Relationship Between Gastric Emptying Rate and Simultaneously Assessed Symptoms in Functional Dyspepsia
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Methods During a GE test (breath test with 13 C-octanoic acid labelled 250 kcal solid meal), the severity of 6 symptoms (postprandial fullness, epigastric pain and burning, bloating, nausea and belching) was assessed, every 15 min, before meal-intake and 4h postprandially. The sum of individual symptom scores generated the meal-related symptoms score; the sum of all symptoms generated overall meal-related symptom severity (OSS). Data were compared in patients with normal and delayed GE (cut-off T 1/2≥ 109 min). Data are shown as mean±SEM.Results 504 patients were included, of which 382 patients (67% female, age 43.8±0.8 years, BMI 23.3±0.2 kg/m 2) had normal and 122 patients (77% female, age 42.7±1.5 years, BMI 23.2±0.6 kg/m 2) had delayed GE. OSS tended to be higher in patients with delayed GE (81.8±3.4 vs. 99.5±7.1, p=.05). Only nausea was significantly higher in patients with delayed GE (11±0.8 vs. 16±1.6, p=.01). No correlations were observed between GE rate and any of the symptoms (OSS: r=0.06, p=.2; nausea: r=0.06, p=.1). The symptom severity time course showed a significant difference only for nausea, with increased severity ratings 90 min after the meal (p<.01) in delayed GE compared to normal GE patients.Conclusion The severity of symptoms in functional dyspepsia and idiopathic gastroparesis, even when assessed during the GE test meal, is not correlated to gastric emptying rate. (Ethics committee University Hospital of Leuven study number S55426).
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The correlation between gastric emptying and symptoms in functional dyspepsia has not been borne out in studies in non-HSD/hEDS cohorts, which limits the conclusions that can be drawn.
“Nevertheless, the correlation between gastric emptying and symptoms in functional dyspepsia has not been borne out in studies in non‐HSD/hEDS cohorts, which limits the conclusions that can be drawn. 61”
From Hypermobile Ehlers–Danlos syndrome and disorders of the gastrointestinal tract: What the gastroenterologist needs to know (2022) · cites this paper as [61]
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Nagl, W.-D. (2025) · Springer eBooks · doi:10.1007/978-3-662-70440-0_1
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Plotnikova, E. Y., & SUKHIKH, A. S. (2025) · Meditsinskiy sovet = Medical Council · doi:10.21518/ms2025-184
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Vaquero, M. Á. F., Puga-Carrasco, C. A., & Sastre, J. A. (2025) · Revista Española de Anestesiología y Reanimación (English Edition) · doi:10.1016/j.redare.2025.501991
Lee, J., Park, H. L., Park, S. Y., Lim, C.-H., Kim, M.-H., Lee, J. M., Chang, S.-A., & Oh, J.-H. (2024) · Figshare · doi:10.6084/m9.figshare.24987840
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Fernández-Vaquero, M. A., Puga-Carrasco, C. A., & Sastre, J. A. (2025) · Revista Española de Anestesiología y Reanimación · doi:10.1016/j.redar.2025.501991
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Gastrointestinal Symptom Events and Motility Alterations Associated With GLP ‐1 Receptor Agonists
Cisneros, J. Z., Lupianez‐Merly, C., Dilmaghani, S., Lennon, R. J., Then, S., Fiero, P., Blundo, R., Farrugia, G., Camilleri, M., & Grover, M. (2026) · Neurogastroenterology & Motility · doi:10.1111/nmo.70458
- Authors
- Carbone, F., De Buysscher, R., Van den Houte, K., Schol, J., Goelen, N., & Tack, J.
- Affiliations
- KU Leuven (BE)
- Corresponding author
- Tack, Jan
- Venue
- Clinical Gastroenterology and Hepatology
- Publisher
- Elsevier BV
- Published
- 2022-03
- Volume
- 20
- Issue
- 3
- Pages
- e429-e437
- ISSN
- 1542-3565 (ISSN-L)
- OpenAlex
- W3138911471
- Cited by
- 55
- References
- 41
- Citations by year
- 2026: 4 · 2025: 22 · 2024: 13 · 2023: 7 · 2022: 6 · 2021: 3
- FWCI
- 6.63
- Type
- journal article
- Language
- en
- Open access
- green
- lirias.kuleuven.be
- Licence
- Locations
- Clinical Gastroenterology and Hepatology (publishedVersion)
- PubMed (publishedVersion)
- Lirias (submittedVersion, other-oa)
- Topics
- Health Sciences › Medicine › Gastroenterology › Gastrointestinal motility and disorders
- Health Sciences › Medicine › Gastroenterology › Gastroesophageal reflux and treatments
- Health Sciences › Medicine › Surgery › Enhanced Recovery After Surgery
- Keywords
- functional dyspepsia, gastric emptying rate, delayed gastric emptying, idiopathic gastroparesis, postprandial symptoms, nausea, symptom severity, 13C-octanoic acid breath test, postprandial fullness, bloating, epigastric pain
- MeSH terms
- Adult, Dyspepsia, Female, Gastric Emptying, Humans, Male, Abdominal Pain, Gastroparesis, Postprandial Period
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