Gastroparesis: Current Concepts and Management
Gut and Liver
; : 166-173, 2009.
Article
em En
| WPRIM
| ID: wpr-76197
Biblioteca responsável:
WPRO
ABSTRACT
Delayed gastric emptying in the absence of mechanical obstruction is referred to as gastroparesis. Symptoms that are often attributed to gastroparesis include postprandial fullness, nausea, and vomiting. Although tests of gastric motor function may aid diagnostic labeling, their contribution to determining the treatment approach is often limited. Although clinical suspicion of gastroparesis warrants the exclusion of mechanical causes and serum electrolyte imbalances, followed by empirical treatment with a gastroprokinetic such as domperidone or metoclopramide, evidence that these drugs are effective for patients with gastroparesis is far from overwhelming. In refractory cases with severe weight loss, invasive therapeutics such as inserting a feeding jejunostomy tube, intrapyloric injection of botulinum toxin, surgical (partial) gastrectomy, and implantable gastric electrical stimulation are occasionally considered.
Palavras-chave
Texto completo:
1
Índice:
WPRIM
Assunto principal:
Vômito
/
Toxinas Botulínicas
/
Jejunostomia
/
Redução de Peso
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Gastroparesia
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Diabetes Mellitus
/
Domperidona
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Estimulação Elétrica
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Gastrectomia
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Esvaziamento Gástrico
Limite:
Humans
Idioma:
En
Revista:
Gut and Liver
Ano de publicação:
2009
Tipo de documento:
Article