Clinical Gastroenterology Vol.17 No.13(2)

Theme Recent Advances in Gastrointestinal Functio Tests
Title Electrogastrography
Publish Date 2002/12
Author Taketo Yamaguchi Department of Medicine and Oncology, Graduate School of Medicine, Chiba University
Author Takeshi Sekiya Department of Medicine and Oncology, Graduate School of Medicine, Chiba University
Author Takeo Odaka Department of Medicine and Oncology, Graduate School of Medicine, Chiba University
Author Kazuya Yamaguchi Department of Medicine and Oncology, Graduate School of Medicine, Chiba University
Author Tadayuki Shishido Department of Medicine and Oncology, Graduate School of Medicine, Chiba University
Author Kanae Mitsuhashi Department of Medicine and Oncology, Graduate School of Medicine, Chiba University
Author Masato Ai Department of Medicine and Oncology, Graduate School of Medicine, Chiba University
Author Hiromitsu Saisho Department of Medicine and Oncology, Graduate School of Medicine, Chiba University
[ Summary ] The electrogastrogram (EGG) was developed to estimate gastric motor function non-invasively by means of recording gastric myoelectrical activity. An EGG shows rhythmic waves three cycles per minute (3cpm) in normal subjects. Abnormal EGGs display symptoms of bradygastria (0.5-2cpm), tachygastria (4-9cpm) and dysrhythmia (a mixture of tachy- and bradygastria), which are related to gastric functional disorders. Functional dyspepsia (FD) is especially characterized by tachygastria with EGGs. Twenty four hour recordings of EGGs in normal subjects show daily rhythmic patterns; dominant frequencies (DF) rise after every meal, and lower between and before meals within a normal 2-4cpm range. Conversely, in diabetes mellitus patients, daily rhythmic patterns of EGGs cannot be recognized and the DF rises or falls below the normal range. These abnormalities indicate patients' gastric symptoms or poor control of blood sugar levels.
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