Nausea Predicts Delayed Gastric Emptying in Children

• Published in: The Journal of pediatrics Vol. 164; no. 1; pp. 89 - 92
• Main Authors: Jericho, Hilary, Adams, Papa, Zhang, Gang, Rychlik, Karen, Saps, Miguel
• Format: Journal Article
• Language: English
• Published: United States Mosby, Inc 01.01.2014
• Subjects: Adolescent; Child; Child, Preschool; Cross-Sectional Studies; Female; Follow-Up Studies; Gastric Emptying - physiology; Gastroparesis - complications; Gastroparesis - epidemiology; Gastroparesis - physiopathology; Humans; Illinois - epidemiology; Incidence; Male; Nausea - diagnosis; Nausea - etiology; Nausea - physiopathology; Pediatrics; Retrospective Studies; Risk Factors; Severity of Illness Index; Surveys and Questionnaires; Time Factors; Illinois; GCSI; GES; BMI; CMH; Body mass index; Gastric emptying scintigraphy; Children's Memorial Hospital of Chicago; Gastroparesis cardinal symptom index
• ISSN: 0022-3476; 1097-6833; 1097-6833
• DOI: 10.1016/j.jpeds.2013.09.019

To assess whether the gastroparesis cardinal symptom index (GCSI), or any individual symptom, is associated with delayed gastric emptying in children, and to assess understanding of symptoms associated with delayed gastric emptying. Fifty children (36 F), 5-18 years of age, undergoing gastric emptying scintigraphy (GES) at Lurie Children's Hospital in Chicago, Illinois, completed Likert-type GCSI and symptom comprehension questionnaires. Correlation of GES results (normal or abnormal) with questionnaire results using the Wilcoxon rank sum test. Seventy percent of subjects had a normal GES. Children reported understanding most terms of GCSI (average score 2.59, range 0-3). The GCSI was not associated with delayed gastric emptying. Nausea was associated with delayed gastric emptying only (numerical P = .04, word P = .02). Results were not altered when poorly understood terms were excluded. The GCSI is not associated with delayed gastric emptying in children. Lack of association does not seem to be related to lack of understanding. Nausea alone was the only symptom that showed an association with delayed gastric emptying on GES.