Gastroparesis

Key symptoms are chronic nausea, vomiting, epigastric pain, bloating, and early satiety.

Gastric emptying scintigraphy demonstrating >10% retention of the radionuclide meal at the end of 4 hours is diagnostic.

Usually idiopathic; however, other common etiologies include diabetes mellitus and previous gastric surgery.

Treatment options include prokinetic agents, antiemetics, analgesia, and maintenance of optimal nutritional status.

A symptomatic chronic disorder of the stomach defined as delayed emptying of solids by the stomach in the absence of any mechanical obstruction.[1]Parkman, HP, Hasler WL, Fisher RS. American Gastroenterological Association technical review on the diagnosis and treatment of gastroparesis. Gastroenterology. 2004 Nov;127(5):1592-1622. http://www.gastrojournal.org/article/S0016-5085(04)01634-8/fulltext http://www.ncbi.nlm.nih.gov/pubmed/15521026?tool=bestpractice.com