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Gastroparesis

Última revisão: 21 Aug 2025
Última atualização: 15 Apr 2025

Resumo

Definição

História e exame físico

Principais fatores diagnósticos

  • postprandial fullness
  • nausea
  • vomiting
  • early satiety
Detalhes completos

Outros fatores diagnósticos

  • epigastric pain
  • fullness
  • bloating
  • weight loss
  • succussion splash
Detalhes completos

Fatores de risco

  • diabetes mellitus
  • previous gastric and pancreatic surgery
  • female sex
  • achalasia
  • atrophic gastritis
  • functional dyspepsia
  • celiac disease
  • anorexia
  • Parkinson disease
  • multiple sclerosis
  • scleroderma
  • amyloidosis
  • systemic lupus erythematosus
  • hypothyroidism
  • chronic renal insufficiency
  • acute viral infection
  • paraneoplastic syndrome (tumor-associated)
  • use of specific drugs
  • alcohol
  • chronic mesenteric ischemia
  • median arcuate ligament syndrome
Detalhes completos

Investigações diagnósticas

Primeiras investigações a serem solicitadas

  • CBC
  • serum glucose
  • serum creatinine
  • serum potassium
  • liver function tests
  • serum total protein
  • serum albumin
  • serum amylase and lipase
  • thyroid-stimulating hormone
  • HbA1c
  • pregnancy test
Detalhes completos

Investigações a serem consideradas

  • gastric emptying scintigraphy
  • upper gastrointestinal endoscopy
  • abdominal x-ray
  • contrast radiography
  • wireless motility capsule (WMC)
  • gastric emptying breath test (GEBT)
Detalhes completos

Novos exames

  • electrogastrography

Algoritmo de tratamento

AGUDA

acute symptoms

CONTÍNUA

refractory to medical therapy

Colaboradores

Autores

Savio C. Reddymasu, MD

Associate Professor of Medicine

Creighton University School of Medicine

Phoenix Regional Campus

St. Joseph's Hospital and Medical Center

Phoenix

AZ

Declarações

SCR is an author of a reference cited in this topic. SCR declares that he has no competing interests.

Mojtaba M. Olyaee, MD

Professor of Medicine

Chief

Division of Gastroenterology

University of Kansas Medical Center

Kansas City

KS

Declarações

MMO declares that he has no competing interests.

Revisores

John Kepros, MD

Director

Trauma Services

Assistant Professor

Michigan State University

Lansing

MI

Declarações

JK declares that he has no competing interests.

Eamonn M.M. Quigley, MD, FRCP, FACP, FACG, FRCPI

Department of Medicine

Clinical Sciences Building

Cork University Hospital

Cork

Ireland

Disclosures

EMMQ declares that he has no competing interests.

Peer reviewer acknowledgements

BMJ Best Practice topics are updated on a rolling basis in line with developments in evidence and guidance. The peer reviewers listed here have reviewed the content at least once during the history of the topic.

Disclosures

Peer reviewer affiliations and disclosures pertain to the time of the review.

References

Our in-house evidence and editorial teams collaborate with international expert contributors and peer reviewers to ensure that we provide access to the most clinically relevant information possible.

Key articles

Camilleri M, Kuo B, Nguyen L, et al. ACG clinical guideline: gastroparesis. Am J Gastroenterol. 2022 Aug 1;117(8):1197-220.Full text  Abstract

Lacy BE, Tack J, Gyawali CP. AGA clinical practice update on management of medically refractory gastroparesis: expert review. Clin Gastroenterol Hepatol. 2022 Mar;20(3):491-500.Full text  Abstract

Schol J, Wauters L, Dickman R, et al. United European Gastroenterology (UEG) and European Society for Neurogastroenterology and Motility (ESNM) consensus on gastroparesis. United European Gastroenterol J. 2021 Apr;9(3):287-306.Full text  Abstract

Reference articles

A full list of sources referenced in this topic is available to users with access to all of BMJ Best Practice.
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