Association of Abnormal Electrogastrography and Cardiac Autonomic Neuropathy in Diabetic Patients without Upper Gastrointestinal Symptoms.

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  • Torichigai Naoko
    Department of Medicine and Clinical Science, Graduate School of Medical Sciences, Kyushu University
  • Iwase Masanori
    Department of Medicine and Clinical Science, Graduate School of Medical Sciences, Kyushu University
  • Gotoh Daisuke
    Department of Medicine and Clinical Science, Graduate School of Medical Sciences, Kyushu University
  • Uchizono Yuji
    Department of Medicine and Clinical Science, Graduate School of Medical Sciences, Kyushu University
  • Yoshinari Mototaka
    Department of Medicine and Clinical Science, Graduate School of Medical Sciences, Kyushu University
  • Iida Mitsuo
    Department of Medicine and Clinical Science, Graduate School of Medical Sciences, Kyushu University

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  • 明らかな上部消化器症状を伴わない糖尿病患者における胃電図の検討
  • アキラカ ナ ジョウブ ショウカキ ショウジョウ オ トモナワナイ トウニョウビョウ カンジャ ニ オケル イデンズ ノ ケントウ

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Abstract

Much attention is being paid to cutaneous electrogastrography as a noninvasive gastric function test. We studied electrogastrography in diabetic patients without upper gastrointestinal symptoms from the standpoint of autonomic neuropathy in 19 asymptomatic diabetic patients and 7 healthy controls. Diabetic patients were divided into those without (n=10) and those with autonomic neuropathy (n=9) based on heart rate variability tests. The percentage of time in normal 3 cpm did not differ between control and diabetic patients with and without autonomic neuropathy before a meal, whereas after a meal, it was significantly lower in those with autonomic neuropathy than in controls (67±10% in controls, 48±6% in diabetics without autonomic neuropathy, 37±9% in diabetics with autonomic neuropathy, p< 0.05 vs controls). The postprandial? to-fasting power ratio tended to decreased in diabetic patients compared to controls. We found that abnormal electrogastrography may be associated with autonomic neuropathy in asymptomatic diabetic patients, suggesting that electrogastrography may be useful for detecting gastric autonomic neuropathy.

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