Gastroparesis: An Updated Overview of Diagnostics and Management

Abstract

Gastroparesis (GP) is a rare debilitating gastrointestinal disorder characterized by delayed gastric emptying in the absence of mechanical obstruction. Etiologies include diabetes, post-surgical, medications, and idiopathic origins. Symptoms of GP include nausea, vomiting, epigastric pain, early satiety, postprandial fullness, abdominal distention, unintentional weight loss, malnourishment, and dehydration. These non-specific symptoms often lead to delays in diagnosis. The gold standard diagnostic test for GP is gastric emptying scintigraphy (GES). Current treatment of GP is challenging, therefore the utilization of a multidisciplinary approach with nonpharmacologic, pharmacologic, nutritional support, and procedural interventions is necessary in the care of these patients.

Note:
Funding Information: None.

Declaration of Interests: None.

Keywords: Gastroparesis, gastric emptying, GPOEM, nausea, vomiting, metoclopramide