Gastroparesis: Pathophysiology of Chronic Abdominal Pain and Current Treatment

作者: Marcum Gillis , Kenneth L. Koch

DOI: 10.1007/978-1-4939-1992-5_7

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摘要: Gastroparesis is a neuromuscular disorder of the stomach characterized by delayed gastric emptying standard meal in absence mechanical obstruction. Idiopathic, diabetic, and postsurgical gastroparesis are most common causes emptying. Approximately 20 % patients with report abdominal pain as their predominant symptom, though mechanism for this not well understood. Though epigastric fullness can occur, nausea vomiting more symptoms. An evaluation non-gastric non-gastrointestinal pain, including awareness wall syndromes, must also be considered evaluating gastroparesis. The gold four-hour study; however tests such water load test or electrogastrography aid Treatments ranging from diet to drugs electrical stimulation reviewed.

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