title: The Vomiting Patient: Small Bowel Obstruction, Cyclic Vomiting, and Gastroparesis.
abstract: Vomiting and abdominal pain are common in patients in the emergency department. This article focuses on small bowel obstruction (SBO), cyclic vomiting, and gastroparesis. Through early diagnosis and appropriate management, the morbidity and mortality associated with SBOs can be significantly reduced. Management of SBOs involves correction of physiologic and electrolyte disturbances, bowel rest and removing the source of the obstruction. Treatment of acute cyclic vomiting is primarily directed at symptom control, volume and electrolyte repletion, and appropriate specialist follow-up. The mainstay of therapy for gastroparesis is metoclopramide.
authors.affiliation: Department of Emergency Medicine, Henry Ford Hospital, 2799 West Grand Boulevard, CFP-258, Detroit, MI 48202, USA; Department of Emergency Medicine, Wayne State University School of Medicine, Detroit, MI, USA. Electronic address: Jnagarw1@hfhs.org.
authors.forename: Jumana
authors.initials: J
authors.lastname: Nagarwala
authors.affiliation: Departments of Emergency Medicine and Internal Medicine, University of Michigan, Ann Arbor, MI, USA.
authors.forename: Sharmistha
authors.initials: S
authors.lastname: Dev
authors.affiliation: Department of Emergency Medicine, Henry Ford Hospital, 2799 West Grand Boulevard, CFP-258, Detroit, MI 48202, USA; Department of Internal Medicine, Henry Ford Hospital, 2799 West Grand Boulevard, Detroit, MI 48202, USA.
authors.forename: Abraham
authors.initials: A
authors.lastname: Markin
mesh_terms: D015746:Abdominal Pain / Q000209:etiology; D000208:Acute Disease; D000932:Antiemetics / Q000627:therapeutic use; D004636:Emergency Service, Hospital; D005765:Gastrointestinal Agents / Q000627:therapeutic use; D018589:Gastroparesis / Q000150:complications / Q000175:diagnosis / Q000628:therapy; D006801:Humans; D007415:Intestinal Obstruction / Q000150:complications / Q000175:diagnosis / Q000628:therapy; D014839:Vomiting / Q000175:diagnosis / Q000209:etiology / Q000628:therapy
chemical_list: D000932:Antiemetics; D005765:Gastrointestinal Agents
keywords: Cannabinoid hyperemesis; Cyclic vomiting; Gastroparesis; Prokinetic agents; Small bowel obstruction