Upper GI Disorders

Question 1

What are symptoms of delayed gastric emptying?

Answer 1

nausea, vomiting, dysphagia, post-prandial abdominal pain, GERD

Question 2

Treatment for delayed gastric emptying

Answer 2

• remove causes
• low-fat diet, avoid large meals
• metoclopramide, erythromycin, prokinetics

Question 3

What are symptoms of dumping syndrome?

Answer 3

• most common post-op after gastric surgery

- 15-30 min after eating –> nausea, non-productive vomiting, sweating, flushing, abdominal cramping, diarrhea

Question 4

Treatment for dumping syndrome

Answer 4

• 6-8 small, low CHO meals/day
• avoid excess liquids
• avoid use of opiates and anticholinergic drugs

Question 5

Diagnostic study if suspicious for gastric cancer

Answer 5

double contrast barium study

endoscopic biopsy