Gasteroparesis

Question 1

What is gastroparesis

Answer 1

Objective delayed gastric emptying

Question 2

What are the four categories of causes of gastroparesis

Answer 2

Idiopathic, diabetes, iatrogenic, and post surgical

Question 3

What is the most common cause of gastroparesis

Answer 3

Idiopathic

Question 4

What is the most frequently associated disease with gastroparesis

Answer 4

Diabetes

Question 5

Examples of viral causes of gastroparesis

Answer 5

Norwalk and rotavirus

Question 6

Examples of medication induces gastroparesis

Answer 6

Narcotics, alpha 2 adrenergic agonists, tricyclic antidepressants, CCB

Question 7

What are s/s of gastroparesis

Answer 7

N/v, early satiety, belching, bloating, upper abdominal pain

Question 8

What is the goal of gastroparesis diagnostics

Answer 8

Exclude obstruction

Question 9

What are imaging and lab studies for gastroparesis

Answer 9

Gastric emptying study, gasteroduodenal manometry (differentiates between myopathic and neuropathic processes)
Lab: hgb, glucose, serum total protein, albumin, TSH, ANA titer, cortisol

Question 10

Gastroparesis treatment plan

Answer 10

First line: Diet: avoid spicy, fatty, ad roughage
Hydration
Electrolyte balance
Optimize glycemic control
Prokinetics: Reglan, domperidone, erythromycin
Antiemetic control
GI consult