Gastric motility disorders: management that optimizes nutritional status

Gastric motility disorders are relatively common, and treatment is often challenging. Various etiologies account for numerous clinical sequelae, with weight loss and severe protein-calorie malnutrition often seen in advanced stages of these disorders. In addition to gastrointestinal motor function,...

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Bibliographic Details
Published inJournal of clinical gastroenterology Vol. 38; no. 7; p. 549
Main Authors Bouras, Ernest P, Scolapio, James S
Format Journal Article
LanguageEnglish
Published United States 01.08.2004
Subjects
Antiemetics - therapeutic use
Diet
Dumping Syndrome - diagnosis
Dumping Syndrome - physiopathology
Dumping Syndrome - therapy
Gastrointestinal Agents - therapeutic use
Gastrointestinal Motility - physiology
Gastroparesis - diagnosis
Gastroparesis - physiopathology
Gastroparesis - therapy
Humans
Manometry - methods
Metoclopramide - therapeutic use
Nutritional Support
Octreotide - therapeutic use
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Summary:Gastric motility disorders are relatively common, and treatment is often challenging. Various etiologies account for numerous clinical sequelae, with weight loss and severe protein-calorie malnutrition often seen in advanced stages of these disorders. In addition to gastrointestinal motor function, an appreciation of visceral sensation is essential to better understand the symptoms found in these patients, as well as possible therapeutic alternatives. This article provides an overview of gut motor and sensory function, techniques available for diagnosing motor disorders, and the principles of nutritional and medical management. Specific nutritional recommendations and a review of pharmacologic agents and novel treatment modalities are provided.
ISSN:0192-0790
DOI:10.1097/00004836-200408000-00003