OnlineMedEd: Gastroenterology - "Misc Gastric" Flashcards
Describe the patient presentation of gastroparesis.
- Chronic nausea and vomiting
- Abdominal pain with eating
- Neuropathy (if diabetic gastroparesis)
What is the usual diagnostic order of events in cases of gastroparesis?
- Do an endoscopy to rule out esophageal causes, ulcer, and cancer
- Gastric emptying study (60% at 2 hours or 10% at 4 hours is a positive)
A big caveat with gastric emptying studies is ________________.
that they must be off opiates and anticholinergics
______________ can improve the symptoms of gastroparesis.
Improved glucose control
What antibiotic is often used in the treatment of gastroparesis?
IV erythromycin
True or false: high-fiber diets can help gastroparesis.
False
Low-fiber, small-volume meals are recommended for treatment.
Cyclic vomiting is sometimes related to ____________.
habitual marijuana use
List the two predisposing factors to gastric adenocarcinoma.
- East Asia
* Nitrites