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 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.
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.