Gastroparesis (gastropathy) in adults Flashcards
(6 cards)
1
Q
How common?
A
Severely delayed gastric emptying is moderately common.
2
Q
Symptoms
A
Upper abdominal discomfort
Early satiety
Nausea; vomiting (1–3 h after meals)
3
Q
Common causes
A
Diabetic gastroparesis
Post surgery, e.g. vagotomy, fundoplication
Idiopathic
4
Q
Diagnosis
A
Endoscopy → gastric residue
Barium swallow + follow through
‘Nuclear’ gastric emptying test
5
Q
Management
A
Diet—small meals, avoid fats and doughy bread
Consider:
Motilium
metoclopramide or
erythromycin
Pyloric injection botulinum toxin
6
Q
A