Protocol Optimization of Gastric Emptying for Detection of Rapid Gastric Emptying

427Objectives: To determine the optimal cutoff timepoint for rapid gastric emptying. This is one of the items suggested for further investigation in the 2008 published Consensus Recommendations for Gastric Emptying Scintigraphy 1. Methods: In accordance with the National Standard Protocol (NSP), which is based on the consensus recommendations of the ANMS/SNMMI, patients were given a standard low-fat, egg-white meal radiolabeled with 1 mCi Tc99m Sulfur Colloid. Anterior and posterior planar gamma camera imaging was performed at 0, 0.5, 1, 1.5, 2, 2.5, and 4 hours as per combined NSP and established Miami Method (MIA). Quantitation was performed at each time point using geometric mean activity of decay-corrected counts expressed as percent emptying and/or percent retention. The data from 1002 patients was analyzed for abnormal versus normal gastric emptying (GE) with special attention in determining the optimal time point for rapid gastric emptying. Results: In our large cohort of 1002 patients rapid GE was found in 81 patients at 0.5 h (
Source: Journal of Nuclear Medicine - Category: Nuclear Medicine Authors: Tags: Gastroenterology Source Type: research

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Conclusions: Our recommendations emphasise the importance of treating cancer patients, using the best evidence available, while simultaneously taking into consideration the world-wide health resource hyperutilisation to treat non-cancer COVID-19 patients. PMID: 32565901 [PubMed]
Source: Ecancermedicalscience - Category: Cancer & Oncology Tags: Ecancermedicalscience Source Type: research
CONCLUSION: GDM is associated with a greater risk of cancer in women, including breast, thyroid, stomach and liver cancers. However, further investigation is nonetheless warranted. PMID: 32097717 [PubMed - as supplied by publisher]
Source: Diabetes and Metabolism - Category: Endocrinology Authors: Tags: Diabetes Metab Source Type: research
The majority of doctors will tell you that there is nothing you can do to reverse fatty liver and that health problems such as cirrhosis and liver failure may be in your future that they will address with the awful “solution” of liver transplant. The truth is the opposite: fatty liver is easily and readily reversible in virtually everybody, provided you take action before irreversible changes take place and are given the right information and tools. In this video, I discuss the three basic phenomena that drive fat deposition, liver damage, and inflammation that lead to this condition: Carbohydrate consumption ...
Source: Wheat Belly Blog - Category: Cardiology Authors: Tags: Open bowel flora carbohydrates carbs Inflammation NAFLD nash triglycerides undoctored wheat belly Source Type: blogs
Originally, a Trojan horse referred to the wooden horse used to cunningly penetrate and conquer the city of Troy by the Greeks. In our era, the term has been adapted to describe disguised malwares that attack unsuspecting users’ computers and wreak havoc once inside. Judging by the title of this article, how then can a condition as serious as diabetes help move the digital health agenda forward? Computer generated 3D illustration with the Trojan Horse at Troy, source: http://codingtidbit.com/ Once upon a time, empowered patients started a revolution…  It all begins with a crippling speed of bure...
Source: The Medical Futurist - Category: Information Technology Authors: Tags: E-Patients Future of Medicine Healthcare Design diabetes digital health diabetes management patient design Source Type: blogs
The aim of this study was to evaluate the risk factors and elucidate the clinical characteristics of cancer-associated ischemic stroke to differentiate it from conventional ischemic stroke in China and East Asia. Between June 2012 and June 2016, a retrospective analysis was performed on 609 stroke patients with cancer. They were divided into 3 groups: cancer-stroke group (CSG, 203 cases), stroke group (SG, 203 cases), and cancer group (CG, 203 cases). The d-dimer levels and diffusion-weighted imaging lesion (DWI) pattern were compared to an age- and sex-matched control group. The most common cancer types were colorectal ca...
Source: Medicine - Category: Internal Medicine Tags: Research Article: Observational Study Source Type: research
Seven risk factors including age (every 5  years), low‐density lipoprotein‐cholesterol, smoking, body mass index, diabetes, obstructive sleep apnea syndrome, and aspartate aminotransferase (every 5 units) were independent indicators of 8‐year cancer events in patients with NAFLD. A simple risk model and a score system were developed to predict the risk of cancer events after NAFLD based on 8‐year follow‐up of 1254 NAFLD patients. The risk model was well validated in the test samples (n = 627) and evaluation samples (n = 627) with 8‐year follow‐up. Importantly, the risk model performed...
Source: Cancer Medicine - Category: Cancer & Oncology Authors: Tags: ORIGINAL RESEARCH Source Type: research
Because I wanted a benign and healthy way for followers of the Wheat Belly lifestyle to recreate dishes such as chocolate chip cookies, cheesecake, and pies with none of the health problems of grains or sugars, I helped Wheat-Free Market develop its Virtue Sweetener  product. Yes, you could do without such sweeteners. But I learned long ago when I introduced Wheat Belly concepts to patients in my cardiology practice that having options while entertaining friends, during holidays, and pleasing kids was important for staying on course on this lifestyle. Before I understood how to use such natural sweeteners, patients wo...
Source: Wheat Belly Blog - Category: Cardiology Authors: Tags: Open blood sugar diabetes Dr. Davis Inflammation insulin low-carb monk fruit natural sweeteners undoctored virtue sweetener Weight Loss wheat Wheat Belly Total Health Source Type: blogs
Fight Aging! publishes news and commentary relevant to the goal of ending all age-related disease, to be achieved by bringing the mechanisms of aging under the control of modern medicine. This weekly newsletter is sent to thousands of interested subscribers. To subscribe or unsubscribe from the newsletter, please visit: https://www.fightaging.org/newsletter/ Longevity Industry Consulting Services Reason, the founder of Fight Aging! and Repair Biotechnologies, offers strategic consulting services to investors, entrepreneurs, and others interested in the longevity industry and its complexities. To find out m...
Source: Fight Aging! - Category: Research Authors: Tags: Newsletters Source Type: blogs
Conclusion: Patients with type 1 DM should be examined for thyroid diseases, and patients with suspected thyroid disease should be evaluated with a thyroid ultrasound. Type 1 DM and PTC coexistence albeit very rare; It should be known that type 1 diabetes can be seen together with thyroid cancer. PMID: 31686641 [PubMed - as supplied by publisher]
Source: Current Diabetes Reviews - Category: Endocrinology Authors: Tags: Curr Diabetes Rev Source Type: research
Abstract Hepatocyte nuclear factor 4-alpha (HNF4α) is a highly conserved member of nuclear receptor superfamily of ligand-dependent transcription factors that is expressed in liver and gastrointestinal organs (pancreas, stomach, and intestine). In liver, HNF4α is best known for its role as a master regulator of liver-specific gene expression and essential for adult and fetal liver function. Dysregulation of HNF4α expression has been associated with many human diseases such as ulcerative colitis, colon cancer, maturity-onset diabetes of the young, liver cirrhosis, and hepatocellular carcinoma. How...
Source: World Journal of Gastroenterology - Category: Gastroenterology Authors: Tags: World J Gastroenterol Source Type: research
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