Last reviewed: March 2019
Last updated: January  2018

Summary

Definition

History and exam

Key diagnostic factors

  • postprandial nausea
  • vomiting
  • early satiety
Full details

Other diagnostic factors

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

Risk factors

  • diabetes mellitus
  • previous gastric and pancreatic surgery
  • female gender
  • achalasia
  • celiac disease
  • anorexia
  • Parkinson disease
  • multiple sclerosis
  • scleroderma
  • amyloidosis
  • SLE
  • hypothyroidism
  • chronic renal insufficiency
  • acute viral infection
  • paraneoplastic syndrome (tumor-associated)
  • use of specific drugs
  • alcohol
Full details

Diagnostic investigations

1st investigations to order

  • CBC
  • serum glucose
  • serum creatinine
  • serum potassium
  • serum total protein
  • serum albumin
  • serum amylase and lipase
  • pregnancy test
  • abdominal x-ray
Full details

Investigations to consider

  • endoscopy
  • contrast radiography
  • gastric emptying scintigraphy
  • nondigestible capsule test
  • gastric emptying breath test (GEBT)
Full details

Treatment algorithm

ACUTE

acute symptoms

ONGOING

refractory to medical therapy

Contributors

Authors VIEW ALL

Associate Professor of Medicine

Creighton University School of Medicine

Omaha

NE

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 reviewers VIEW 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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