BACKGROUND Despite the relatively high prevalence of gastroparesis and functional dyspepsia, the aetiology and pathophysiology of these disorders remain incompletely understood. Similarly, the diagnostic and treatment options for these two disorders are relatively limited despite recent advances in our understanding of both disorders. PURPOSE This manuscript reviews the advances in the unders...

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...

HYPOTHESIS Gastric electrical stimulation is an alternative to gastrectomy in patients with refractory gastroparesis. DESIGN Retrospective case series with a median follow-up of 20 months. SETTINGS A tertiary care university hospital and a university-affiliated community hospital. PATIENTS Twenty-nine patients (22 women, 7 men; median age, 39 years; age range, 20-87 years) with debilitati...

A 65-year-old woman presented with a 5-month history of nausea, vomiting, and weight loss. Prior esophagogastrodudenoscopy showed retained food and delayed gastric emptying, but abdominal computed tomography was normal. The working diagnosis was idiopathic gastroparesis. Subsequently, an electrogastrogram test showed normal 3-cycle-per-minute activity, although it was suggestive of obstructive ...