Gut Liver.  2009 Sep;3(3):166-173.

Gastroparesis: Current Concepts and Management

Affiliations
  • 1Center for Gastroenterological Research, University of Leuven, Leuven, Belgium. jan.tack@med.kuleuven.be

Abstract

Delayed gastric emptying in the absence of mechanical obstruction is referred to as gastroparesis. Symptoms that are often attributed to gastroparesis include postprandial fullness, nausea, and vomiting. Although tests of gastric motor function may aid diagnostic labeling, their contribution to determining the treatment approach is often limited. Although clinical suspicion of gastroparesis warrants the exclusion of mechanical causes and serum electrolyte imbalances, followed by empirical treatment with a gastroprokinetic such as domperidone or metoclopramide, evidence that these drugs are effective for patients with gastroparesis is far from overwhelming. In refractory cases with severe weight loss, invasive therapeutics such as inserting a feeding jejunostomy tube, intrapyloric injection of botulinum toxin, surgical (partial) gastrectomy, and implantable gastric electrical stimulation are occasionally considered.

Keyword

Gastroparesis; Diabetes mellitus; Delayed gastric emptying; Prokinetic therapy; Gastric electrical stimulation

MeSH Terms

Botulinum Toxins
Diabetes Mellitus
Domperidone
Electric Stimulation
Gastrectomy
Gastric Emptying
Gastroparesis
Humans
Jejunostomy
Metoclopramide
Nausea
Vomiting
Weight Loss
Botulinum Toxins
Domperidone
Metoclopramide
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