Regional Gastrointestinal Motility in Healthy Children

Abstract

Supplemental Digital Content is available in the text ABSTRACT Objective: The aim of the study was to evaluate the safety and use of the 3D-Transit system (Motilis SA, Lausanne, Switzerland) and to describe regional gastrointestinal transit times, segmental colonic transit times, and colonic movement patterns in healthy children. Methods: Twenty-one healthy children (11 girls, median age 10.5\u200ayears, range 7–15\u200ayears) were included. For evaluation of gastrointestinal transit times and colonic movement patterns, we used the minimally invasive electromagnetic 3D-Transit system. A small electromagnetic capsule (21.5\u200amm\u200a×\u200a8.3\u200amm) was ingested and tracked through the gastrointestinal tract by a body-worn detector. Regional gastrointestinal transit times were assessed as time between capsule passage of anatomical landmarks. Colonic movement patterns were described and classified based on capsule movement velocity, direction, and distance. Results: One child could not swallow the capsule and 20 children completed the study without any discomfort or side-effects. Median whole gut transit time was 33.6 (range 10.7–80.5) hours, median gastric emptying time was 1.9 (range 0.1–22.1) hours, median small intestinal transit time was 4.9 (range 1.1–15.1) hours, and median colonic transit time was 26.4 (range 6.8–74.5) hours. Median ascending colon/cecum transit time was 9.7 (range 0.3–48.1) hours, median transverse colon transit time was 5.6 (range 0.0–11.6) hours, median descending colon transit time was 2.6 (range 0.01–22.3) hours, and median sigmoid colon/rectum transit time was 7.5 (range 0.1–31.6) hours. Colonic movement patterns among children corresponded to those previously described in healthy adults. Conclusions: The 3D-Transit system is a well-tolerated and minimally invasive method for assessment of gastrointestinal motility in children.