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Scientifica (Cairo). 2016;2016:2918139. doi: 10.1155/2016/2918139. Epub 2016 May 30.

Is Gastroparesis Found More Frequently in Patients with Cystic Fibrosis? A Systematic Review.

Scientifica

Juan E Corral, Corey W Dye, Maria R Mascarenhas, Jamie S Barkin, Matthias Salathe, Baharak Moshiree

Affiliations

  1. Department of Internal Medicine, University of Miami Miller School of Medicine, Miami, FL 33136, USA.
  2. Division of Gastroenterology, Hepatology and Nutrition, The Children's Hospital of Philadelphia, Philadelphia, PA 19104, USA.
  3. Division of Gastroenterology, University of Miami Miller School of Medicine, Miami, FL 33136, USA.
  4. Division of Pulmonary, Allergy, Critical Care, and Sleep Medicine, University of Miami Miller School of Medicine, Miami, FL 33136, USA.

PMID: 27313953 PMCID: PMC4904114 DOI: 10.1155/2016/2918139

Abstract

Cystic fibrosis (CF) is associated with different gastrointestinal motility disturbances and syndromes. We aim to assess gastric emptying in patients with CF compared to healthy controls by a systematic review of existing literature. Medical databases and abstracts from major gastroenterology and CF meetings were reviewed. Emptying times in CF patients were compared with healthy controls using random effects models. Subgroup analysis stratified results by age and diagnostic modality. Nineteen studies from 7 countries included 574 subjects (359 CF patients and 215 controls). Using pooled analysis frequency of gastroparesis was high (38%, 95% CI 30-45%) but results were highly dependent on the diagnostic modality. Delayed gastric emptying is more common in CF compared to general population. Scintigraphy identified rapid gastric emptying in a subgroup of CF patients, but this finding disappeared with adequate pancreatic enzyme replacement and after other diagnostic modalities were included.

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