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KMID : 0812020060120020122
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Korean Journal of Neurogastroenterology and Motility
2006 Volume.12 No. 2 p.122 ~ p.126
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The Significance of Mucosal ’Whitish Discoloration’ in the Second Portion of Duodenum -From a Gastric Functional Point of View-
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Yang Tae-Yeong
Yoon Hong-Sun
Kim Min-Su
Hwang Seoung-Joon
Park Hyo-Jin
Park Chan-Il
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Abstract
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Background/Aims: A mucosal ‘whitish discoloration’ of the duodenal second portion may be discorvered during esophagogastroduodenoscopy (EGD). This study investigated the gastric functional implication and histological abnormalities of mucosal ‘whitish discoloration’.
Methods: The upper gastrointestinal symptoms, gastric emptying time and histology findings were compared in patients with functional dyspepsia (FD) showing mucosal ‘whitish discoloration’ of the duodenal second portion (group I), FD patients without ‘whitish discoloration’ (group II), and normal controls who have neither symptoms nor ‘whitish discoloration’ (normal controls).
Results: There was a significant difference between group I (147.6 min) and group II (99.6 min) or normal controls (75.8 min). However there was no difference between group II and normal controls. There was no histological difference in the three groups. In particular, there was no mucosal infiltration of macrophage in second portion of duodenum.
Conclusions: Mucosal ‘whitish discoloration’ of the duodenal second portion, uncommon occurrence in EGD, can be correlated with a delayed gastric emptying time. (Kor J Neurogastroenterol Motil 2006;12:122-126)
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KEYWORD
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Mucosal whitish discoloration, Functional dyspepsia, Gastric emptying time
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