08 September 2003
Med Sci Monit 2003; 9(9): CR392-395 :: ID: 13190
Background:Traumatic brain injury (TBI) constitutes a major public health problem. Most of the acute disturbances of autonomic nervous system activity seen in clinical practice resulting from head injury are due to increased intracranial pressure (ICP), which precipitates a complex set of changes causing lack of food tolerance. The aim of our study was to evaluate the effects of TBI on gastric myoelectric activity in coma patients.Material/Methods:24 patients (23 male, 1 female; mean age 43.6I7 yr.) hospitalized for TBI in the Department of Neurotraumatology were included in the study. Gastric myoelectric activity was recorded using the Synectics system (Sweden) on the 1st and 2nd day after injury. The control group consisted of healthy volunteers matched for age and gender.Results:In the control group, electrogastrography (EGG) showed the percentage of time with bradygastria, normogastria and tachygastria to be 9.7I6.4, 88.3I7.6 and 2.0I3.5 respectively. The amplitude of the signal was 181I11.5 [KV2]. In TBI patients, the percentage of time with bradygastria and tachygastria increased to 46.5I21.8 (p=0.03) and 5.5I11.8 (p=0.001) respectively, while the duration of normogastria decreased to 47.2I20.4 (p=0.001). Highly significant changes were observed in signal amplitude, which increased to 766I550 [KV2] (p=0.0007). There was positive correlation between GCS and normogastria (r=0.66, p
Keywords: Coma - etiology, Coma - physiopathology, Electrophysiology - methods, Glasgow Coma Scale, Head Injuries, Closed - complications, Head Injuries, Closed - physiopathology, Myoelectric Complex, Migrating - physiology, Stomach - physiology
01 November 2023 : EditorialEditorial: Factors Driving New Variants of SARS-CoV-2, Immune Escape, and Resistance to Antiviral Treatments as the End of the COVID-19 Pandemic is Declared
Med Sci Monit 2023; 29:e942960
28 Nov 2023 : Clinical ResearchImpact of Fluorodeoxyglucose-Positron Emission Tomography/Computed Tomography on Therapeutic Decisions and ...
Med Sci Monit In Press; DOI: 10.12659/MSM.942122
28 Nov 2023 : Clinical ResearchLong-Term Outcomes of Decompression and Grafting in Acute Pathological Proximal Femur Fractures in Children...
Med Sci Monit In Press; DOI: 10.12659/MSM.943031
27 Nov 2023 : Clinical ResearchComparison of Outcomes from Emergency Admissions to a Major Trauma Center in Turkey of 1646 Elderly Patient...
Med Sci Monit In Press; DOI: 10.12659/MSM.942916
Most Viewed Current Articles
13 Nov 2021 : Clinical ResearchAcceptance of COVID-19 Vaccination and Its Associated Factors Among Cancer Patients Attending the Oncology ...
Med Sci Monit 2021; 27:e932788
30 Dec 2021 : Clinical ResearchRetrospective Study of Outcomes and Hospitalization Rates of Patients in Italy with a Confirmed Diagnosis o...
Med Sci Monit 2021; 27:e935379
14 Dec 2022 : Clinical ResearchPrevalence and Variability of Allergen-Specific Immunoglobulin E in Patients with Elevated Tryptase Levels
Med Sci Monit 2022; 28:e937990
08 Mar 2022 : Review articleA Review of the Potential Roles of Antioxidant and Anti-Inflammatory Pharmacological Approaches for the Man...
Med Sci Monit 2022; 28:e936292