New Approaches for Gastroparesis
نویسنده
چکیده
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 considered in the differential diagnosis. Gastroparesis is delayed gastric emptying in the absence of mechanical obstruction. Establishing etiology, making a diagnosis, and selecting a treatment can be challenging, but with adequate information the vast majority of patients with this condition can experience substantial improvements in health status and quality of life.
منابع مشابه
Novel Diet, Drugs, and Gastric Interventions for Gastroparesis.
This review of the pathophysiologic basis for gastroparesis and recent advances in the treatment of patients with gastroparesis shows that there are several novel approaches to advance treatment of gastroparesis including diet, novel prokinetics, interventions on the pylorus, and novel forms of gastric electrical stimulation. The field of gastroparesis is likely to advance with further studies,...
متن کاملEfficacy of prokinetic agents in diabetic gastroparesis comparing symptomatology and scintigraphy – An open-label trial
Background: It is pertinent to objectively assess the severity of diabetic gastroparesis and tailor treatment accordingly. The current study was planned to document gastroparesis by gastric emptying scintigraphy (GES) objectively and see the effect of medications and diet control on clinical and GES after four weeks. Methods: A prospective, open-label randomized trial was conducted in the Depa...
متن کاملRecent Advances in the Pathophysiology and Treatment of Gastroparesis
Gastroparesis is a clinical disorder characterized by upper gastrointestinal symptoms related with delayed gastric emptying of solids and liquids in the absence of mechanical obstruction. Diabetes mellitus has been the most common cause of gastroparesis and idiopathic gastroparesis also accounts for a third of all chronic cases. The most important mechanisms of gastroparesis, as understood to d...
متن کامل[Astrocytoma in a patient with multiple endocrine neoplasia type 2A syndrome. May the coexistence of glial tumors and multiple endocrine neoplasia 2A not be casual?].
5. Rayner CK, Samsom M, Jones KL, Horowitz M. Relationship of upper gastrointestinal motor and sensory function with glycemic control. Diabetes Care. 2001;24:371. 6. Hummel M, Geigenberger G, Brand J, Ziegler AG, Füchtenbusch M. New therapeutic approaches to diabetic gastroparesis. Med Klin (Munich). 2008;103:514--8. 7. Van Heel DA, Levitt NS, Winter TA. Diabetic neuropathic cachexia: the impor...
متن کاملGastric Electrical Stimulation: A Novel Treatment for Gastroparesis
Presented herein is a case report of a laparoscopic gastric electrical stimulator implantation for drug-refractory gastroparesis. Technical aspects of the procedure, as well as a review of the existing literature, are discussed. Gastric electrical stimulation offers a new alternative for the treatment of drug-refractory gastroparesis.
متن کامل