Introduction Gastroparesis (GP) is a disorder of delayed gastric emptying in the absence of mechanical obstruction that manifests with abdominal pain, nausea/vomiting, bloating and early satiety. Total or subtotal gastrectomy is indicated only as the final step in the GP…
Key points (1) Gastric electrical stimulation (GES) is a therapy providing neurostimulation via two electrodes implanted in the gastric smooth muscle. (2) The predominant mechanism of action of GES is by central control of nausea and vomiting by affecting the…
Introduction Gastroparesis can be a debilitating condition that affects patient quality of life. Over the past two decades, there has been a dramatic increase in hospital admissions and health care expenses due to gastroparesis and its complications . This chapter…
Introduction Gastroparesis (GP) is a complicated and multi-factorial disorder associated with variable symptoms of nausea, vomiting, early satiety, upper abdominal pain, post-prandial fullness, bloating, and/or belching . Although these symptoms may be associated with chronic diseases such as diabetes, Parkinson’s,…
The term “gastroparesis” implies a partial or complete paralysis of the stomach as a result of muscle or nerve dysfunction. As this book will attest, gastroparesis is far more complex than this simple definition. Gastric emptying time may be normal…
Although nausea, vomiting, early satiety, and postprandial fullness are the main symptoms of gastroparesis, abdominal pain can be a prominent symptom in some patients with gastroparesis. Treatment of abdominal pain in patients with gastroparesis can be particularly difficult, as often…
Gastroparesis is a heterogeneous syndrome with variable clinical manifestations. Some patients present with regurgitation-predominant symptoms suggestive of gastroesophageal reflux disease, but effortless regurgitation of undigested foods after meals and at night should suggest gastroparesis . Other patients may have prominent…
Introduction Gastroparesis is a chronic disorder characterized by delayed gastric emptying in the absence of mechanical obstruction . The diagnosis of gastroparesis is confirmed in a symptomatic patient by demonstrating delayed gastric emptying with no organic lesions on upper endoscopy…
The digestive roles of the stomach The efficacy of nutrition therapy for gastroparesis is rooted in an understanding of the two predominant functions of the stomach: (1) it serves as a reservoir for ingested food, and (2) it grinds, mixes,…
Abbreviations GP gastroparesis ICCs interstitial cells of Cajal GCSI Gastroparesis Cardinal Symptoms Index PAGI-QOL Patient Assessment of Upper Gastrointestinal Disorders-Quality of Life GES gastric emptying scintigraphy WMC wireless motility capsule EGD esophagogastroduodenoscopy EGG electrogastrography Introduction Gastroparesis ( GP ) is…