Gastroparesis

Question 1

What is the purpose of the fundus?

Answer 1

provide relaxation and accomadatoin

Question 2

purpose of antru?

Answer 2

grinding, mixing, transfer

Question 3

where is the pacemaker function

Answer 3

mid part of greater curvature

Question 4

what are the two main causes of gastroparesis?

Answer 4

diabetes, idiopathic

Question 5

what are symptoms of stasis due to gastroparesis?

Answer 5

nausa, abd pain, early satiety, vomiting, signs of malnutrition

Question 6

what tests should you run for gastroparesis?

Answer 6

thyroid function test, serum cortisol, electrolytes

Question 7

how long after eating will you see vom with gastroparesis

Answer 7

15-20 minutes

Question 8

how can you do gastric emptying studies?

Answer 8

radioactive isotope, measure after 2 and 4 hrs. greater than 10% after 4 hrs means delayed gastric emptying

also, manometry, breath test (acetate or octanoic acid)

Question 9

what is the major problem with macrolides in gastroparesis?

Answer 9

long qt syndrome