Evaluation of Patients with Suspected Gastroparesis

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4 Scopus citations

Abstract

There is substantial overlap between the symptoms of gastroparesis and a variety of alternative disorders. These conditions include rumination syndrome, drug-induced gastric emptying delay, cannabinoid hyperemesis syndrome, and eating disorders, which can be identified based on the history alone. The remaining patients require a diagnostic approach of physical examination, laboratory tests, evaluation with esophagogastroduodenoscopy or contrast radiography, and a test to measure gastric emptying. Symptomatic patients who have normal nutritional status and gastric emptying that is either normal or mildly delayed should be diagnosed with functional dyspepsia, whereas patients with moderate or severe gastric emptying delay are diagnosed with gastroparesis.

Original languageEnglish (US)
Pages (from-to)39-54
Number of pages16
JournalGastrointestinal Endoscopy Clinics of North America
Volume29
Issue number1
DOIs
StatePublished - Jan 2019

Keywords

  • Cannabinoid hyperemesis
  • Functional dyspepsia
  • Gastric emptying
  • Opioids
  • Rumination syndrome

ASJC Scopus subject areas

  • Gastroenterology

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