Last reviewed: 25 Oct 2020
Last updated: 17 Dec 2019

Summary

Definition

History and exam

Key diagnostic factors

  • postprandial nausea
  • vomiting
  • early satiety

Other diagnostic factors

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

Risk factors

  • diabetes mellitus
  • previous gastric and pancreatic surgery
  • female sex
  • achalasia
  • coeliac disease
  • anorexia
  • Parkinson's disease
  • multiple sclerosis
  • scleroderma
  • amyloidosis
  • SLE
  • hypothyroidism
  • chronic renal insufficiency
  • acute viral infection
  • paraneoplastic syndrome (tumour-associated)
  • use of specific drugs
  • use of alcohol

Diagnostic investigations

1st investigations to order

  • FBC
  • serum glucose
  • serum creatinine
  • serum potassium
  • serum total protein
  • serum albumin
  • serum amylase and lipase
  • pregnancy test
  • abdominal x-ray
More 1st investigations to order

Investigations to consider

  • endoscopy
  • contrast radiography
  • gastric emptying scintigraphy
  • non-digestible capsule test
  • gastric emptying breath test (GEBT)
More investigations to consider

Treatment algorithm

Contributors

Associate Professor of Medicine

Phoenix Regional Campus

St. Joseph's Hospital and Medical Center

Phoenix

AZ

Disclosures

SCR declares that he has no competing interests.

Professor of Medicine

Chief

Division of Gastroenterology

University of Kansas Medical Center

Kansas City

KS

Disclosures

MMO declares that he has no competing interests.

Peer reviewersVIEW ALL

Director

Trauma Services

Assistant Professor

Michigan State University

Lansing

MI

Disclosures

JK declares that he has no competing interests.

Department of Medicine

Clinical Sciences Building

Cork University Hospital

Cork

Ireland

Disclosures

EMMQ declares that he has no competing interests.

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