2015-06-02 18:54:31 UTC

Gastroparesis, Nausea and Vomiting

Clinical Snapshots

About

This AGA Clinical Snapshot is an executive summary of Dr. Camilleri's presentation during the 2015 AGA Spring Postgraduate Course at DDW® 2015 in Washington, DC.

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Takeaways

1. Know the common causes, pathophysiology, differential diagnosis and treatment of gastroparesis.

2. Identify nuances in the clinical evaluation to reach diagnosis in patients with nausea or vomiting.

3. Recognize rumination syndrome and its diagnosis.

About the Instructors

Michael Camilleri, MD, AGAF, Mayo Clinic College of Medicine

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Introduction

There are several gastrointestinal and extra-gastrointestinal causes of nausea and vomiting. These symptoms may result from diverse pathophysiological mechanisms including failure of gastric accommodation or impaired gastric emptying.

Definition of Gastroparesis

Gastroparesis is characterized by delayed gastric emptying in the absence of mechanical obstruction of the stomach. The cardinal symptoms include postprandial fullness (early satiety), nausea, vomiting and bloating. In one tertiary referral series, diabetes accounted for about one-third of cases of gastroparesis …

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