Summary
Definition
History and exam
Key diagnostic factors
- preenchimento pós-prandial
- náuseas
- vômitos
- saciedade precoce
Other diagnostic factors
- dor epigástrica
- preenchimento
- distensão abdominal
- perda de peso
- som de sucussão
Risk factors
- diabetes mellitus
- cirurgia gástrica e pancreática prévia
- sexo feminino
- acalasia
- gastrite atrófica
- dispepsia funcional
- doença celíaca
- anorexia
- Doença de Parkinson
- esclerose múltipla
- esclerodermia
- amiloidose
- lúpus eritematoso sistêmico
- hipotireoidismo
- insuficiência renal crônica
- infecção viral aguda
- síndrome paraneoplásica (associada a tumor)
- uso de medicamentos específicos
- uso de bebidas alcoólicas
- isquemia mesentérica crônica
- síndrome do ligamento arqueado mediano
Diagnostic investigations
1st investigations to order
- Hemograma completo
- glicose sérica
- creatinina sérica
- potássio sérico
- testes da função hepática
- proteína sérica total
- albumina sérica
- amilase e lipase séricas
- hormônio estimulante da tireoide
- HbA1c
- teste de gravidez
Investigations to consider
- cintilografia do esvaziamento gástrico
- endoscopia digestiva alta
- radiografia abdominal
- radiografia por contraste
- cápsula de motilidade sem fio (WMC)
- exame de esvaziamento gástrico (GEBT)
Emerging tests
- eletrogastrografia
Treatment algorithm
sintomas agudos
refratário à terapia medicamentosa
Contributors
Authors
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
Disclosures
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
Disclosures
MMO declares that he has no competing interests.
Peer reviewers
John Kepros, MD
Director
Trauma Services
Assistant Professor
Michigan State University
Lansing
MI
Disclosures
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
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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