Journal of Postgraduate Medicine
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 REVIEW ARTICLE
Year : 2005  |  Volume : 51  |  Issue : 1  |  Page : 54-60

Current perspectives on the management of gastroparesis


1 School of Clinical Medical Sciences, University of Newcastle, Newcastle upon Tyne NE2 4HH, United Kingdom
2 Imaging Sciences Department, Imperial College, London W12 0HS, United Kingdom
3 Department of Surgery, Torbay Hospital, Torquay TQ2 7AA, United Kingdom

Correspondence Address:
Akheel A Syed
School of Clinical Medical Sciences, University of Newcastle, Newcastle upon Tyne NE2 4HH
United Kingdom
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Source of Support: None, Conflict of Interest: None


PMID: 15793344

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Gastroparesis is a condition of abnormal gastric motility characterised by delayed gastric emptying in the absence of mechanical outlet obstruction. It is seen commonly in people with diabetes but is idiopathic in a third of patients. Symptoms include nausea and vomiting, post-prandial fullness and early satiety, and abdominal bloating and discomfort. Investigations fall into three categories: gastric emptying studies, intraluminal pressure measurements and recording of gastric myoelectrical activity. Nuclear scintigraphy is considered the gold standard for diagnosing and quantifying delayed gastric emptying. Treatment options include diet and behavioural changes, prokinetic drugs and surgical interventions. New advances in drug therapy and gastric electrical stimulation techniques hold considerable promise.






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Online since 12th February '04
2004 - Journal of Postgraduate Medicine
Official Publication of the Staff Society of the Seth GS Medical College and KEM Hospital, Mumbai, India
Published by Wolters Kluwer - Medknow