Materiały źródłowe

• #1 Gastroparesis – Symptoms and causes – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/gastroparesis/symptoms-causes/syc-20355787

  Gastroparesis is a condition in which the muscles in the stomach don’t move food as they should for it to be digested. […] Most often, muscles contract to send food through the digestive tract. But with gastroparesis, the stomach’s movement, called motility, slows or doesn’t work at all. This keeps the stomach from emptying well. […] Gastroparesis affects digestion. It can cause nausea, vomiting and belly pain. It also can cause problems with blood sugar levels and nutrition. There’s no cure for gastroparesis. But medicines and changes to diet can give some relief. […] Symptoms of gastroparesis include: Vomiting. Nausea. Belly bloating. Belly pain. Feeling full after eating just a few bites and long after eating a meal. Vomiting undigested food eaten a few hours earlier. Acid reflux. Changes in blood sugar levels. Not wanting to eat. Weight loss and not getting enough nutrients, called malnutrition.

• #2 Gastroparesis: Symptoms, Causes, Diagnosis & Treatment

  https://my.clevelandclinic.org/health/diseases/15522-gastroparesis

  Gastroparesis means paralysis of the stomach. Its a functional disorder affecting your stomach nerves and muscles. It makes your stomach muscle contractions weaker and slower than they need to be to digest your food and pass it on to your intestines. This leads to food sitting too long in your stomach. […] In gastroparesis, food doesn’t move normally through your stomach. Gastroparesis is a problem with the muscles in your stomach that move food through. […] People with gastroparesis have uncomfortable symptoms during digestion, and they can also have longer-lasting side effects. They might have low appetite and trouble meeting their nutritional needs, or trouble controlling their blood sugar. When food does finally pass from the stomach, it may not pass completely and may leave some behind. This can develop into a hardened, solid mass called a bezoar.

• #2 Gastroparesis: Symptoms, Causes, Diagnosis & Treatment

  https://my.clevelandclinic.org/health/diseases/15522-gastroparesis

  Common symptoms include: Indigestion. Bloated stomach. Feeling full very quickly and/or for a long time. Upper abdominal pain. Nausea and vomiting. Regurgitating (spitting up) whole pieces of undigested food. Loss of appetite. Acid reflux and heartburn. Blood sugar fluctuations. Constipation. […] When your stomach muscles arent working right, food sits in your stomach for a long time after you eat it. You may feel full almost immediately and for a long time after eating. You may have a stomachache, feel nauseous or throw up. Your stomach may feel bloated or distended (stretched) and you may have acid reflux as a side effect. When stomach acid backwashes into your esophagus, it can feel like heartburn. […] Gastroparesis slows down your whole digestive process, which can delay your bowel movements. It can also deliver large, undigested pieces of food to your intestines, which are more difficult to pass through.

• #3 Gastroparesis: Symptoms, Causes, Diagnosis & Treatment

  https://my.clevelandclinic.org/health/diseases/15522-gastroparesis

  Damage to the nerves that activate your stomach muscles is the main cause of gastroparesis. Less commonly, its the muscles themselves that are damaged. The overall result is that the muscle contractions that churn food in your stomach and then squeeze it out through the bottom are impaired. This leads to indigestion and delayed gastric emptying food sitting too long in your stomach. […] Chronic nausea and vomiting, or simply the loss of appetite, can lead to weight loss and malnutrition. If you vomit frequently, it can also lead to dehydration and electrolyte deficiencies. […] Gastroparesis causes abdominal distension, which makes it easier for stomach acid to escape out of the top of your stomach into your esophagus. Chronic acid reflux can cause complications for your esophagus, such as heartburn and inflammation (esophagitis).

• #4 Gastroparesis > Fact Sheets > Yale Medicine

  https://www.yalemedicine.org/conditions/gastroparesis

  A condition in which the stomach empties slowly, causing food and liquid to remain in the stomach for longer than normal. […] Symptoms include nausea, vomiting, bloating, belching, pain in the upper abdomen. […] As a result, food remains in the stomach for longer than normal, which can lead to nausea, vomiting, bloating, and stomach pain, among other symptoms. […] Symptoms of gastroparesis may include: Nausea, Vomiting, Bloating, Feeling full soon after starting to eat or long after finishing a meal, Belching, Pain in the upper abdomen, Heartburn, Unexplained weight loss, Lack of appetite. […] The outlook depends on several factors, including the cause of the disorder. For instance, gastroparesis cases that develop due to a viral infection often go away relatively quickly after symptom onset, whereas once it develops, diabetic gastroparesis is usually a lifelong condition. Gastroparesis that arises from other causes can also be a chronic, long-term condition.

• #4 Gastroparesis: Symptoms, Causes, Diagnosis & Treatment

  https://my.clevelandclinic.org/health/diseases/15522-gastroparesis

  Gastroparesis interrupts the regular, controlled flow of food through your digestive system. This can also interrupt the regular, controlled release of glucose into your bloodstream. When food sits for too long in your stomach, your blood sugar may drop too low. When food finally releases, your blood sugar may spike. These fluctuations are especially complicated for people with diabetes, and they can make gastroparesis worse. […] A bezoar is a compacted, hardened mass of food stuck in your stomach. It forms out of pieces that were left behind when your stomach emptied. A bezoar may become too big to pass through the outlet at the bottom of your stomach. It can also block it and make it hard for any other food to pass through. […] Sometimes gastroparesis caused by short-term drug use or a short-term infection later goes away. For most people, gastroparesis is not curable, but it is manageable with treatment. It may take some trial and error to arrive at the treatment that works best for you, and there may be lingering symptoms or side effects of the treatment. […] In general, gastroparesis isnt life-threatening. Some of the possible complications of gastroparesis can be life-threatening if theyre very severe. These complications are related to malnutrition, dehydration, electrolyte imbalances and blood sugar fluctuations with diabetes.

• #5 Gastroparesis Symptoms, Treatment, Causes | UCLA Medical School

  https://medschool.ucla.edu/news-article/gastroparesis-symptoms-treatment-and-causes

  Gastroparesis is a medical condition that affects the stomach’s ability to properly empty its contents into the small intestine. This condition occurs when the muscles in the stomach which are responsible for pushing food through the digestive tract become impaired or weakened. As a result, food stays in the stomach for a longer time than normal, leading to various digestive symptoms. […] According to Dr. Gluckman, there are three stages of gastroparesis: There’s mild, moderate, and severe. And that’s based on the severity of the symptoms, the degree of slowness that the stomach empties, and some of the complications a patient might have. […] Gastroparesis is a chronic condition, and in most cases, it does not go away or have a definitive cure. However, its symptoms can be managed, and the progression of the condition can be slowed with appropriate treatment. The goal of treatment is to alleviate symptoms, improve stomach emptying, and enhance the patient’s quality of life.

• #6 Imaging in Gastroparesis: Exploring Innovative Diagnostic Approaches, Symptoms, and Treatment

  https://www.mdpi.com/2075-1729/13/8/1743

  Gastroparesis (GP) is a chronic disorder characterized by gastric dysmotility, resulting in recurrent or persistent upper gastrointestinal (GI) symptoms, such as nausea and vomiting, early satiety, postprandial fullness, bloating, and epigastric/abdominal pain or discomfort, in the absence of a mechanical obstruction. […] Major GP symptoms include nausea, vomiting, abdominal pain, early satiety, postprandial fullness, stomach distension, and bloating. […] Approximately 15% of GP patients experience an acute onset of symptoms. […] Nausea is the most frequently reported symptom in patients with suspected GP (>95% of cases) requiring clinical evaluation. […] GP is a chronic and unremitting disease, with only 28% of cases showing improvement in symptoms. […] The extent of GE delay in GES has shown a weak association with symptom severity, emphasizing the complex nature of the stomach and the multiple pathophysiological mechanisms contributing to GE impairment.

• #7 Gastroparesis – Wikipedia

  https://en.wikipedia.org/wiki/Gastroparesis

  Symptoms include nausea, vomiting, abdominal pain, feeling full soon after beginning to eat (early satiety), abdominal bloating, and heartburn. […] The severity of gastric emptying dysfunction does not correspond to the severity of symptoms. […] Nausea in gastroparesis is usually postprandial, but morning or persistent nausea may occur. […] Vomiting is characterized by retching and forceful evacuation of gastric contents from the stomach up to and out of the mouth. […] Postprandial fullness is an unpleasant feeling of stomach fullness that occurs after eating. […] Patients might characterize postprandial fullness as a feeling of food remaining in the stomach for an extended period. […] Early satiety is the sensation of stomach fullness that occurs shortly after beginning to eat and is out of proportion to the meal.

• #8 Gastroparesis Awareness Month | Patient Care

  https://weillcornell.org/news/gastroparesis-awareness-month

  Do you feel full as soon as you start eating a meal or long after youve finished? Does eating give you abdominal pain, make you belch, or feel bloated or nauseous? If so, then you may want to speak with your doctor about gastroparesis. […] The signs and symptoms of gastroparesis are not always obvious. They may include vomiting, nausea, chronic abdominal pain or bloating, lack of appetite, or weight loss and malnutrition. […] Patients can go on for a year or more without a good diagnosis, he notes. When a patient says, I vomited what I ate yesterday, thats a key clue that their stomach isnt emptying properly. […] To diagnose gastroparesis, your doctor will take your medical history, analyze your symptoms, and conduct a physical exam and medical tests, including one that measures how efficiently your stomach empties. After four hours, 90% of a meal should leave the stomach with very little retained. A stomach that empties less than that is abnormal, Dr. Carr-Locke says.

• #9 Symptoms & Causes of Gastroparesis – NIDDK

  https://www.niddk.nih.gov/health-information/digestive-diseases/gastroparesis/symptoms-causes

  The symptoms of gastroparesis may include feeling full soon after starting a meal […] feeling full long after eating a meal […] nausea […] vomiting […] too much bloating […] too much belching […] pain in your upper abdomen […] heartburn […] poor appetite. If you have gastroparesis, you may feel full long after eating a meal.

• #10 Gastroparesis – Wikipedia

  https://en.wikipedia.org/wiki/Gastroparesis

  Abdominal discomfort or pain is common, affecting 90% of gastroparesis patients. […] The severity of abdominal pain is unrelated to the impairment of gastric emptying. […] Gastroparesis can lead to difficult glycemic control (which exacerbates gastric dysmotility), aspiration, bezoar formation, abnormalities in fluid and electrolyte balance, and inadequate nutrition intake resulting in weight loss. […] Some patients may experience severe nausea and vomiting, which can lead to dehydration, as evidenced by orthostatic hypotension as well as acute renal insufficiency. […] Individuals with gastroparesis are also more likely to develop gastric bezoars. […] The incidence of bezoar formation in gastroparesis patients has been estimated to be approximately six percent based on a barium study.

• #11 Gastroparesis | Children’s Hospital of Philadelphia

  https://www.chop.edu/conditions-diseases/gastroparesis

  Most published literature describes gastroparesis as delayed gastric emptying without a mechanical obstruction. […] At Childrens Hospital of Philadelphia (CHOP), our definition of gastroparesis is stricter. We consider gastroparesis to be a gastrointestinal (GI) motility disorder when there is objective delay in gastric emptying in the absence of any of the following: […] Gastroparesis symptoms mirror some symptoms of delayed gastric emptying and include: Early satiety (feeling full after only a few bites of food, inability to finish meals), Abdominal bloating (upper abdomen feels or actually looks distended, tight after eating), Abdominal pain or burning between the lower part of the breastbone and the navel, Nausea (urge to vomit, queasy, sick to stomach sensation), Indigestion (combination of burning, feeling bloated, queasy after eating), Episodic vomiting, Fear of eating, Feeding difficulty in infants and young children, Weight loss.

• #12 Gastroparesis for the nongastroenterologist | Cleveland Clinic Journal of Medicine

  https://www.ccjm.org/content/91/6/373

  Gastroparesis is a heterogeneous motility disorder characterized by nausea, vomiting, and postprandial fullness. Its diagnosis requires objective documentation of delayed gastric emptying of solid food and exclusion of mechanical obstruction. Cardinal symptoms of gastroparesis such as nausea, vomiting, early satiety, postprandial fullness, bloating, belching, and upper abdominal discomfort usually present in clusters or combinations. Gastroparesis is a chronic motility disorder and a heterogeneous syndrome with significant variability in its symptoms, causes, severity, and response to treatment. It is defined by symptoms such as nausea, vomiting, postprandial fullness, and upper abdominal discomfort; objective documentation of delayed gastric emptying of solid food; and exclusion of mechanical obstruction. More than two-thirds of patients receiving treatment for gastroparesis do not have significant symptom improvement during 1 year of follow-up. Gastroparesis predominantly affects women, who are more likely to have idiopathic gastroparesis with more severe symptoms of postprandial fullness, early satiety, bloating, and upper abdominal pain, and are less likely to improve after 48 weeks of follow-up. Some predictors of improvement over 48 weeks include age 50 and older, moderate or severe gastroparesis (20% gastric retention at 4 hours), and onset of gastroparesis following an infectious prodrome. Predictors associated with lack of improvement include being overweight or obese, severe abdominal pain, concomitant gastroesophageal reflux (eg, pyrosis, dysphagia, chest pain, chronic cough), and depression. Gastroparesis in patients with type 1 diabetes mellitus is associated with higher hemoglobin A1c levels, longer duration of gastrointestinal symptoms, greater gastric retention, and more hospitalizations due to gastroparesis. Improvement in glycemic control is associated with a decreased incidence of microvascular complications, and it is expected to be associated with a lower incidence of diabetic gastroparesis. But once delayed gastric emptying is established, it may persist for up to 25 years despite improved glycemic control. The main symptoms of gastroparesis are nausea, vomiting, early satiety, postprandial fullness, bloating, belching, and upper abdominal discomfort. These cardinal symptoms are usually present in clusters or combinations, eg, abdominal pain with early satiety and heartburn; heartburn with bloating, early satiety, nausea, and vomiting; and regurgitation with bloating, nausea, and vomiting. Severe early satiety and postprandial fullness are reported by 50% to 60% of patients, and 95% experience nausea, which is the predominant symptom in 29% of cases. Nausea is related to food intake in at least three-quarters of patients; in 40% of cases, nausea lasts most of the day. Vomiting and early satiety are often the initial symptoms in diabetic gastroparesis. Patients with diabetic gastroparesis may experience greater nausea and longer periods of vomiting than those with idiopathic gastroparesis. Abdominal pain is often the initial presentation of idiopathic gastroparesis. Two-thirds of patients report it, and it is associated with nonacute onset of gastroparesis, bowel disturbances, and opiate and antiemetic use.

• #13 Gastroparesis | Symptoms, Diagnosis & Treatment

  https://www.cincinnatichildrens.org/health/g/gastroparesis

  Gastroparesis is a condition in which the stomach takes too long to empty its contents. Food and liquid stay in the stomach for a long time. This leads to symptoms such as nausea, vomiting and abdominal pain. Children with gastroparesis often feel full or bloated. […] Gastroparesis symptoms often improve over time or disappear with treatment. It can be a lifelong condition for some people. […] The most common symptoms of gastroparesis include: Vomiting, Nausea, Upper abdominal discomfort or pain, Bloating, Feeling full after only a few bites of food, Excessive burping or belching. […] Some children with gastroparesis avoid eating because this can make them feel worse. This can lead to weight loss, malnutrition and dehydration. […] Most children with gastroparesis get relief from their symptoms with careful treatment. The symptoms eventually go away in many cases. Gastroparesis is a chronic, long-term condition for some children.

• #14 Gastroparesis: Symptoms & Causes | NewYork-Presbyterian

  https://www.nyp.org/digestive/gastroparesis

  Gastroparesis can interfere with the digestion process. Some cases of gastroparesis are asymptomatic, while others can cause mild to extreme symptoms. […] Symptoms of gastroparesis can include: Nausea, Vomiting undigested food, Heartburn or gastroesophageal reflux, Feeling full after only a few bites of a meal, Staying full long after you’ve finished eating, Chronic abdominal pain, Abdominal bloating, Weight loss due to poor appetite. […] Left untreated, gastroparesis can lead to more severe health complications, such as: Dehydration. This can be caused by continuous vomiting, Malnutrition. This can result from vomiting or poor appetite, Stomach blockage. Food that remains in the stomach for too long can form into a hard lump, called a bezoar. The solid mass may block food from passing into your small intestine, Erratic blood sugar levels. Frequent fluctuations in the amount of food passing into the small intestine can cause poor control of blood sugar. This can exacerbate diabetes and gastroparesis symptoms.

• #15 Gastroparesis – Wikipedia

  https://en.wikipedia.org/wiki/Gastroparesis

  There is a strong link between gastroparesis and the development of small intestinal bacterial overgrowth (SIBO). […] Because of the debilitating symptoms, patients with gastroparesis are at risk of significant nutritional abnormalities. […] The average caloric intake was 1168 kcal/day, which resulted in substantial nutritional deficiencies. […] Other complications include fluctuations in blood glucose due to unpredictable digestion times due to changes in rate and amount of food passing into the small bowel, a decrease in quality of life, since it can make keeping up with work and other responsibilities more difficult, and severe fatigue due to caloric deficit. […] Long-term studies in gastroparesis patients show that it is not a benign disease and has significant morbidity and a poor prognosis due to the limited options for treatment.

• #16 Gastroparesis – Symptoms and causes – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/gastroparesis/symptoms-causes/syc-20355787

  Many people with gastroparesis don’t notice any symptoms. […] Gastroparesis can cause several complications, such as: Loss of body fluids, called dehydration. Repeated vomiting can cause dehydration. Malnutrition. Not wanting to eat can mean you don’t take in enough calories. Or your body may not be able to take in enough nutrients due to vomiting. Food that doesn’t digest that hardens and stays in the stomach. This food can harden into a solid mass called a bezoar. Bezoars can cause nausea and vomiting. They may be life-threatening if they keep food from passing into the small intestine. Blood sugar changes. Gastroparesis doesn’t cause diabetes. But the changes in the rate and amount of food passing into the small bowel can cause sudden changes in blood sugar levels. These blood sugar changes can make diabetes worse. In turn, poor control of blood sugar levels makes gastroparesis worse. Lower quality of life. Symptoms can make it hard to work and keep up with daily activities.

• #17 Scoping review: the social and emotional impacts of gastroparesis – Simons – Translational Gastroenterology and Hepatology

  https://tgh.amegroups.org/article/view/8873/html

  Patients commonly experience isolation from their medical providers and in other social relationships. […] Patients with gastroparesis appear to experience higher rates of depression and anxiety than what is typical in the general population. […] The level of psychological distress a patient experienced due to their symptoms did not appear to be influenced by the severity of gastric retention; those with functional dyspepsia experienced similar levels of distress as those with gastroparesis. […] Patients with gastroparesis may have higher rates of healthcare utilization and be willing to take risks with procedures and medications to find relief from symptoms.

• #18 Gastroparesis – Endocrinology Advisor

  https://www.endocrinologyadvisor.com/ddi/gastroparesis/

  With proper dietary management, patients with mild gastroparesis symptoms typically can avoid serious complications. Those with moderate to severe symptoms may experience weight loss and malnutrition that can eventually lead to hospitalization and death. The mortality risk is significantly higher for patients with diabetic gastroparesis compared with those with an idiopathic form of the condition.

• #19 Gastroparesis – AGA GI Patient Center

  https://patient.gastro.org/gastroparesis/

  Certain factors may make symptoms of gastroparesis worse, such as eating greasy (high fat) foods and eating large amounts of food with fiber, such as raw fruits and vegetables. […] In most cases, gastroparesis is a chronic (life-long) health issue that cannot be cured. Symptoms of gastroparesis can come and go. However, there are many treatment options, based on how bad your symptoms are, to help you care for gastroparesis. […] If gastroparesis gets out of hand, it can cause severe dehydration or loss of water from the body, esophagitis, bezoars, trouble controlling blood sugar levels in people with diabetes, malnutrition, and worsening quality of life.

• #20 Gastroparesis – Wikipedia

  https://en.wikipedia.org/wiki/Gastroparesis

  The mortality rate is highest in patients with decompensated gastroparesis who are more likely to develop complications. […] Some evidence suggests that post-viral gastroparesis has a better prognosis and lasts less time than idiopathic gastroparesis. […] Cases of post-infectious gastroparesis are self-limiting, with recovery within 12 months of initial symptoms, although some cases last well over 2 years.

• #21 Gastroparesis – StatPearls – NCBI Bookshelf

  https://www.ncbi.nlm.nih.gov/books/NBK551528/

  Patients with diabetes at increased risk of developing gastroparesis usually have a combination of the following: long duration of the disease, poorly controlled blood sugars, and other autonomic neuropathic complications. […] Gastroparesis is common following surgery involving the esophagus, stomach, duodenum, or pancreas and procedures that risk injury to the vagal nerve. […] Gastroparesis is a heterogeneous disorder. Symptoms do not always correlate with the degree of delayed gastric emptying, and some patients positive for gastroparesis on diagnostic testing are asymptomatic. […] Nausea and vomiting are the most common clinical symptoms and correlate with the degree of gastric emptying delay. […] Patients with gastroparesis may have a relatively poor quality of life due to persistent symptoms and poor nutrition. […] In contrast, results from a study done at a tertiary center revealed that 7% of gastroparesis patients died, and 22% of patients needed long-term enteral or parenteral nutrition after 6 years of follow-up.

• #21 Gastroparesis – StatPearls – NCBI Bookshelf

  https://www.ncbi.nlm.nih.gov/books/NBK551528/

  Gastroparesis is a condition of delayed gastric emptying, lasting at least 3 months in the absence of mechanical obstruction. The illness is defined by symptoms such as nausea, vomiting, bloating, early satiety, and abdominal pain. […] Delayed or ineffective gastric emptying occurs due to abnormal gastrointestinal motor function, a complex sequence of events involving the parasympathetic and sympathetic nervous systems, gastric smooth muscle cells, pacemaker cells within the stomach and intestine, and the pyloric sphincter. […] Patients with gastroparesis also show alterations in mucosal immune cell infiltration and cytokine expression. […] Gastroparesis causes symptoms such as nausea, vomiting, bloating, early satiety, and abdominal pain. […] The incidence of gastroparesis has been increasing over the last few decades, attributed to increases in diabetes, obesity, and causative medications. […] Patients with idiopathic gastroparesis report more symptoms of early satiety, postprandial fullness, and abdominal pain as compared with patients with diabetic gastroparesis.

• #22 What Is Diabetic Gastroparesis? Symptoms, Diagnosis, and Treatment

  https://www.webmd.com/diabetes/diabetes-and-gastroparesis

  Diabetic gastroparesis is a diabetes complication in which the stomach muscles stop working well or at all, slowing down how quickly food leaves your stomach to your intestine. It can make you feel queasy and vomit and is bad for your blood sugar levels. […] If you have diabetic gastroparesis, your symptoms may include: Heartburn or reflux (backup of stomach contents into the esophagus), Nausea, Vomiting (in severe cases, this may happen daily), Trouble controlling blood sugar, Feeling full quickly when eating, Abdominal bloating, Poor appetite and weight loss or weight gain. […] Gastroparesis can make it hard to control diabetes. When food finally does leave your stomach and enters the small intestine, your blood sugar goes up, too. […] Diabetes gastroparesis is a complication of having uncontrolled or poorly controlled type 1 or type 2 diabetes. It happens when high blood sugar levels start affecting your stomach muscles and cells, causing problems with how food leaves your stomach. When you have it, you’ll most likely have nausea. See a doctor if you have these symptoms and others like unexplained weight loss or weight gain, vomiting, and loss of appetite. It has no cure, but treating high blood sugar levels, diligently taking other medicines your doctor recommends, and changing your diet and eating habits can help.

• #23 Gastroparesis | Minimally Invasive and Gastrointestinal Surgery | Medical College of Wisconsin

  https://www.mcw.edu/departments/surgery/divisions/minimally-invasive-and-gastrointestinal-surgery/patient-care/gerd-and-gastrointestinal-surgery-program/gastroparesis

  Gastroparesis is a chronic disorder in which food moves through the stomach more slowly than normal. Patients with gastroparesis complain of chronic or recurrent gastrointestinal symptoms such as nausea, vomiting, abdominal pain, early satiety (they get full very soon after beginning a meal), and bloating. […] Symptoms may become so severe that patients may find themselves unable to work or enjoy normal activities. […] The two most common causes are gastroparesis due to diabetes and what is known as idiopathic gastroparesis. Most patients with idiopathic gastroparesis are young or middle-aged women. These patients experience symptoms and delayed gastric emptying without any other clear-cut causative medical problems. […] Conventional medical approaches to treat gastroparesis have included medications to help the stomach empty. […] A modified diet (low fiber, low fat, small, frequent meals) can help with symptoms and nutrition and is a must before considering surgery for gastroparesis.

• #24 What is gastroparesis and how should you treat it? Our Dr. Ismail weighs in. | UK Healthcare

  https://ukhealthcare.uky.edu/wellness-community/blog/what-gastroparesis-how-should-you-treat-it-our-dr-ismail-weighs

  Gastroparesis is a disorder in which the stomach takes too long to empty after eating. The delay is caused by abnormal function of the stomach nerves or muscles and results in bloating, nausea, and/or belly pain. […] As food accumulates in a stomach that is not emptying effectively, patients develop early fullness and are typically unable to finish their meal. Frequently, patients describe decreased quality of life due to the associated nausea, vomiting, bloating and abdominal discomfort. Severity varies widely and more severe cases can lead to weight loss, dehydration or malnutrition often requiring emergency room visits and hospitalization. […] Gastroparesis occurs more commonly in association with certain conditions. For example, patients with long standing diabetes are at high risk due to the associated neuropathy. […] Moreover, slow emptying can occur after surgical procedures involving areas close to the vagus nerve (which supplies the stomach and controls its motility). […] Interestingly, up to half of gastroparesis patients have no underlying cause (idiopathic gastroparesis).

• #25 Gastroparesis | ACG

  https://gi.org/topics/gastroparesis/

  Gastroparesis is a chronic disorder which means delayed stomach emptying without a blockage. […] Symptoms include fullness after meals, pain, nausea vomiting, weight loss, belching and bloating. Certain foods like fatty foods, or carbonation may cause symptoms. The feeling of fullness after starting a meal is very common. Weight loss may also occur. […] Gastric emptying study is the most commonly used test. It is a test using a tiny amount of radioactive material mixed with food. With imaging equipment, it measures the rate of emptying of the stomach after taking a meal. A delay in gastric emptying indicates gastroparesis. […] The initial treatment in patients with gastroparesis is to create a diet that will improve the symptoms. Your physician may recommend eating frequent small meals and to avoid fatty, spicy, acidy and high fiber foods. Your physician may also recommend soups or more liquid containing meals. […] G -POEM (gastric peroral endoscopic myotomy) is a specialized procedure done in those patients who have not responded to other therapies. It involves minimally invasive surgery of the stomach performed by endoscopy.

• #26 Gastroparesis Awareness Month | Patient Care

  https://weillcornell.org/news/gastroparesis-awareness-month

  Do you feel full as soon as you start eating a meal or long after youve finished? Does eating give you abdominal pain, make you belch, or feel bloated or nauseous? If so, then you may want to speak with your doctor about gastroparesis. […] The signs and symptoms of gastroparesis are not always obvious. They may include vomiting, nausea, chronic abdominal pain or bloating, lack of appetite, or weight loss and malnutrition. […] Patients can go on for a year or more without a good diagnosis, he notes. When a patient says, I vomited what I ate yesterday, thats a key clue that their stomach isnt emptying properly. […] To diagnose gastroparesis, your doctor will take your medical history, analyze your symptoms, and conduct a physical exam and medical tests, including one that measures how efficiently your stomach empties. After four hours, 90% of a meal should leave the stomach with very little retained. A stomach that empties less than that is abnormal, Dr. Carr-Locke says.

• #27 Imaging in Gastroparesis: Exploring Innovative Diagnostic Approaches, Symptoms, and Treatment

  https://www.mdpi.com/2075-1729/13/8/1743

  Gastroparesis (GP) is a chronic disorder characterized by gastric dysmotility, resulting in recurrent or persistent upper gastrointestinal (GI) symptoms, such as nausea and vomiting, early satiety, postprandial fullness, bloating, and epigastric/abdominal pain or discomfort, in the absence of a mechanical obstruction. […] Major GP symptoms include nausea, vomiting, abdominal pain, early satiety, postprandial fullness, stomach distension, and bloating. […] Approximately 15% of GP patients experience an acute onset of symptoms. […] Nausea is the most frequently reported symptom in patients with suspected GP (>95% of cases) requiring clinical evaluation. […] GP is a chronic and unremitting disease, with only 28% of cases showing improvement in symptoms. […] The extent of GE delay in GES has shown a weak association with symptom severity, emphasizing the complex nature of the stomach and the multiple pathophysiological mechanisms contributing to GE impairment.

• #27 Imaging in Gastroparesis: Exploring Innovative Diagnostic Approaches, Symptoms, and Treatment

  https://www.mdpi.com/2075-1729/13/8/1743

  Key functional impairments in GP involve alterations in antral motility and, in some cases, pyloric sphincter dysregulation. […] Antral dysmotility in GP is characterized by a reduction in the frequency of antral contractions per minute (antral hypomotility) and a decrease in slow wave amplitude and duration. […] Pyloric dysfunction is another significant factor contributing to abnormal GE in GP. […] GP symptoms often overlap with those of other functional gastrointestinal (GI) disorders, including chronic unexplained nausea and vomiting syndrome (CUNV), cyclic vomiting syndrome, various gut–brain interaction disorders, and above all functional dyspepsia (FD). […] The relationship between GES and clinical status in GP remains controversial, even after endoscopic treatment. […] The current impression is that relying solely on GE assessment may not fully capture the complex and multifaceted pathophysiology underlying GP. […] Recent evidence has shown that measuring GE is not a reliable method for discriminating between GP and FD, as cases of GP can normalize GE over time and many cases of FD can develop delayed GE.

• #28 Gastroparesis | Borland Groover

  https://borlandgroover.com/conditions-treated/gastroparesis

  Gastroparesis causes slow digestion and can even stop the movement of food from the stomach to the small intestine, leading to a number of symptoms and complications if left untreated. […] Gastroparesis symptoms are often associated with other digestive health conditions, it can be easily misdiagnosed as GERD, irritable bowel syndrome, cyclical nausea and vomiting, gastritis and more. […] Gastroparesis Symptoms: Early satiety and slow digestion, Heartburn, Bloating, Nausea, Vomiting after eating, Abdominal pain, Poor appetite, Unexplained weight loss. […] If left untreated, gastroparesis symptoms, like slow digestion and vomiting after eating, can lead to more severe complications and health problems.

• #29 Gastroparesis: A slow-emptying stomach can cause nausea and vomiting – Harvard Health

  https://www.health.harvard.edu/blog/gastroparesis-a-slow-emptying-stomach-can-cause-nausea-and-vomiting-202110272626

  Nausea and vomiting are two of the most common symptoms of gastroparesis, most likely stemming from the sluggish emptying of the stomach. Typically, these symptoms occur toward the end of meals or soon after meals are finished. A third common symptom is abdominal pain caused by a combination of motor nerve and sensory nerve dysfunction. When motor nerves aren’t working properly, food and liquid can be detained in the stomach. When sensory nerves aren’t working well, signals between the gut and the brain are not communicated effectively, which can cause pain, nausea, and vomiting. […] A growing body of evidence suggests that gastroparesis overlaps with a disorder of gut-brain interaction called functional dyspepsia, which is recurring indigestion that has no apparent cause. Other health problems can cause similar symptoms as gastroparesis, such as gastric outlet obstruction and cyclic vomiting syndrome, or even conditions beyond the gut, such as glandular disorders.

• #30 Overview of Symptoms for Gastroparesis – About Gastroparesis

  https://aboutgastroparesis.org/signs-and-symptoms/overview/

  GP symptoms can also lead to further health issues that lessen overall quality of life. People that experience nausea, abdominal pain, and early fullness are more likely to develop malnutrition. Malnutrition is when the body does not absorb enough nutrients including vitamins. Any combination of GP symptoms can have an impact on a patients quality of life and lead to depression, difficulty sleeping, and impaired digestion due to a decreased ability to eat.

Zobacz więcej