OnlineMedEd: Gastroenterology - "Misc Gastric"

Question 1

Describe the patient presentation of gastroparesis.

Answer 1

• Chronic nausea and vomiting
• Abdominal pain with eating
• Neuropathy (if diabetic gastroparesis)

Question 2

What is the usual diagnostic order of events in cases of gastroparesis?

Answer 2

• Do an endoscopy to rule out esophageal causes, ulcer, and cancer
• Gastric emptying study (60% at 2 hours or 10% at 4 hours is a positive)

Question 3

A big caveat with gastric emptying studies is ________________.

Answer 3

that they must be off opiates and anticholinergics

Question 4

______________ can improve the symptoms of gastroparesis.

Answer 4

Improved glucose control

Question 5

What antibiotic is often used in the treatment of gastroparesis?

Answer 5

IV erythromycin

Question 6

True or false: high-fiber diets can help gastroparesis.

Answer 6

False

Low-fiber, small-volume meals are recommended for treatment.

Question 7

Cyclic vomiting is sometimes related to ____________.

Answer 7

habitual marijuana use

Question 8

List the two predisposing factors to gastric adenocarcinoma.

Answer 8

• East Asia

* Nitrites