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Antral Inflammatory Cells, Gastric Emptying, and Electrogastrography in Pediatric Functional Dyspepsia

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Abstract

The aims of the current study were to determine the activation states of antral eosinophils and mast cells and to evaluate the interactions of antral inflammatory cells with gastric emptying and electrogastrography (EGG) in 30 pediatric patients with functional dyspepsia. Eosinophil degranulation was moderate in 42% and extensive in 54% of patients. Mast cell degranulation was >50% in 81% of patients. Elevated mast cell density was associated with slower one hour gastric emptying and increased preprandial dysrhythmia. Mast cell density correlated with the preprandial percentage tachygastria. CD3+ cell density correlated with the preprandial percentage tachygastria also, but only in patients with increased eosinophil density. In conclusion, antral eosinophils and mast cells are significantly activated in pediatric functional dyspepsia. Mast cell density is associated with delayed gastric emptying and preprandial dysrhythmia, suggesting that there may be an interaction between antral inflammation and gastric electromechanical dysfunction in the pathophysiology of pediatric functional dyspepsia.

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Authors and Affiliations

  1. Section of Gastroenterology, The Children’s Mercy Hospital and Clinics, 2401 Gillham Road, Kansas City, MO, 64108, USA

    Craig A. Friesen, Meenal Singh & Jose T. Cocjin

  2. Department of Medicine, The University of Kansas Medical Center, Kansas City, KS, USA

    Zhiyue Lin & Richard W. McCallum

  3. Section of Pathology, The Children’s Mercy Hospital and Clinics, Kansas City, MO, USA

    Vivekanand Singh

  4. Section of Developmental and Behavioral Sciences, The Children’s Mercy Hospital and Clinics, Kansas City, MO, USA

    Jennifer V. Schurman

  5. Section of Radiology, The Children’s Mercy Hospital and Clinics, Kansas City, MO, USA

    Nanci Burchell

Authors
  1. Craig A. Friesen
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  2. Zhiyue Lin
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  3. Meenal Singh
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  4. Vivekanand Singh
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  5. Jennifer V. Schurman
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  6. Nanci Burchell
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  7. Jose T. Cocjin
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  8. Richard W. McCallum
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Correspondence to Craig A. Friesen.

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Friesen, C.A., Lin, Z., Singh, M. et al. Antral Inflammatory Cells, Gastric Emptying, and Electrogastrography in Pediatric Functional Dyspepsia. Dig Dis Sci 53, 2634–2640 (2008). https://doi.org/10.1007/s10620-008-0207-0

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  • DOI: https://doi.org/10.1007/s10620-008-0207-0

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