rates. In this first solely paediatric European Society of Anaesthesiology and Intensive Care (ESAIC) pre-operative fasting guideline, we aim to present aggregated and evidence-based summary recommendations to assist clinicians, healthcare providers, patients and parents. We identified six main topics for the literature search: studies comparing liberal with conservative regimens; impact of food composition; impact of comorbidity; the use of gastric ultrasound as a clinical tool; validation of gastric ultrasound for gastric content and gastric emptying studies; and early postoperative feeding. The literature search was performed by a professional librarian in collaboration with the ESAIC task force. Recommendations for reducing clear fluid fasting to 1 h, reducing breast milk fasting to 3 h, and allowing early postoperative feeding were the main results, with GRADE 1C or 1B evidence. The available evidence suggests that gastric ultrasound may be useful for clinical decision-making, and that allowing a ‘light breakfast’ may be well tolerated if the intake is well controlled. More research is needed in these areas as well as evaluation of how specific patient or treatment-related factors influence gastric emptying.

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Section: (2c)mentioning

confidence: 99%

Pre-operative fasting in children

Frykholm

Disma

Andersson

et al. 2022

European Journal of Anaesthesiology

140

View full text Add to dashboard Cite

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“…Experimental diet represents testing substance served to subjects as stimulus for the stomach. It could be yogurt ( 10 , 68 , 110 ), scrambled eggs ( 66 , 79 , 94 , 118 ), or a type of pastry ( 10 , 67 , 119 , 120 ). Liquids, such as water ( 10 , 121 , 122 ) or milk ( 115 , 118 , 123 ), were also examined in some research studies.…”

Section: Measurement Methodologymentioning

confidence: 99%

Electrogastrography measurement systems and analysis methods used in clinical practice and research: comprehensive review

Oczka,

Augustynek,

Penhaker

et al. 2024

Front. Med.

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Electrogastrography (EGG) is a non-invasive method with high diagnostic potential for the prevention of gastroenterological pathologies in clinical practice. In this study, a review of the measurement systems, procedures, and methods of analysis used in electrogastrography is presented. A critical review of historical and current literature is conducted, focusing on electrode placement, measurement apparatus, measurement procedures, and time-frequency domain methods of filtration and analysis of the non-invasively measured electrical activity of the stomach. As a result, 129 relevant articles with primary aim on experimental diet were reviewed in this study. Scopus, PubMed, and Web of Science databases were used to search for articles in English language, according to the specific query and using the PRISMA method. The research topic of electrogastrography has been continuously growing in popularity since the first measurement by professor Alvarez 100 years ago, and there are many researchers and companies interested in EGG nowadays. Measurement apparatus and procedures are still being developed in both commercial and research settings. There are plenty variable electrode layouts, ranging from minimal numbers of electrodes for ambulatory measurements to very high numbers of electrodes for spatial measurements. Most authors used in their research anatomically approximated layout with two++ active electrodes in bipolar connection and commercial electrogastrograph with sampling rate of 2 or 4 Hz. Test subjects were usually healthy adults and diet was controlled. However, evaluation methods are being developed at a slower pace, and usually the signals are classified only based on dominant frequency. The main review contributions include the overview of spectrum of measurement systems and procedures for electrogastrography developed by many authors, but a firm medical standard has not yet been defined. Therefore, it is not possible to use this method in clinical practice for objective diagnosis.Systematic Review Registrationhttps://www.prisma-statement.org/.

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