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1 Lynn Institute for Healthcare Research, Oklahoma City, Oklahoma 73112; and 2 Xiamen Medical Research Institute, Xiamen 361003, China
The gastric slow
wave is originated in the proximal stomach and propagates distally
toward the pylorus. It determines the maximum frequency and propagation
of gastric contractions. The aim of this study was to detect the
propagation of the gastric slow wave from the surface electrogastrogram
(EGG). The study was performed in 11 healthy subjects of normal weight.
Gastric myoelectrical activity was recorded for 1 h in the fasting
state with the use of a specially designed multichannel recording
device that was composed of four identical amplifiers with cutoff
frequencies of 1.8 and 16.0 cycles/min. Four active electrodes were
placed on the abdomen along the gastric axis and were connected to a common reference electrode placed near the xiphoid process, yielding four-channel bipolar EGG signals. Cross-covariance analysis was performed to compute the time lag among the four channels. There was a
time lag in EGG waveform between channels
1 and 4 (9.6 ± 1.1 s); the average time during which the time lag was observed (
3 s) was
89.9 ± 9.0%. There was a significant difference in the time lag
among different adjacent channels (P < 0.04); the time lag observed between channels
3 and 4 was
significantly smaller than that between channels
1 and 2 (P < 0.03). No correlation was found
between the body mass index and the time lag between channels 1 and
4 (r =
0.31, P = 0.3). It was
concluded that, with a multichannel recording device with identical
multiamplifiers and an appropriate arrangement of abdominal electrodes,
the propagation of the gastric slow wave could be identified from the
EGG in healthy subjects. This method may be used to detect the coupling
of the gastric slow wave noninvasively.
electrogastrography; gastric motility; gastric emptying stomach
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