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2630 pages added, reviewed or updated during the last month (last updated: 17/4/2021)


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gastroparesis

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Gastroparesis is a disorder characterized by a delay in gastric emptying of a meal in the absence of a mechanical gastric outlet obstruction

Diagnosis of gastroparesis is based on the presence of symptoms such as nausea, vomiting and postprandial abdominal fullness and on an objectively determined delay in gastric emptying

  • gastric emptying can be assessed by scintigraphy and stable isotope breath tests
    • gold standard of diagnosis is solid meal gastric scintigraphy

Management of gastroparesis consists of dietary and lifestyle measures and/or pharmacological interventions (prokinetics, antiemetics, intrapyloric botulinum toxin injection) or other interventions that focus on adequate nutrient intake either through a nasoduodenal tube, percutaneous gastrostomy or jejunostomy

  • most patients with mild disease will respond to dietary and life style measures and prokinetics such as domperidone, metoclopramide and erythromycin

Reference:

Last reviewed 01/2018

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