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Drink tests in functional dyspepsia: which drink is best?
I E Hjelland1, A P Ofstad, J K Narvestad
1Division of Gastroenterology, Institute of Medicine, Haukeland University Hospital, Bergen, Norway. ina.hjelland@med.uib.no
Scandinavian Journal of Gastroenterology
|October 30, 2004
Summary
A meat soup drink test combined with ultrasonography effectively diagnosed functional dyspepsia by revealing lower drinking capacity and intragastric volume in patients. This non-invasive method shows promise for clinical use.
Area of Science:
- Gastroenterology
- Diagnostic Medicine
- Medical Imaging
Background:
- Functional dyspepsia (FD) is characterized by reduced drinking capacity, suggesting potential diagnostic value for drink tests.
- A simple drink test combined with ultrasonography was investigated for its diagnostic utility in FD.
Purpose of the Study:
- To identify the optimal test meal for a non-invasive diagnostic drink test in functional dyspepsia.
- To evaluate the diagnostic performance of different liquid meals (Nutridrink, meat soup, water) using ultrasonography.
Main Methods:
- 10 patients with FD and 10 healthy controls underwent separate drink tests with Nutridrink, meat soup, and water.
- Maximal drinking capacity and intragastric volume were measured using 3D ultrasonography.
- Gastric emptying and symptom correlations (nausea, fullness) were analyzed.
Main Results:
- Meat soup significantly reduced drinking capacity and intragastric volume in FD patients compared to controls.
- Gastric emptying differentiated patients from controls only with Nutridrink.
- Combined symptom and intragastric volume data with meat soup yielded optimal discrimination via ROC analysis.
Conclusions:
- A meat soup-based drink test with ultrasonography is superior for non-invasive FD diagnosis compared to Nutridrink or water.
- This approach offers a promising tool for identifying functional dyspepsia.