Gastroparesis for the nongastroenterologist

Gastroparesis is a heterogeneous motility disorder characterized by nausea, vomiting, and postprandial fullness. Its diagnosis requires objective documentation of delayed gastric emptying of solid food and exclusion of mechanical obstruction. Its epidemiology is unclear, and the main causes are diab...

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Published inCleveland Clinic journal of medicine Vol. 91; no. 6; pp. 373 - 383
Main Authors Araujo-Duran, Jorge, Chatterjee, Arjun, Garg, Samita
Format Journal Article
LanguageEnglish
Published United States 03.06.2024
Subjects
Gastric Emptying - physiology
Gastroparesis - diagnosis
Gastroparesis - etiology
Gastroparesis - physiopathology
Gastroparesis - therapy
Humans
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Summary:Gastroparesis is a heterogeneous motility disorder characterized by nausea, vomiting, and postprandial fullness. Its diagnosis requires objective documentation of delayed gastric emptying of solid food and exclusion of mechanical obstruction. Its epidemiology is unclear, and the main causes are diabetes mellitus and idiopathic disease. Cardinal symptoms often co-occur. Management involves nutritional assessment, dietary changes, drug evaluation, glycemic control (for patients with diabetes mellitus), and symptom relief. In this review, we explore challenges nongastroenterologists may encounter and how they can use current recommendations to manage patients with gastroparesis.
Bibliography:ObjectType-Article-2
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ISSN:1939-2869
DOI:10.3949/ccjm.91a.23078