Accelerated gastric emptying is associated with improved aspiration efficiency in obesity
BackgroundThe overall effectiveness of aspiration therapy (AT) for obesity relies on optimal aspiration timing after a meal, which can vary depending on a patient’s rate of gastric emptying (GE). Our aim was to identify if baseline GE rates were associated with differences in aspiration efficiency (...
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doaj-cccc47fcb3a34977ab1e537ad8d23e6f2020-11-25T02:32:38ZengBMJ Publishing GroupBMJ Open Gastroenterology2054-47742019-06-016110.1136/bmjgast-2019-000273Accelerated gastric emptying is associated with improved aspiration efficiency in obesityFateh BazerbachiBarham K Abu DayyehEric J VargasAndrew C StormBackgroundThe overall effectiveness of aspiration therapy (AT) for obesity relies on optimal aspiration timing after a meal, which can vary depending on a patient’s rate of gastric emptying (GE). Our aim was to identify if baseline GE rates were associated with differences in aspiration efficiency (AE).MethodsSubjects from an ongoing AT clinical trial were enrolled in this study. AE was calculated as the absolute gastric residual and calories aspirated at 20 and 40 min. Participants were then divided by baseline GE rate into two groups (slow vs fast). Wilcoxon rank-sum test was used to compare AE at 20 and 40 min between the groups. Exploratory linear regression was used to assess relationship between GE and AE.Results7 patients (85% female) were coenrolled in the study. Mean age and body mass index were 39.8±9.44 and 43±5, respectively. AE did not significantly differ between the 20 and 40 min time points for the group as a whole (34.3% vs 36.9%; p>0.5). However, those with fast GE aspirated more calories than those with slow GE (20 min: 200 kcal vs 72.5 kcal; 40 min: 154 kcal vs 63 kcal) (p=0.05). On linear regression, delayed GE was associated with poorer aspiration (20 min: β=−107 calories; p=0.019; R2=0.7). 4/7 patients had significant differences in residual/caloric aspiration across the two time points.ConclusionPatients undergoing AT may benefit from a GE test to optimise their AE. Paradoxically faster GE times saw better aspiration. Prospective studies are revealing a personalised approach to obesity. |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Fateh Bazerbachi Barham K Abu Dayyeh Eric J Vargas Andrew C Storm |
spellingShingle |
Fateh Bazerbachi Barham K Abu Dayyeh Eric J Vargas Andrew C Storm Accelerated gastric emptying is associated with improved aspiration efficiency in obesity BMJ Open Gastroenterology |
author_facet |
Fateh Bazerbachi Barham K Abu Dayyeh Eric J Vargas Andrew C Storm |
author_sort |
Fateh Bazerbachi |
title |
Accelerated gastric emptying is associated with improved aspiration efficiency in obesity |
title_short |
Accelerated gastric emptying is associated with improved aspiration efficiency in obesity |
title_full |
Accelerated gastric emptying is associated with improved aspiration efficiency in obesity |
title_fullStr |
Accelerated gastric emptying is associated with improved aspiration efficiency in obesity |
title_full_unstemmed |
Accelerated gastric emptying is associated with improved aspiration efficiency in obesity |
title_sort |
accelerated gastric emptying is associated with improved aspiration efficiency in obesity |
publisher |
BMJ Publishing Group |
series |
BMJ Open Gastroenterology |
issn |
2054-4774 |
publishDate |
2019-06-01 |
description |
BackgroundThe overall effectiveness of aspiration therapy (AT) for obesity relies on optimal aspiration timing after a meal, which can vary depending on a patient’s rate of gastric emptying (GE). Our aim was to identify if baseline GE rates were associated with differences in aspiration efficiency (AE).MethodsSubjects from an ongoing AT clinical trial were enrolled in this study. AE was calculated as the absolute gastric residual and calories aspirated at 20 and 40 min. Participants were then divided by baseline GE rate into two groups (slow vs fast). Wilcoxon rank-sum test was used to compare AE at 20 and 40 min between the groups. Exploratory linear regression was used to assess relationship between GE and AE.Results7 patients (85% female) were coenrolled in the study. Mean age and body mass index were 39.8±9.44 and 43±5, respectively. AE did not significantly differ between the 20 and 40 min time points for the group as a whole (34.3% vs 36.9%; p>0.5). However, those with fast GE aspirated more calories than those with slow GE (20 min: 200 kcal vs 72.5 kcal; 40 min: 154 kcal vs 63 kcal) (p=0.05). On linear regression, delayed GE was associated with poorer aspiration (20 min: β=−107 calories; p=0.019; R2=0.7). 4/7 patients had significant differences in residual/caloric aspiration across the two time points.ConclusionPatients undergoing AT may benefit from a GE test to optimise their AE. Paradoxically faster GE times saw better aspiration. Prospective studies are revealing a personalised approach to obesity. |
work_keys_str_mv |
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