Simple gastric motility assessment method with a single-channel electrogastrogram
-
Nenad B. Popović
,
Nadica Miljković
Abstract
Surface electrogastrography (EGG) is a non-invasive technique that is used to record myoelectrical activity of the stomach using cutaneous electrodes placed on the abdomen. Gastric motility assessment by EGG is a candidate for standard clinical procedure based on the quantification of parameters characteristic of gastric motility disorders. Despite its noticeable benefits, EGG is not widely implemented in clinical practice. The main reasons are: (1) lack of standardization of electrode placement, (2) time-consuming diagnostic procedures and (3) a complex multi-channel recording setup. We proposed a methodology in which an easy-to-use single-channel EGG, with a less time-consuming protocol (<1 h), would provide sufficient information for gastric motility assessment. Recordings from the three anatomical landmarks in 20 healthy young subjects were compared under two conditions, fasting and postprandial by evaluating the dominant frequency (DF). Our results showed that there is a statistically significant increase of DF after meal ingestion (p<0.05) in each of the three channels. However, when the study group was divided into two subgroups based on body mass index (BMI), the most appropriate recording location was above the body of the stomach (according to statistical significance p=7.82×10−6). We showed that a less time-consuming recording session with light meal intake could be used for the assessment of gastric myoelectrical activity (GMA).
Acknowledgments
The authors would like to thank all the volunteers for their participation in this study.
Author Statement
Research funding: The work in this project was supported by the Ministry of Education, Science and Technological Development, Republic of Serbia, grant no. 175016.
Conflict of interest: None of the authors declare a conflict of interest.
Informed consent: All subjects signed an informed consent approved by the Local Ethics Committee, according to Declaration of Helsinki.
Ethical approval: The research related to human use complied with all the relevant national regulations and institutional policies and was performed in accordance with the tenets of the Declaration of Helsinki and has been approved by the author’s institutional review board or equivalent committee.
References
[1] Murakami H, Matsumoto H, Ueno D, Kawai A, Ensako T, Kaida Y, et al. Current status of multichannel electrogastrography and examples of its use. J Smooth Muscle Res 2013;49:78–88.10.1540/jsmr.49.78Suche in Google Scholar PubMed PubMed Central
[2] Alvarez WC. The electrogastrogram and what it shows. J Am Med Assoc 1922;78:1116–9.10.1001/jama.1922.02640680020008Suche in Google Scholar
[3] Verhagen MAMT, Vanshelven LJ, Samsom M, Smout AJPM. Pitfalls in the analysis of electrogastrographic recordings. Gastroenterol 1999;117:453–60.10.1053/gast.1999.0029900453Suche in Google Scholar PubMed
[4] Parkman HP, Hasler WL, Barnet JL, Eaker EY. Electrogastrography: a document prepared by the gastric section of the American Motility Society Clinical GI Motility Testing Task Force. Neurogastroenterol Motil 2003;15:89–102.10.1046/j.1365-2982.2003.00396.xSuche in Google Scholar PubMed
[5] Sanmiguel CP, Mintchev MP, Bowes KL. Electrogastrography: a noninvasive technique to evaluate gastric electrical activity. Can J Gastroenterol 1998;12:423–30.10.1155/1998/504345Suche in Google Scholar PubMed
[6] Bor C, Bordin D, Demirag K, Uyar M. The effect of brain death and coma on gastric myoelectrical activity. Turk J Gastroenterol 2016;27:216–20.10.5152/tjg.2016.16019Suche in Google Scholar PubMed
[7] Jonderenko K, Kasicka JA, Krusiec SB, Dzielicki M, Strój L, Dolinski M, et al. How reproducible is cutaneous electrogastrography? An in-depth evidence-based study. J Neurogastroenterol Motil 2005;17:800–9.10.1111/j.1365-2982.2005.00707.xSuche in Google Scholar PubMed
[8] Calder S, Cheng LK, Du P. A theoretical analysis of electrogastrogram (EGG). Conf Proc IEEE Eng Med Biol Soc 2014;36:4330–3.10.1109/EMBC.2014.6944582Suche in Google Scholar PubMed PubMed Central
[9] Ravariu C, Ionescu-Tirgoviste C, Ravariu F. Glucose biofuels properties in the bloodstream in conjunction with the beta cell electro-physiology. Conf Proc 2009 IEEE Clean Electrical Power 2009;1:124–7.10.1109/ICCEP.2009.5212071Suche in Google Scholar
[10] Haddab S, Laghrouche M. Microcontroller-based system for electrogastrography monitoring through wireless transmission. Meas Sci Rev 2009;9:122–6.10.2478/v10048-009-0022-6Suche in Google Scholar
[11] Qina S, Ding W, Miaoa L, Xia N, Lia H, Yangd C. Signal reconstruction of the slow wave and spike potential from electrogastrogram. Bio-Med Mater Eng 2015;26:1515–21.10.3233/BME-151450Suche in Google Scholar
[12] Riezzo G, Russo F, Indrio F. Electrogastrography in adults and children: the strength, pitfalls, and clinical significance of the cutaneous recording of the gastric electrical activity. BioMed Res Int 2013;2013:1–14.10.1155/2013/282757Suche in Google Scholar
[13] Chen JDZ, Zou X, Lin X, Ouyang S, Liang J. Detection of gastric slow wave propagation from the cutaneous electrogastrogram. Am J Physiol 1999;277:G424–30.10.1152/ajpgi.1999.277.2.G424Suche in Google Scholar
[14] Mintchev MP, Kingma YJ, Bowes KL. Accuracy of cutaneous recordings of gastric electrical activity. Gastroenterol 1993;104:1273–80.10.1016/0016-5085(93)90334-9Suche in Google Scholar
[15] Patterson M, Rintala R, Lloyd D, Abernethy L, Houghton D, Williams J. Validation of electrode placement in neonatal electrogastrography. Dig Dis Sci 2001;46:2245–9.10.1023/A:1011931502985Suche in Google Scholar
[16] Koch KL, Stern RM. Handbook of Electrogastrography. New York: Oxford University Press; 2004.10.1093/oso/9780195147889.003.0005Suche in Google Scholar
[17] Mirizzi N, Scafoglieri U. Optimal direction of the electrogastrographic signal in man. Med Biol Eng Comput 1983;21:385–9.10.1007/BF02442624Suche in Google Scholar PubMed
[18] Shiwaku K, Anuurad E, Enkhmaa B, Nogi A, Kitajima K, Shimono K, et al. Overweight Japanese with body mass indexes of 23.0–24.9 have higher risks for obesity-associated disorders: a comparison of Japanese and Mongolians. Int J Obes 2004;28:152–8.10.1038/sj.ijo.0802486Suche in Google Scholar PubMed
[19] Mintchev MP, Bowes KL. Impact of external factors on the stability of human electrogastrograms. Med Biol Eng Comput 1996;34:270–2.10.1007/BF02520087Suche in Google Scholar PubMed
[20] Yin J, Chen JDZ. Electrogastrography: methodology, validation and applications. Neurogastroenterol Motil 2013;19:5–17.10.5056/jnm.2013.19.1.5Suche in Google Scholar PubMed PubMed Central
[21] Ravariu C. Contributions to novel methods in electrophysiology aided by electronics devices and circuits. In: Gaetano GD, Alistair M, editors. Applied Biomedical Engineering. Austria-Croatia: InTech Publisher; 2011:123–40.10.5772/21443Suche in Google Scholar
[22] Calder SS, Grady GO, Cheng LK, Du P. A Theoretical analysis of electrogastrography (EGG) signatures associated with gastric dysrhythmias. IEEE Trans Biomed Eng 2017;64:1592–601.10.1109/TBME.2016.2614277Suche in Google Scholar
[23] Lapidus L, Bengtsson C, Larsson B, Pennert K, Rybo E, Sjostrom L. Distribution of adipose tissue and risk of cardiovascular disease and death: a 12 year follow up of participants in the population study of women in Gothenburg, Sweden. Brit Med J 1984;289:1257–61.10.1136/bmj.289.6454.1257Suche in Google Scholar
[24] Gharibans AA, Kim S, Kunkel DC, Coleman TP. High-resolution electrogastrogram: a novel, noninvasive method for determining gastric slow-wave direction and speed. IEEE Trans Biomed Eng 2017;64:807–15.10.1109/TBME.2016.2579310Suche in Google Scholar
[25] Grady GO, Du P, Cheng LK, Egbuji JU, Lammers WJEP, Windsor JA, et al. Origin and propagation of human gastric slow-wave activity defined by high-resolution mapping. Am J Physol 2010;299:585–92.10.1152/ajpgi.00125.2010Suche in Google Scholar
[26] Calder SS, Grady GO, Cheng LK, Du P. Basis of electrogastrography (EGG) revisited using a Torso tank. Gastroenterol 2017;152(Supp. 1):S520.10.1016/S0016-5085(17)31916-9Suche in Google Scholar
[27] Gharibans A, Beltran A, Kunkel D, Coleman TP, Mousa H. Improving the clinical utility of electrogastrography by conducting simultaneous high-resolution electrogastrogram and antroduodenal manometry in children. Gastroenterol 2017;152(Supp. 1):S708.10.1016/S0016-5085(17)32469-1Suche in Google Scholar
Supplementary Material:
The online version of this article offers supplementary material (https://doi.org/10.1515/bmt-2017-0218).
©2019 Walter de Gruyter GmbH, Berlin/Boston
Artikel in diesem Heft
- Frontmatter
- Review
- The peripheral cannulas in extracorporeal life support
- Research articles
- Determination of optimal positive end-expiratory pressure based on respiratory compliance and electrical impedance tomography: a pilot clinical comparative trial
- Simulation of personalised haemodynamics by various mounting positions of a prosthetic valve using computational fluid dynamics
- Recovery of signal loss adopting the residual bootstrap method in fetal heart rate dynamics
- Optimal level and order detection in wavelet decomposition for PCG signal denoising
- Simple gastric motility assessment method with a single-channel electrogastrogram
- Analysis of on-surface and in-air movement in handwriting of subjects with Parkinson’s disease and atypical parkinsonism
- Wavelet-enhanced convolutional neural network: a new idea in a deep learning paradigm
- Digital microscopic evaluation of vertical marginal discrepancies of CAD/CAM fabricated zirconia cores
- Modelling the degree of porosity of the ceramic surface intended for implants
- How Hedstrom files fail during clinical use? A retrieval study based on SEM, optical microscopy and micro-XCT analysis
- A novel measurement strategy to evaluate the human head as a transition medium for inductive ear-to-ear communication
- Short communication
- Force plates may be used for dynamic analyses of endoprostheses explantation procedures
Artikel in diesem Heft
- Frontmatter
- Review
- The peripheral cannulas in extracorporeal life support
- Research articles
- Determination of optimal positive end-expiratory pressure based on respiratory compliance and electrical impedance tomography: a pilot clinical comparative trial
- Simulation of personalised haemodynamics by various mounting positions of a prosthetic valve using computational fluid dynamics
- Recovery of signal loss adopting the residual bootstrap method in fetal heart rate dynamics
- Optimal level and order detection in wavelet decomposition for PCG signal denoising
- Simple gastric motility assessment method with a single-channel electrogastrogram
- Analysis of on-surface and in-air movement in handwriting of subjects with Parkinson’s disease and atypical parkinsonism
- Wavelet-enhanced convolutional neural network: a new idea in a deep learning paradigm
- Digital microscopic evaluation of vertical marginal discrepancies of CAD/CAM fabricated zirconia cores
- Modelling the degree of porosity of the ceramic surface intended for implants
- How Hedstrom files fail during clinical use? A retrieval study based on SEM, optical microscopy and micro-XCT analysis
- A novel measurement strategy to evaluate the human head as a transition medium for inductive ear-to-ear communication
- Short communication
- Force plates may be used for dynamic analyses of endoprostheses explantation procedures
