Gastroparesis Flashcards
1
Q
The two functional units of the stomach are?
A
- Fundus
- Antrum/Body
2
Q
Fundus does what
A
Fundus is basically the body of the stomach. It relaxes and provides accomodation for food
3
Q
Antrum/body does what?
A
Grinding, Mixing Transfer
4
Q
Symptoms of stasis
A
- severe nausea
- abdominal pain
- early satiety
- vomitting
5
Q
Gastroparesis dx
A
- history and phys
- labs like blood glucose, thyroid function, CBC,
- Upper endoscopy
- Gastric emtyping study (gold standard)
- rarely electrogastrography
6
Q
What defines delayed gastric emptying in a gastric emptying study?
A
Gastric retention of over 10% at 4 hours
7
Q
Management of gastroparesis
A
These pts often get dehydrated due to nausea and vomitting.
- so rehydtration is important, correct electrolytes
Percutaneous Endoscopic Gastrotomy
Suppress bacterial overgrowth
Symptomatic treatment of diarrhea and constipation
Diet Low in residue and fat
Enteral feeding
