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Gastroparesis: current diagnostic challenges and management considerations.
Shamaila Waseem1, Baharak Moshiree, Peter V Draganov
1Department of Pediatric Gastroenterology, Hepatology and Nutrition, University of Florida, Gainesville, Florida 32610, USA.
World Journal of Gastroenterology
|December 31, 2008
Summary
Gastroparesis, a condition of delayed gastric emptying, affects 4% of the population. Recent advancements in treatments offer new hope for managing this complex gastrointestinal disorder.
Area of Science:
- Gastroenterology
- Digestive System Disorders
Background:
- Gastroparesis is defined as abnormal gastric motility with delayed gastric emptying.
- Common causes include diabetes, surgery, and idiopathic factors.
- Symptoms like nausea, vomiting, and epigastric pain significantly impact quality of life.
Purpose of the Study:
- To provide a comprehensive review of gastroparesis.
- To emphasize the latest developments in diagnosis and treatment.
- To offer insights from a practicing clinician's perspective.
Main Methods:
- Review of current literature on gastroparesis.
- Discussion of diagnostic standards, including gastric scintigraphy.
- Analysis of multimodal treatment strategies.
Main Results:
- Gastroparesis affects approximately 4% of the population.
- Diagnosis relies on solid meal gastric scintigraphy.
- Treatment involves diet, medications, and surgery.
Conclusions:
- New therapeutic advances, including drug therapy and gastric electrical stimulation, show promise for refractory gastroparesis.
- A multimodal approach remains crucial for managing gastroparesis.
- Ongoing research offers hope for improved patient outcomes.
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