Gastrointestinal Motility - Obesity and Visceral Fat Influence

 

Acta Endocrinol (Buchar). 2019 Oct-Dec; 15(4): 497–504.  doi: 10.4183/aeb.2019.497

PMCID: PMC7200119PMID: 32377248

GASTROINTESTINAL MOTILITY DISORDERS IN OBESITY

I. Miron1,* and D.L. Dumitrascu2

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7200119/

Does Hypothyroidism Affect Gastrointestinal Motility?

Olga Yaylali,1 Suna Kirac,1 Mustafa Yilmaz,2 Fulya Akin,3 Dogangun Yuksel,1

Nese Demirkan,4 and Beyza Akdag5

Hindawi Publishing Corporation

Gastroenterology Research and Practice

Volume 2009, Article ID 529802, 7 pages

doi:10.1155/2009/529802

Background. Gastrointestinal motility and serum thyroid hormone levels are closely related. Our aim was to analyze whether

there is a disorder in esophagogastric motor functions as a result of hypothyroidism. Materials and Methods. The study group

included 30 females (mean age ± SE 45.17 ± 2.07 years) with primary hypothyroidism and 10 healthy females (mean age ±

SE 39.40 ± 3.95 years). All cases underwent esophagogastric endoscopy and scintigraphy. For esophageal scintigraphy, dynamic

imaging of esophagus motility protocol, and for gastric emptying scintigraphy, anterior static gastric images were acquired. Results.

The mean esophageal transit time (52.56 ± 4.07 sec for patients; 24.30 ± 5.88 sec for controls; P = .02) and gastric emptying

time (49.06 ± 4.29 min for the hypothyroid group; 30.4 ± 4.74 min for the control group; P = .01) were markedly increased in

cases of hypothyroidism. Conclusion. Hypothyroidism prominently reduces esophageal and gastric motor activity and can cause

gastrointestinal dysfunction.

AUGUST 17, 2020 BY LESLEY JAMES

Visceral Adipose Tissue Compromises Gastrointestinal Health

https://www.lesleyjamesmd.com/visceral-adipose-tissue-compromises-gastrointestinal-health/

Effect of Abdominal Visceral Fat Change on the Regression of Erosive Esophagitis: A Prospective Cohort Study

Su Youn Nam1,2, Young-Woo Kim3, Bum Joon Park2, Kum Hei Ryu2, Hyun Boem Kim4

Center for Gastric Cancer, Kyungpook National University Chilgok Hospital, School of Medicine, Kyungpook National University, 807 Hoguk-ro, Buk-gu, Daegu 41404, Korea

Received: December 9, 2017; Revised: February 15, 2018; Accepted: February 17, 2018

https://www.gutnliver.org/journal/view.html?pn=&uid=1442&vmd=Full

Gastric scintigraphy involves ingestion of a low-fat meal, consisting of technetium 99m (99mTc) sulfur colloid–labeled egg whites, bread, and water within 10 minutes. If the patient is unable to consume the meal, the standard reference ranges for gastric emptying will not apply. Imaging is performed with a gamma camera immediately after meal ingestion and again at 1, 2, and 4 hours after ingestion in anterior and posterior projections. Regions of interest are drawn around the stomach; the processing calculation uses a geometric mean, defined as the square root of the product of the anterior and posterior counts (Fig 1). Delayed gastric emptying is defined as gastric retention of greater than 60% at 2 hours or greater than 10% at 4 hours when the standard low-fat meal is used (3,4).

https://pubs.rsna.org/doi/full/10.1148/rg.220052

Guidelines for Gut Chronic Motility Problem

https://gut.bmj.com/content/69/12/2074