The DOI matches its Crossref record.
Clinical and Upper Gastrointestinal Motility Features in Systemic Sclerosis and Related Disorders
Abstract
Objective The aim of this study was to characterize the clinical and motility findings in 62 patients with systemic sclerosis or related disorders referred for evaluation of upper gastrointestinal (GI) symptoms. Methods Methods included retrospective clinical record review and quantitation of esophageal, LES antral, and duodenal motility (3 h fasting, 2 h fed) were compared with results of 10 symptomatic patients with normal gastric emptying. Results A total of 46 patients had systemic sclerosis, eight mixed connective tissue disease, and eight polymyositis-systemic sclerosis overlap; systemic manifestations were almost invariably present. GI symptoms were: heartburn (77%), nausea/vomiting (58%), dysphagia (61%), diarrhea (53%), constipation (31%), and fecal incontinence (13%). Anatomical studies showed esophageal erosions or GERD (53%), aperistalsis (34%), stricture (29%), and Barrett's metaplasia (16%); megaduodenum, small bowel dilation, or diverticulae (42%); and pneumatosis intestinalis (8%). A total of 36 patients underwent esophageal and 26 esophagogastrointestinal manometry. Postprandial antral motility index was abnormal in 22 of 26; amplitudes and frequency in the antrum (34 +/- 3 mm Hg and 0.6 +/- 0.1/min, respectively) and duodenum (7.3 +/- 0.9 mm Hg and 1.8 +/- 0.5/min) were significantly lower than controls (p Conclusion In patients with GI symptoms associated with systemic sclerosis and related disorders, the amplitude and frequency of intestinal contractions a…
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“Advanced techniques, including antroduodenal‑jejunal manometry [71–75], wireless motility capsule [76–79], gastric ultrasound [80–82], and high‑resolution electrogastrography (EGG) [83–87] may provide additional pathophysiological insight, particularly in complex or mixed‑pattern cases.”
From Diabetic gastroparesis: pathophysiology and impact on insulin timing choices (2026) · cites this paper as [75]
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Diabetic gastroparesis: pathophysiology and impact on insulin timing choices
Galeano, F., Tumminia, A., Oteri, V., Le Moli, R., Piticchio, T., Scilletta, S., Di Marco, M., Di Pino, A., & Frasca, F. (2026) · Endocrine · doi:10.1007/s12020-026-04693-6
“Advanced techniques, including antroduodenal-jejunal manometry [71–75], wireless motility capsule [76–79], gastric ultrasound [80–82], and high-resolution electrogas-trography (EGG) [83–87] may provide additional pathophysiological insight, particularly in complex or mixed-pattern cases.”
Metadata
- Authors
- Weston, S., Thumshirn, M., Wiste, J., & Camilleri, M.
- Affiliations
- Mayo Clinic (US)
- Corresponding author
- Camilleri, Michael
- ORCID
- Camilleri, Michael
- Venue
- American Journal of Gastroenterology
- Published
- 1998-07
- Volume
- 93
- Issue
- 7
- Pages
- 1085-1089
- ISSN
- 0002-9270 (ISSN-L)
- OpenAlex
- W2082865061
- Cited by
- 186
- References
- 0
- Citations by year
- 2026: 5 · 2025: 3 · 2024: 4 · 2023: 4 · 2022: 1 · 2021: 14 · 2020: 7 · 2019: 7 · 2018: 4 · 2017: 5 · 2016: 12 · 2015: 10 · 2014: 5 · 2013: 4 · 2012: 12
- FWCI
- 3.05
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- The American Journal of Gastroenterology (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Center for Research Resources (RR-00585, M01RR000585)
- Topics
- Health Sciences › Medicine › Rheumatology › Systemic Sclerosis and Related Diseases
- Health Sciences › Medicine › Gastroenterology › Gastrointestinal motility and disorders
- Health Sciences › Medicine › Gastroenterology › Gastroesophageal reflux and treatments
- Keywords
- systemic sclerosis, upper gastrointestinal motility, esophageal motility, duodenal motility, esophageal aperistalsis, esophageal stricture, Barrett's metaplasia, gastroesophageal reflux disease, esophageal erosion, mixed connective tissue disease, intestinal hypomotility, pneumatosis intestinalis, dysphagia, heartburn
- MeSH terms
- Adolescent, Adult, Aged, Barrett Esophagus, Constipation, Deglutition Disorders, Diarrhea, Diverticulum, Duodenal Diseases, Duodenum, Eating, Esophageal Stenosis, Esophagogastric Junction, Esophagus, Fasting, Fecal Incontinence, Female, Gastric Emptying, Gastroesophageal Reflux, Gastrointestinal Motility, Heartburn, Humans, Male, Middle Aged, Mixed Connective Tissue Disease, Nausea, Peristalsis, Pyloric Antrum, Retrospective Studies, Scleroderma, Systemic, Vomiting, Polymyositis
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