Gastric Dysmotility Syndromes: Gastroparesis

by Carlo Raj, MD

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    00:01 Next we get into what's known as Gastric Dysmotility Syndromes And we have two different pathogenesis.

    00:09 One is called paralysis of the stomach secondary to maybe perhaps diabetic neuropathy Or you have another condition or a manifestation called Dumping Syndrome.

    00:19 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.

    00:34 Literally paralysis of the stomach due to nerve damage.

    00:38 Nausea, vomiting, early satiety, weight loss, avoidance of food.

    00:42 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.

    00:55 Management here is going to come in the cause of prokinetic.

    00:59 The major, major cause would be diabetes mellitus, post−vagotomy, idiopathic, post infectious as well.

    01:08 So apart from diabetes mellitus, there might be other issues in which there might be nerve damage taking place to the stomach.

    01:15 Diagnosis: Radio−nuclide emptying study You won't see proper; you see delayed emptying and decreased transit time from your stomach to your duodenum.

    01:27 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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