Gastroparesis: symptoms, evaluation, and treatment.
Gastroparesis presents with gastrointestinal symptoms and nongastrointestinal manifestations in association with objective delays in gastric emptying. The condition may complicate several systemic disorders or may be idiopathic in nature. The diagnosis is made by directed evaluation to exclude organic diseases, which can mimic the clinical presentation of gastroparesis coupled with quantification of gastric emptying. Current therapies rely on dietary modifications, medications to stimulate gastric evacuation, and agents to reduce vomiting. Endoscopic and surgical options are increasingly used for cases refractory to medication treatment.
Hasler
William L
WL
Division of Gastroenterology, University of Michigan Health System, University of Michigan Hospital, 3912 Taubman Center, Box 0362, Ann Arbor, MI 48109, USA. whasler@umich.edu
D000818:Animals; D000932:Antiemetics / Q000627:therapeutic use*; D048909:Diabetes Complications / Q000150:complications* / Q000503:physiopathology; D003952:Diagnostic Imaging / Q000379:methods*; D004599:Electric Stimulation Therapy / Q000379:methods*; D016099:Endoscopy, Gastrointestinal / Q000379:methods*; D005743:Gastrectomy / Q000379:methods*; D015390:Gastric Bypass / Q000009:adverse effects; D005746:Gastric Emptying; D018589:Gastroparesis / Q000175:diagnosis / Q000209:etiology / Q000628:therapy; D006801:Humans; D011379:Prognosis; D014629:Vagotomy, Proximal Gastric / Q000009:adverse effects
D000932:Antiemetics