Gastroparesis following kidney/pancreas transplant
: This pilot study examined associations among patterns of gastric myoelectrical activity, symptoms of gastroparesis, years of diabetes, months of dialysis, and use of gastrointestinal medications in gastroparetic kidney‐pancreas (KP) transplant recipients. Electrogastrography (EGG) and gastric sym...
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| Published in | Clinical transplantation Vol. 18; no. 3; pp. 306 - 311 |
|---|---|
| Main Authors | , , , |
| Format | Journal Article |
| Language | English |
| Published |
Oxford, UK
Munksgaard International Publishers
01.06.2004
Blackwell |
| Subjects | |
| Online Access | Get full text |
| ISSN | 0902-0063 1399-0012 |
| DOI | 10.1111/j.1399-0012.2004.00167.x |
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| Abstract | : This pilot study examined associations among patterns of gastric myoelectrical activity, symptoms of gastroparesis, years of diabetes, months of dialysis, and use of gastrointestinal medications in gastroparetic kidney‐pancreas (KP) transplant recipients. Electrogastrography (EGG) and gastric symptom data were obtained from 42 transplant recipients before and after transplant (6, 12, and 24 months). Recipients were 38 ± 7 yr of age, 88% Whites, and 60% male; 97% had hypertension. All had functioning grafts post‐transplant (mean creatinine, 1.59 ± 0.66 mg/dL, and serum glucose 91.97 ± 24.92 mg/dL). Sixteen subjects had normal EGG (2.7–3.2 cycles per minute, cpm); two were tachygastric (>3.2 cpm) at all time points; one remained bradygastric (<2.7 cpm) throughout the study period. Following transplant, symptoms lessened and were associated with 6‐month normalization of EGG (r = 0.41, p = 0.02). A small change in the percentage of patients with normal EGG was observed from baseline to 24 months (67% vs. 69% respectively); however, there was a shift from bradygastria (29% to 15% respectively) to tachygastria (5% to 15% respectively). Prescribed prokinetic and antisecretory medications use increased over the study period from 13 (31%) subjects at baseline to 32 (86%) at 6 months; 21 (78%) at 12 months; and 12 (92%) at 24 months. Although symptoms diminish following transplant, gastroparesis remains a significant problem for transplant patients. Normalization of EGG and shifts from bradygastria to tachygastria occur post‐transplant. Our results suggest that serial EGGs and frequent assessment of symptoms can be used to follow gastroparesis in KP recipients. |
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| AbstractList | : This pilot study examined associations among patterns of gastric myoelectrical activity, symptoms of gastroparesis, years of diabetes, months of dialysis, and use of gastrointestinal medications in gastroparetic kidney‐pancreas (KP) transplant recipients. Electrogastrography (EGG) and gastric symptom data were obtained from 42 transplant recipients before and after transplant (6, 12, and 24 months). Recipients were 38 ± 7 yr of age, 88% Whites, and 60% male; 97% had hypertension. All had functioning grafts post‐transplant (mean creatinine, 1.59 ± 0.66 mg/dL, and serum glucose 91.97 ± 24.92 mg/dL). Sixteen subjects had normal EGG (2.7–3.2 cycles per minute, cpm); two were tachygastric (>3.2 cpm) at all time points; one remained bradygastric (<2.7 cpm) throughout the study period. Following transplant, symptoms lessened and were associated with 6‐month normalization of EGG (r = 0.41, p = 0.02). A small change in the percentage of patients with normal EGG was observed from baseline to 24 months (67% vs. 69% respectively); however, there was a shift from bradygastria (29% to 15% respectively) to tachygastria (5% to 15% respectively). Prescribed prokinetic and antisecretory medications use increased over the study period from 13 (31%) subjects at baseline to 32 (86%) at 6 months; 21 (78%) at 12 months; and 12 (92%) at 24 months. Although symptoms diminish following transplant, gastroparesis remains a significant problem for transplant patients. Normalization of EGG and shifts from bradygastria to tachygastria occur post‐transplant. Our results suggest that serial EGGs and frequent assessment of symptoms can be used to follow gastroparesis in KP recipients. This pilot study examined associations among patterns of gastric myoelectrical activity, symptoms of gastroparesis, years of diabetes, months of dialysis, and use of gastrointestinal medications in gastroparetic kidney-pancreas (KP) transplant recipients. Electrogastrography (EGG) and gastric symptom data were obtained from 42 transplant recipients before and after transplant (6, 12, and 24 months). Recipients were 38 +/- 7 yr of age, 88% Whites, and 60% male; 97% had hypertension. All had functioning grafts post-transplant (mean creatinine, 1.59 +/- 0.66 mg/dL, and serum glucose 91.97 +/- 24.92 mg/dL). Sixteen subjects had normal EGG (2.7-3.2 cycles per minute, cpm); two were tachygastric (>3.2 cpm) at all time points; one remained bradygastric (<2.7 cpm) throughout the study period. Following transplant, symptoms lessened and were associated with 6-month normalization of EGG (r = 0.41, p = 0.02). A small change in the percentage of patients with normal EGG was observed from baseline to 24 months (67% vs. 69% respectively); however, there was a shift from bradygastria (29% to 15% respectively) to tachygastria (5% to 15% respectively). Prescribed prokinetic and antisecretory medications use increased over the study period from 13 (31%) subjects at baseline to 32 (86%) at 6 months; 21 (78%) at 12 months; and 12 (92%) at 24 months. Although symptoms diminish following transplant, gastroparesis remains a significant problem for transplant patients. Normalization of EGG and shifts from bradygastria to tachygastria occur post-transplant. Our results suggest that serial EGGs and frequent assessment of symptoms can be used to follow gastroparesis in KP recipients. This pilot study examined associations among patterns of gastric myoelectrical activity, symptoms of gastroparesis, years of diabetes, months of dialysis, and use of gastrointestinal medications in gastroparetic kidney-pancreas (KP) transplant recipients. Electrogastrography (EGG) and gastric symptom data were obtained from 42 transplant recipients before and after transplant (6, 12, and 24 months). Recipients were 38 +/- 7 yr of age, 88% Whites, and 60% male; 97% had hypertension. All had functioning grafts post-transplant (mean creatinine, 1.59 +/- 0.66 mg/dL, and serum glucose 91.97 +/- 24.92 mg/dL). Sixteen subjects had normal EGG (2.7-3.2 cycles per minute, cpm); two were tachygastric (>3.2 cpm) at all time points; one remained bradygastric (<2.7 cpm) throughout the study period. Following transplant, symptoms lessened and were associated with 6-month normalization of EGG (r = 0.41, p = 0.02). A small change in the percentage of patients with normal EGG was observed from baseline to 24 months (67% vs. 69% respectively); however, there was a shift from bradygastria (29% to 15% respectively) to tachygastria (5% to 15% respectively). Prescribed prokinetic and antisecretory medications use increased over the study period from 13 (31%) subjects at baseline to 32 (86%) at 6 months; 21 (78%) at 12 months; and 12 (92%) at 24 months. Although symptoms diminish following transplant, gastroparesis remains a significant problem for transplant patients. Normalization of EGG and shifts from bradygastria to tachygastria occur post-transplant. Our results suggest that serial EGGs and frequent assessment of symptoms can be used to follow gastroparesis in KP recipients.This pilot study examined associations among patterns of gastric myoelectrical activity, symptoms of gastroparesis, years of diabetes, months of dialysis, and use of gastrointestinal medications in gastroparetic kidney-pancreas (KP) transplant recipients. Electrogastrography (EGG) and gastric symptom data were obtained from 42 transplant recipients before and after transplant (6, 12, and 24 months). Recipients were 38 +/- 7 yr of age, 88% Whites, and 60% male; 97% had hypertension. All had functioning grafts post-transplant (mean creatinine, 1.59 +/- 0.66 mg/dL, and serum glucose 91.97 +/- 24.92 mg/dL). Sixteen subjects had normal EGG (2.7-3.2 cycles per minute, cpm); two were tachygastric (>3.2 cpm) at all time points; one remained bradygastric (<2.7 cpm) throughout the study period. Following transplant, symptoms lessened and were associated with 6-month normalization of EGG (r = 0.41, p = 0.02). A small change in the percentage of patients with normal EGG was observed from baseline to 24 months (67% vs. 69% respectively); however, there was a shift from bradygastria (29% to 15% respectively) to tachygastria (5% to 15% respectively). Prescribed prokinetic and antisecretory medications use increased over the study period from 13 (31%) subjects at baseline to 32 (86%) at 6 months; 21 (78%) at 12 months; and 12 (92%) at 24 months. Although symptoms diminish following transplant, gastroparesis remains a significant problem for transplant patients. Normalization of EGG and shifts from bradygastria to tachygastria occur post-transplant. Our results suggest that serial EGGs and frequent assessment of symptoms can be used to follow gastroparesis in KP recipients. This pilot study examined associations among patterns of gastric myoelectrical activity, symptoms of gastroparesis, years of diabetes, months of dialysis, and use of gastrointestinal medications in gastroparetic kidney‐pancreas (KP) transplant recipients. Electrogastrography (EGG) and gastric symptom data were obtained from 42 transplant recipients before and after transplant (6, 12, and 24 months). Recipients were 38 ± 7 yr of age, 88% Whites, and 60% male; 97% had hypertension. All had functioning grafts post‐transplant (mean creatinine, 1.59 ± 0.66 mg/dL, and serum glucose 91.97 ± 24.92 mg/dL). Sixteen subjects had normal EGG (2.7–3.2 cycles per minute, cpm); two were tachygastric (>3.2 cpm) at all time points; one remained bradygastric (<2.7 cpm) throughout the study period. Following transplant, symptoms lessened and were associated with 6‐month normalization of EGG (r = 0.41, p = 0.02). A small change in the percentage of patients with normal EGG was observed from baseline to 24 months (67% vs. 69% respectively); however, there was a shift from bradygastria (29% to 15% respectively) to tachygastria (5% to 15% respectively). Prescribed prokinetic and antisecretory medications use increased over the study period from 13 (31%) subjects at baseline to 32 (86%) at 6 months; 21 (78%) at 12 months; and 12 (92%) at 24 months. Although symptoms diminish following transplant, gastroparesis remains a significant problem for transplant patients. Normalization of EGG and shifts from bradygastria to tachygastria occur post‐transplant. Our results suggest that serial EGGs and frequent assessment of symptoms can be used to follow gastroparesis in KP recipients. |
| Author | Cashion, AK Hathaway, DK Gaber, AO Holmes, SL |
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| Cites_doi | 10.2337/diab.46.2.S77 10.1079/096582197388653 10.2337/diacare.20.5.848 10.1097/00007890-199403270-00008 10.1089/152091501750220019 10.2337/diacare.22.3.503 10.2337/diacare.24.2.371 10.1023/A:1018856112765 10.1136/gut.27.7.799 10.1111/j.1572-0241.1999.01008.x 10.1023/A:1018878901727 10.1136/gut.32.2.141 10.1007/BF02285190 10.1097/00007890-199505270-00009 10.1023/A:1026647417465 10.1097/00004836-200101000-00005 10.1007/s11938-001-0030-6 10.1007/BF02088561 10.1159/000171334 10.1007/BF01297028 10.1007/BF00403371 10.3949/ccjm.68.11.928 10.1097/00004836-200003000-00004 10.1016/S0140-6736(94)90880-X |
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| Keywords | Endocrinopathy Diabetes mellitus Transplantation Homotransplantation electrogastrography Kidney Treatment Urinary system Combined surgery Graft Anesthesia Circulatory system Cardiology Pancreas diabetes gastroparesis kidney/pancreas transplantation |
| Language | English |
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Gut 1991: 32: 141. 1993; 25 1991; 36 1997; 42 1997; 20 1995; 59 1991; 32 1997; 46 1999; 47 1999; 44 1999; 22 1994 1995; 213 1994; 26 1998; 43 2001; 24 2001; 68 1991; 9 2001; 21 1994; 343 1995; 40 1991; 23 2001; 4 2000; 30 1986; 27 2000; 84 1996; 41 1994; 57 2001; 3 1994; 37 1999; 94 1989; 13 2001; 32 e_1_2_8_28_2 e_1_2_8_23_2 e_1_2_8_24_2 McGowan T (e_1_2_8_25_2) 2001; 21 e_1_2_8_26_2 e_1_2_8_9_2 e_1_2_8_2_2 e_1_2_8_3_2 e_1_2_8_5_2 e_1_2_8_8_2 e_1_2_8_7_2 e_1_2_8_20_2 e_1_2_8_21_2 e_1_2_8_22_2 Familoni BO (e_1_2_8_16_2) 1994 e_1_2_8_17_2 Koch KL. (e_1_2_8_18_2) 1989; 13 e_1_2_8_19_2 e_1_2_8_12_2 e_1_2_8_13_2 Hathaway D (e_1_2_8_14_2) 1993; 25 e_1_2_8_15_2 Gaber AO (e_1_2_8_27_2) 1991; 23 Tripathi BK. (e_1_2_8_6_2) 1999; 47 Gaber AO (e_1_2_8_29_2) 1994; 26 Horowitz M (e_1_2_8_4_2) 1995; 213 e_1_2_8_31_2 e_1_2_8_30_2 e_1_2_8_10_2 e_1_2_8_33_2 e_1_2_8_11_2 e_1_2_8_32_2 |
| References_xml | – reference: Hathaway DK, Abell T, Cardoso S, Hartwig MS, el Gebely S, Gaber AO. Improvement in autonomic and gastric function following pancreas-kidney versus kidney-alone transplantation and the correlation with quality of life. Transplantation 1994: 57: 816. – reference: Horowitz M, Fraser R. Disordered gastric motor function in diabetes mellitus. Diabetologia 1994: 37: 543. – reference: Geldof H, van der Schee EJ, van Blankenstein M, Grashuis JL. Electrogastrographic study of gastric myoelectrical activity in patients with unexplained nausea and vomiting. Gut 1986: 27: 799. – reference: Horowitz M, Fraser RJ. Gastroparesis: diagnosis and management. Scand J Gastroenterol Suppl 1995: 213: 7. – reference: Rabine JC, Barnett JL. Management of the patient with gastroparesis. J Clin Gastroenterol 2001: 32: 11. – reference: Remuzzi G, Ruggenenti P, Mauer SM. Pancreas and kidney/pancreas transplants: experimental medicine or real improvement? 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and Applications year: 1994 ident: e_1_2_8_16_2 – ident: e_1_2_8_23_2 doi: 10.2337/diacare.20.5.848 – volume: 13 start-page: 37 year: 1989 ident: e_1_2_8_18_2 article-title: Gastric dysrhythmias and the current status of electrogastrography publication-title: Pract Gastroenterol – volume: 25 start-page: 1306 year: 1993 ident: e_1_2_8_14_2 article-title: Improvement in autonomic function following pancreas‐kidney versus kidney‐alone transplantation publication-title: Transplant Proc – ident: e_1_2_8_12_2 doi: 10.1097/00007890-199403270-00008 – ident: e_1_2_8_17_2 doi: 10.1089/152091501750220019 – ident: e_1_2_8_9_2 doi: 10.2337/diacare.22.3.503 – ident: e_1_2_8_21_2 doi: 10.2337/diacare.24.2.371 – ident: e_1_2_8_11_2 doi: 10.1023/A:1018856112765 – ident: e_1_2_8_31_2 doi: 10.1136/gut.27.7.799 – volume: 26 start-page: 515 year: 1994 ident: e_1_2_8_29_2 article-title: Improved autonomic and gastric function in pancreas‐kidney vs kidney‐alone transplantation contributes to quality of life publication-title: Transplant Proc – ident: e_1_2_8_7_2 doi: 10.1111/j.1572-0241.1999.01008.x – ident: e_1_2_8_10_2 doi: 10.1023/A:1018878901727 – ident: e_1_2_8_32_2 doi: 10.1136/gut.32.2.141 – ident: e_1_2_8_33_2 doi: 10.1007/BF02285190 – ident: e_1_2_8_28_2 doi: 10.1097/00007890-199505270-00009 – volume: 213 start-page: 7 year: 1995 ident: e_1_2_8_4_2 article-title: Gastroparesis: diagnosis and management publication-title: Scand J Gastroenterol Suppl – ident: e_1_2_8_8_2 doi: 10.1023/A:1026647417465 – ident: e_1_2_8_2_2 doi: 10.1097/00004836-200101000-00005 – ident: e_1_2_8_15_2 doi: 10.1007/s11938-001-0030-6 – ident: e_1_2_8_20_2 doi: 10.1007/BF02088561 – ident: e_1_2_8_13_2 doi: 10.1159/000171334 – ident: e_1_2_8_19_2 doi: 10.1007/BF01297028 – volume: 23 start-page: 1660 year: 1991 ident: e_1_2_8_27_2 article-title: Improvement in autonomic function following combined pancreas‐kidney transplantation publication-title: Transplant Proc – ident: e_1_2_8_30_2 doi: 10.1007/BF00403371 – ident: e_1_2_8_26_2 doi: 10.3949/ccjm.68.11.928 – ident: e_1_2_8_3_2 doi: 10.1097/00004836-200003000-00004 – volume: 21 start-page: 111 year: 2001 ident: e_1_2_8_25_2 article-title: Diabetic nephropathy publication-title: Clin Lab Med – ident: e_1_2_8_22_2 doi: 10.1016/S0140-6736(94)90880-X |
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| Snippet | : This pilot study examined associations among patterns of gastric myoelectrical activity, symptoms of gastroparesis, years of diabetes, months of dialysis,... This pilot study examined associations among patterns of gastric myoelectrical activity, symptoms of gastroparesis, years of diabetes, months of dialysis, and... |
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| SubjectTerms | Adult Biological and medical sciences Cardiology. Vascular system diabetes Diabetes Mellitus - physiopathology Diabetes Mellitus - surgery Dialysis Electrodiagnosis - methods electrogastrography Female Gastrointestinal Agents - therapeutic use gastroparesis Gastroparesis - drug therapy Gastroparesis - etiology Gastroparesis - physiopathology General aspects Humans Kidney Failure, Chronic - physiopathology Kidney Failure, Chronic - surgery Kidney Failure, Chronic - therapy Kidney Transplantation - adverse effects kidney/pancreas transplantation Male Medical sciences Middle Aged Myoelectric Complex, Migrating - physiology Pancreas Transplantation - adverse effects Pilot Projects Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases |
| Title | Gastroparesis following kidney/pancreas transplant |
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