Gastric emptying of solids in children: reference values for the 13C‐octanoic acid breath test
Abstract
Background (99m) Technetium scintigraphy ((99m) TS) is the 'gold standard' for measuring gastric emptying (GE), but it is associated with a radiation exposure. For this reason, the (13) C-octanoic acid breath test ((13) C-OBT) was developed for measuring GE of solids. The objective of this study was to determine normal values for gastric half-emptying time (t1/2 GE) of solids in healthy children. Methods Gastric emptying of a standardized solid test meal consisting of a pancake evaluated with (99m) TS and (13) C-OBT was compared in 22 children aged between 1 and 15 years with upper gastrointestinal symptoms. Subsequently, the (13) C-OBT was used to determine normal values for GE of the same solid test meal in 120 healthy children aged between 1 and 17 years. Key results The results showed a significant correlation (r = 0.748, p = 0.0001) between t1/2 GE measured with both techniques in the group of children with upper gastrointestinal symptoms. In the group of healthy children, mean t1/2 GE was 157.7 ± 54.0 min (range 71-415 min), but t1/2 GE decreased with age between 1 and 10 years and remained stable afterward. There was no influence of gender, weight, height, body mass index, and body surface area on t1/2 GE. Conclusions & inferences Normal values for GE of solids measured with the (13) C-OBT using a standardized methodology were determined in healthy children. We propose to use this method and corresponding reference ranges to study GE of solids in children with gastroin…
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The 13C breath test indirectly reflects solid meal gastric emptying, providing a radiation-free option for repeated measurements and for use in children, pregnant women, and breastfeeding women.
“It indirectly reflects solid meal gastric emptying, providing a radiation-free option for repeated measurements and for use in children, pregnant women, and breastfeeding women [67, 68].”
From Diabetic gastroparesis: pathophysiology and impact on insulin timing choices (2026) · cites this paper as [68]
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<sup>13</sup>C‐gastric emptying breath tests: Clinical use in adults and children
Keller, J., Hammer, H. F., & Hauser, B. (2021) · Neurogastroenterology & Motility · doi:10.1111/nmo.14172 · Cited by 15 · see citing works
Self-citationDiabetic 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
“It indirectly reflects solid meal gastric emptying, providing a radiation-free option for repeated measurements and for use in children, pregnant women, and breastfeeding women [67, 68].”
- Authors
- Hauser, B., Roelants, M., De Schepper, J., Veereman, G., Caveliers, V., Devreker, T., De Greef, E., & Vandenplas, Y.
- Affiliations
- Vrije Universiteit Brussel (BE)
- KU Leuven (BE)
- Department of Paediatrics Universitair Kinderziekenhuis Brussel Vrije Universiteit Brussel Brussels Belgium
- Universitair Ziekenhuis Brussel (BE)
- Corresponding author
- Hauser, B.
- Venue
- Neurogastroenterology & Motility
- Publisher
- Wiley
- Published
- 2016-04-20
- Volume
- 28
- Issue
- 10
- Pages
- 1480-1487
- ISSN
- 1350-1925 (ISSN-L)
- 1365-2982
- OpenAlex
- W2340604807
- Cited by
- 30
- References
- 0
- Citations by year
- 2026: 2 · 2025: 4 · 2023: 2 · 2022: 1 · 2021: 9 · 2020: 6 · 2019: 2 · 2018: 3 · 2017: 1
- FWCI
- 2.18
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Neurogastroenterology & Motility (publishedVersion)
- PubMed (publishedVersion)
- VUBIR (Vrije Universiteit Brussel) (submittedVersion)
- Topics
- Health Sciences › Medicine › Gastroenterology › Gastrointestinal motility and disorders
- Health Sciences › Medicine › Surgery › Gastrointestinal disorders and treatments
- Health Sciences › Medicine › Surgery › Enhanced Recovery After Surgery
- Keywords
- gastric emptying, solids, 13C-octanoic acid breath test, reference values, children, gastric emptying half-time, technetium-99m scintigraphy, upper gastrointestinal symptoms, age differences, test meal
- MeSH terms
- Adolescent, Breath Tests, Caprylates, Carbon Isotopes, Child, Child, Preschool, Female, Gastric Emptying, Humans, Infant, Male, Reference Standards, Spectrophotometry, Infrared, Meals
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