Gastroparesis for the nongastroenterologist.

Autor: Araujo-Duran J; Research Fellow, Digestive Disease Institute, Department of Gastroenterology, Hepatology, and Nutrition, Cleveland Clinic, Cleveland, OH., Chatterjee A; Internal Medicine Resident, Department of Internal Medicine, Cleveland Clinic, Cleveland, OH., Garg S; Staff Gastroenterologist, Digestive Disease Institute, Neurogastroenterology Section, Department of Gastroenterology, Hepatology, and Nutrition, Cleveland Clinic, Cleveland, OH gargs@ccf.org.
Jazyk: angličtina
Zdroj: Cleveland Clinic journal of medicine [Cleve Clin J Med] 2024 Jun 03; Vol. 91 (6), pp. 373-383. Date of Electronic Publication: 2024 Jun 03.
DOI: 10.3949/ccjm.91a.23078
Abstrakt: Gastroparesis is a heterogeneous motility disorder characterized by nausea, vomiting, and postprandial fullness. Its diagnosis requires objective documentation of delayed gastric emptying of solid food and exclusion of mechanical obstruction. Its epidemiology is unclear, and the main causes are diabetes mellitus and idiopathic disease. Cardinal symptoms often co-occur. Management involves nutritional assessment, dietary changes, drug evaluation, glycemic control (for patients with diabetes mellitus), and symptom relief. In this review, we explore challenges nongastroenterologists may encounter and how they can use current recommendations to manage patients with gastroparesis.
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Databáze: MEDLINE