{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,20]],"date-time":"2026-08-20T15:49:23Z","timestamp":1787240963687,"version":"build-2736575974"},"reference-count":48,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2013,6,20]],"date-time":"2013-06-20T00:00:00Z","timestamp":1371686400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J of Gastro and Hepatol"],"published-print":{"date-parts":[[2013,7]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background and Aims<\/jats:title>\n                    <jats:p>\n                      Functional dyspepsia (\n                      <jats:styled-content style=\"fixed-case\">FD<\/jats:styled-content>\n                      ) is an important gastrointestinal problem with obscure etiology. Abnormal gastric motility is suggested as a possible pathophysiological mechanism for symptoms. The main objective of this study was to assess gastric motility in\n                      <jats:styled-content style=\"fixed-case\">S<\/jats:styled-content>\n                      ri\n                      <jats:styled-content style=\"fixed-case\">L<\/jats:styled-content>\n                      ankan children with\n                      <jats:styled-content style=\"fixed-case\">FD<\/jats:styled-content>\n                      .\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      Forty\u2010one children (19 [46.3%] males, age 4\u201314 years, mean 7.5 years,\n                      <jats:styled-content style=\"fixed-case\">SD<\/jats:styled-content>\n                      2.6 years) referred to the\n                      <jats:styled-content style=\"fixed-case\">G<\/jats:styled-content>\n                      astroenterology\n                      <jats:styled-content style=\"fixed-case\">R<\/jats:styled-content>\n                      esearch\n                      <jats:styled-content style=\"fixed-case\">L<\/jats:styled-content>\n                      aboratory,\n                      <jats:styled-content style=\"fixed-case\">F<\/jats:styled-content>\n                      aculty of\n                      <jats:styled-content style=\"fixed-case\">M<\/jats:styled-content>\n                      edicine,\n                      <jats:styled-content style=\"fixed-case\">U<\/jats:styled-content>\n                      niversity of\n                      <jats:styled-content style=\"fixed-case\">K<\/jats:styled-content>\n                      elaniya, from\n                      <jats:styled-content style=\"fixed-case\">J<\/jats:styled-content>\n                      anuary 2007 to\n                      <jats:styled-content style=\"fixed-case\">D<\/jats:styled-content>\n                      ecember 2011, were screened. Those fulfilling\n                      <jats:styled-content style=\"fixed-case\">R<\/jats:styled-content>\n                      ome\n                      <jats:styled-content style=\"fixed-case\">III<\/jats:styled-content>\n                      criteria for\n                      <jats:styled-content style=\"fixed-case\">FD<\/jats:styled-content>\n                      were recruited. None had clinical or laboratory evidence of organic disorders. Twenty healthy children were recruited as controls (eight [40%] males, age 4\u201314 years, mean 8.4 years,\n                      <jats:styled-content style=\"fixed-case\">SD<\/jats:styled-content>\n                      3.0 years). Liquid gastric emptying rate (\n                      <jats:styled-content style=\"fixed-case\">GE<\/jats:styled-content>\n                      ) and antral motility parameters were assessed using an ultrasound\u2010based method.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Average\n                      <jats:styled-content style=\"fixed-case\">GE<\/jats:styled-content>\n                      (45.6%\n                      <jats:italic>vs<\/jats:italic>\n                      66.2% in controls), amplitude of antral contractions (58.2%\n                      <jats:italic>vs<\/jats:italic>\n                      89.0%) and antral motility index (5.1\n                      <jats:italic>vs<\/jats:italic>\n                      8.3) were lower and fasting antral area (1.5\u2009cm\n                      <jats:sup>2<\/jats:sup>\n                      <jats:italic>vs<\/jats:italic>\n                      0.6\u2009cm\n                      <jats:sup>2<\/jats:sup>\n                      ) was higher in patients with\n                      <jats:styled-content style=\"fixed-case\">FD<\/jats:styled-content>\n                      (\n                      <jats:italic>P<\/jats:italic>\n                      \u2009&lt;\u20090.01). Frequency of antral contractions (8.8\n                      <jats:italic>vs<\/jats:italic>\n                      9.3) did not show a significant difference (\n                      <jats:italic>P<\/jats:italic>\n                      \u2009=\u20090.07). Scores obtained for severity of abdominal pain negatively correlated with\n                      <jats:styled-content style=\"fixed-case\">GE<\/jats:styled-content>\n                      (r\u2009=\u2009\u22120.35,\n                      <jats:italic>P<\/jats:italic>\n                      \u2009=\u20090.025). Children with\n                      <jats:styled-content style=\"fixed-case\">FD<\/jats:styled-content>\n                      , exposed to stressful events had higher fasting antral area (1.9\u2009cm\n                      <jats:sup>2<\/jats:sup>\n                      ) than those not exposed to stress (1.0\u2009cm\n                      <jats:sup>2<\/jats:sup>\n                      ) (\n                      <jats:italic>P<\/jats:italic>\n                      \u2009=\u20090.02).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>\n                      <jats:styled-content style=\"fixed-case\">GE<\/jats:styled-content>\n                      and antral motility parameters were significantly impaired in children with\n                      <jats:styled-content style=\"fixed-case\">FD<\/jats:styled-content>\n                      compared with controls.\n                      <jats:styled-content style=\"fixed-case\">GE<\/jats:styled-content>\n                      negatively correlated with severity of symptoms. This study points to disturbances in gastric motility as an etiological factor for\n                      <jats:styled-content style=\"fixed-case\">FD<\/jats:styled-content>\n                      .\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/jgh.12205","type":"journal-article","created":{"date-parts":[[2013,3,21]],"date-time":"2013-03-21T09:11:21Z","timestamp":1363857081000},"page":"1161-1166","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":46,"title":["Gastric emptying and antral motility parameters in children with functional dyspepsia: Association with symptom severity"],"prefix":"10.1111","volume":"28","author":[{"given":"Niranga Manjuri","family":"Devanarayana","sequence":"first","affiliation":[{"name":"Department of Physiology University of Kelaniya  Ragama Sri Lanka"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shaman","family":"Rajindrajith","sequence":"additional","affiliation":[{"name":"Department of Paediatrics Faculty of Medicine University of Kelaniya  Ragama Sri Lanka"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Madushanka S","family":"Perera","sequence":"additional","affiliation":[{"name":"Department of Physiology University of Kelaniya  Ragama Sri Lanka"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Samudu W","family":"Nishanthanie","sequence":"additional","affiliation":[{"name":"Department of Physiology University of Kelaniya  Ragama Sri Lanka"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marc A","family":"Benninga","sequence":"additional","affiliation":[{"name":"Department of Pediatric Gastroenterology and Nutrition Emma Children's Hospital Academic Medical Centre  Amsterdam The 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