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[Gastroparesis on a gastric ulcer]
V Chanet1, J Fournioux, M Hermier
1Service de médecine interne, boulevard Léon Malfreyt, Hôtel-Dieu, 63000 Clermont-Ferrand. vchanet@chu-clermontferrand.fr
Presse Medicale (Paris, France : 1983)
|December 22, 2004
Summary
Gastroparesis, a common condition affecting stomach emptying, can present with severe gastric distension. This review highlights rare cases with gastric ulcers and emphasizes prompt recognition to prevent complications.
Area of Science:
- Gastroenterology
- Internal Medicine
- Medical Case Reports
Background:
- Gastroparesis is characterized by impaired gastric motility, leading to delayed stomach emptying.
- Diabetes mellitus is the most prevalent known cause of gastroparesis.
- While common, gastroparesis can manifest in severe forms requiring medical attention.
Observation:
- Two distinct case reports detail patients experiencing acute gastric distension.
- Diagnostic imaging revealed gastric distension, with one case initially suggesting gastric volvulus.
- Endoscopic examination identified gastric ulcers in both cases, a rare finding in this context.
Findings:
- Acute gastric distension, though rare, poses a significant risk of gastric perforation and rupture.
- Gastric ulcers were observed in association with acute gastric distension, an unusual etiology.
- Medical management led to the resolution of symptoms in both reported cases.
Implications:
- Recognizing acute gastric distension is crucial for preventing severe gastrointestinal complications.
- The presence of gastric ulcers in this context warrants further investigation into underlying causes.
- This review underscores the importance of a comprehensive approach to diagnosing and managing gastroparesis.