Assessment of gastric emptying and small-bowel motility: scintigraphy, breath tests, manometry, and SmartPill.
Gastric and small-bowel dysfunction can include gastroparesis, functional dyspepsia, and even irritable bowel syndrome. Patients with symptoms suggesting these disorders are commonly encountered by a variety of physicians, especially gastroenterologists. In most patients, the physical examination and upper endoscopy are normal, and thus symptoms are suggested to be from a motility disorder or a functional gastrointestinal disorder. Further evaluation directed at evaluating the stomach and small-bowel motility may help the clinician to arrive at a correct diagnosis enabling proper treatment of the patient. This article covers several tests that are used to evaluate gastric and small-bowel motility in patients, either in clinical evaluation or in clinical research.
Parkman
Henry P
HP
Temple University School of Medicine, Gastroenterology Section, Parkinson Pavilion, 3401 North Broad Street, Philadelphia, PA 19140, USA. henry.parkman@temple.edu
D001944:Breath Tests; D053704:Capsule Endoscopy; D004576:Electromyography; D050782:Esophageal pH Monitoring; D005767:Gastrointestinal Diseases / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000503:physiopathology; D005769:Gastrointestinal Motility; D018589:Gastroparesis / Q000175:diagnosis / Q000000981:diagnostic imaging / Q000503:physiopathology; D006801:Humans; D007421:Intestine, Small / Q000473:pathology; D008365:Manometry; D011877:Radionuclide Imaging