Efficiency and efficacy of the electrogastrogram

The efficiency and efficacy of the electrogastrogram (EGG) involve a few practical factors, including recording length, sample size, and the characteristics of subjects. The aim of this study was to investigate the effect of these factors on the accuracy of EGG analysis. Gastric myoelectrical activity was recorded using electrogastrography in 24 subjects (ages 22-91 years) for 1 hr in the fasting state and 2 hr after a test meal. Computerized spectral analysis was performed to compute EGG parameters, including dominant frequency, dominant power, and the percentage of 2-4 cycles per minute (cpm) slow waves. A parameter called misinterpretation was defined to investigate the effect of recording length. The results were as follows: (1) Using the recording length of 1 hr in each state as a gold standard, the misinterpretation for the recording length of 30 min was 27% for the dominant frequency and 17% for the dominant power. When the recording length was reduced to 15 min, the misinterpretation increased to 61% for the dominant frequency and 38% for the dominant power. (2) With a sample size of 10 subjects and a recording length of 60 min, a statistically significant postprandial increase was observed in the dominant frequency and power, and a trend in the postprandial increase of the regularity of the EGG was noted. When the sample size increased to 24 subjects, a significant postprandial increase was found in all these parameters. (3) None of the EGG parameters exhibited any significant difference between the younger and older subjects or between men and women. In conclusion, a recording length of 30-60 min seems to be appropriate and produces reliable and predictable results. Age and gender do not affect any of the EGG parameters.