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Author Spotlight: Point-of-Care Ultrasound for Gastric Content Assessment and Risk Stratification in Perioperative Care
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Factors Affecting Delayed Gastric Emptying and Long-Term Outcomes of Children With Gastric Emptying

Christopher Roberts1, Maryam Hussein1,2, Esme Poole1,2

  • 1From the Department of Paediatric Gastroenterology, Southampton Children's Hospital, Southampton, UK.

Journal of Pediatric Gastroenterology and Nutrition
|February 2, 2023
PubMed

Insights

Prior abdominal surgery is a key predictor of delayed gastric emptying (DGE) in children. Symptoms and medication needs significantly decreased two years after treatment, indicating positive patient response.

Area of Science:

  • Pediatric Gastroenterology
  • Diagnostic Imaging

Background:

  • Delayed gastric emptying (DGE) affects children, impacting their well-being.
  • Identifying predictive factors for DGE is crucial for timely intervention.

Purpose of the Study:

  • To determine factors predicting DGE in pediatric patients.
  • To assess treatment response in children with DGE.

Main Methods:

  • Retrospective analysis of 285 children (0-18 years) undergoing gastric emptying scintigraphy (GES) from 2009-2018.
  • Clinical data including symptoms, medications, and history were collected.
  • Multivariate regression and coefficient analysis were used, with 2-year follow-up for treatment response.

Main Results:

  • 174 out of 285 children had DGE. Vomiting and reflux were the most common symptoms (>90%).
  • Prior surgery, especially abdominal surgery, was a significant predictor of DGE and severe DGE.
  • A notable improvement in symptoms and reduction in medication use was observed after 2 years.

Conclusions:

  • This study represents a large dataset on pediatric DGE.
  • Prior abdominal surgery is a critical predictor for severe DGE in children.
  • Children with DGE show significant symptom and medication improvement over two years.
Abstract

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