Playlist
Show Playlist
Hide Playlist
Gastric Dysmotility Syndromes: Gastroparesis
-
Slides Stomach and Duodenum.pdf
-
Download Lecture Overview
00:00 Next we get into what's known as Gastric Dysmotility Syndromes And we have two different pathogenesis. 00:08 One is called paralysis of the stomach secondary to maybe perhaps diabetic neuropathy. Or you have another condition or a manifestation called Dumping Syndrome.Let's take a look of Gastroparesis first. 00:22 Delayed gastric emptying due to autonomic neuropathy as may occur with? Good. Diabetic neuropathy without structural obstruction. Literally paralysis of the stomach due to nerve damage. Nausea, vomiting, early satiety, weight loss, avoidance of food. 00:42 And remember, with gastroparesis, if you can't move forward from your stomach into duodenum you might then move backward. And so therefore, may result in GERD, regurgitation. Management here is going to come in the course of prokinetic. The major, major cause would be diabetes mellitus, post−vagotomy, idiopathic, post infectious as well. So apart from diabetes mellitus, there might be other issues in which there might be nerve damage taking place to the stomach. Diagnosis. Radio−nuclide emptying study. 01:18 You won't see proper. You see delayed emptying. Increased transit time from your stomach to your duodenum. Management. You want prokinetics such as Metoclopramide.
About the Lecture
The lecture Gastric Dysmotility Syndromes: Gastroparesis by Carlo Raj, MD is from the course Stomach and Duodenum Diseases: Basic Principles with Carlo Raj.
Included Quiz Questions
Which of the following is the MOST common cause of gastroparesis?
- Diabetic neuropathy
- Linitis plastica
- Resection of the pylorus
- Gastric antral vascular ectasia
- Fundic polyps
Which of the following is a complication associated with gastroparesis?
- GERD
- Gastric cancer
- Gastric polyps
- Loss of intrinsic factor
- Hypertrophic pyloric stenosis
Which of the following is an investigation of choice for gastroparesis?
- Radionuclide emptying scan
- RIDA
- Endoscopy
- Ultrasound scan
- Manometric examination
Which of the following statements regarding gastroparesis is NOT true?
- There is rapid gastric emptying.
- There is delayed gastric emptying due to autonomic neuropathy without structural obstruction.
- Vagotomy is an iatrogenic cause of gastroparesis.
- Treatment of gastroparesis is by using prokinetics.
- Nausea, vomiting, weight loss, and food avoidance are common symptoms in gastroparesis.
Author of lecture Gastric Dysmotility Syndromes: Gastroparesis
Carlo Raj, MD
Customer reviews
5,0 of 5 stars
| 5 Stars |
|
5 |
| 4 Stars |
|
0 |
| 3 Stars |
|
0 |
| 2 Stars |
|
0 |
| 1 Star |
|
0 |
