دورية أكاديمية

Pan-alimentary assessment of motility, luminal content, and structures:an MRI-based framework

التفاصيل البيبلوغرافية
العنوان: Pan-alimentary assessment of motility, luminal content, and structures:an MRI-based framework
المؤلفون: Bertoli, Davide, Mark, Esben B, Liao, Donghua, Brock, Christina, Brock, Birgitte, Knop, Filip K, Krogh, Klaus, Frøkjær, Jens B, Drewes, Asbjorn M
المصدر: Bertoli , D , Mark , E B , Liao , D , Brock , C , Brock , B , Knop , F K , Krogh , K , Frøkjær , J B & Drewes , A M 2023 , ' Pan-alimentary assessment of motility, luminal content, and structures : an MRI-based framework ' , Scandinavian Journal of Gastroenterology , vol. 58 , no. 12 , pp. 1378-1390 . https://doi.org/10.1080/00365521.2023.2233036Test
سنة النشر: 2023
المجموعة: Aarhus University: Research
مصطلحات موضوعية: Humans, Gastric Emptying/physiology, Stomach/diagnostic imaging, Gastrointestinal Motility, Gastrointestinal Diseases/etiology, Magnetic Resonance Imaging/adverse effects, Meals, Water
الوصف: BACKGROUND: Gastrointestinal symptoms originating from different segments overlap and complicate diagnosis and treatment. In this study, we aimed to develop and test a pan-alimentary framework for the evaluation of gastrointestinal (GI) motility and different static endpoints based on magnetic resonance imaging (MRI) without contrast agents or bowel preparation. METHODS: Twenty healthy volunteers (55.6 ± 10.9 years, BMI 30.8 ± 9.2 kg/m2) underwent baseline and post-meal MRI scans at multiple time points. From the scans, the following were obtained: Gastric segmental volumes and motility, emptying half time (T50), small bowel volume and motility, colonic segmental volumes, and fecal water content. Questionnaires to assess GI symptoms were collected between and after MRI scans. KEY RESULTS: We observed an increase in stomach and small bowel volume immediately after meal intake from baseline values (p<.001 for the stomach and p=.05 for the small bowel). The volume increase of the stomach primarily involved the fundus (p<.001) in the earliest phase of digestion with a T50 of 92.1 ± 35.3 min. The intake of the meal immediately elicited a motility increase in the small bowel (p<.001). No differences in colonic fecal water content between baseline and 105 min were observed. CONCLUSION & INFERENCES: We developed a framework for a pan-alimentary assessment of GI endpoints and observed how different dynamic and static physiological endpoints responded to meal intake. All endpoints aligned with the current literature for individual gut segments, showing that a comprehensive model may unravel complex and incoherent gastrointestinal symptoms in patients.
نوع الوثيقة: article in journal/newspaper
اللغة: English
العلاقة: https://pure.au.dk/portal/en/publications/68769a5a-d272-441a-8860-e64a50642beaTest
DOI: 10.1080/00365521.2023.2233036
الإتاحة: https://doi.org/10.1080/00365521.2023.2233036Test
https://pure.au.dk/portal/en/publications/68769a5a-d272-441a-8860-e64a50642beaTest
حقوق: info:eu-repo/semantics/restrictedAccess
رقم الانضمام: edsbas.48B3BAB1
قاعدة البيانات: BASE