POEMs for gastroparesis

New Approaches for Gastroparesis

atients commonly present to their primary care physician with nausea and vomiting. In this setting, the challenge is to correctly diagnose the cause of the patient’s complaints and provide symptomatic relief. Although relatively uncommon compared with other conditions causing nausea and vomiting, such as gastroenteritis, bowel obstruction, and medication side effects, gastroparesis should be co...

Gastric Electrical Stimulation for Gastroparesis

Gastric electrical stimulation (GES) for gastroparesis has been in use for more than a decade. Multiple publications, consisting almost entirely of open label single center studies, reported a beneficial effect on symptoms, quality of life and nutritional status. Some predictors of better response to GES have been lately identified, primarily diabetic etiology and nausea and vomiting as the pre...

Mystic Poems, Poems of Enlightment

Prevalence of Hidden Gastroparesis in the Community: The Gastroparesis "Iceberg"

BACKGROUND/AIMS The prevalence of diagnosed gastroparesis is 24.2/100,000 inhabitants, but a large group of people with gastroparesis-like symptoms have never had a gastric emptying (GE) test. Some of them may have undiagnosed gastroparesis. Our aim was to estimate the prevalence of hidden gastroparesis in the community. METHODS The study was conducted in 2 parts: (1) Patients referred for a ...

Diabetic Gastroparesis

Copyright © 2007 Massachusetts Medical Society. A 36-year-old man with a 20-year history of type 1 diabetes mellitus, background retinopathy, peripheral sensory neuropathy, and nephropathy presents with a history of several months of nausea and vomiting of undigested food and bile, during which time he lost 4 kg. On physical examination (performed 1 hour after the patient has eaten), his blood ...