Gastroparesis

Question 1

The two functional units of the stomach are?

Answer 1

• Fundus

- Antrum/Body

Question 2

Fundus does what

Answer 2

Fundus is basically the body of the stomach. It relaxes and provides accomodation for food

Question 3

Antrum/body does what?

Answer 3

Grinding, Mixing Transfer

Question 4

Symptoms of stasis

Answer 4

• severe nausea
• abdominal pain
• early satiety
• vomitting

Question 5

Gastroparesis dx

Answer 5

• history and phys
• labs like blood glucose, thyroid function, CBC,
• Upper endoscopy
• Gastric emtyping study (gold standard)
• rarely electrogastrography

Question 6

What defines delayed gastric emptying in a gastric emptying study?

Answer 6

Gastric retention of over 10% at 4 hours

Question 7

Management of gastroparesis

Answer 7

These pts often get dehydrated due to nausea and vomitting.
- so rehydtration is important, correct electrolytes
Percutaneous Endoscopic Gastrotomy
Suppress bacterial overgrowth
Symptomatic treatment of diarrhea and constipation
Diet Low in residue and fat
Enteral feeding