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Gastric Dysmotility Syndromes: Gastroparesis

by Carlo Raj, MD
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    Next we get into what's known as Gastric Dysmotility Syndromes And we have two different pathogenesis. 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. 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. And remember, with gastric paresis, 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 cause 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 You won't see proper; you see delayed emptying and decreased 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.


    Author of lecture Gastric Dysmotility Syndromes: Gastroparesis

     Carlo Raj, MD

    Carlo Raj, MD


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