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  Česky / Czech version Čes.-slov. Pediat., 58, 2003, No. 6, p. 374-377.
 
The Gastric Emptying of a Solid Meal in Cystic Fibrosis Patients Assessed by the 13C-Octanoic Acid Breath Test 
Neumann D., Pozler O., Voříšek V.1, Vaníček H., Bureš J.2 

Dětská klinika, Fakultní nemocnice, Hradec Králové přednostka doc. MUDr. E. Pařízková, CSc. Ústav klinické biochemie a diagnostiky, Fakultní nemocnice, Hradec Králové1 přednosta prof. MUDr. V. Palička, CSc. II. interní klinika, Fakultní nemocnice, Hradec Králové2 přednosta prof. MUDr. J. Malý, CSc.
 


Summary:

       The 13C-octanoic acid breath test (13C-OABT) is the most precise breath test for the assessment of gastric emptying. The presented study concentrates on gastric emptying of a solid meal in CF patients. Method: The solid testmeal (cake) was administered with 65 microlitres of 13C-octanoic acid. Patients collected breath samples throughout a 4-hour period. The air samples were examined by mass spectrometry to obtain delta values, which were transformed to the elimination pattern of 13C. The gastric emptying half times (T1/2GE) were counted by MOMENT 4 programme, modelling elimination as incomplete gamma function. The incomplete gamma parameters estimation was done by themomentmethod. The T1/2GEs were compared with reference data obtained by Van Den Driessche (25). The 13C-OABT was performed in 20 patients, median age 13.5 years. Results: 13C-OABT were analyzed in 16 patients. In 69% of them T1/2GEs were in the reference range, in 25% below and in 6% prolonged. The difference in delta values remained in CF 13C-OABT low. Conclusion: The gastric emptying rate in CF patients does not differ in principle from the healthy population.

        Key words: gastric emptying, 13C-OABT, cystic fibrosis
       

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