Gastroparesis for the nongastroenterologist

Jorge Araujo-Duran; Arjun Chatterjee; Samita Garg

doi:10.3949/ccjm.91a.23078

ABSTRACT

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. Its epidemiology is unclear, and the main causes are diabetes mellitus and idiopathic disease. Cardinal symptoms often co-occur. Management involves nutritional assessment, dietary changes, drug evaluation, glycemic control (for patients with diabetes mellitus), and symptom relief. In this review, we explore challenges nongastroenterologists may encounter and how they can use current recommendations to manage patients with gastroparesis.

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Jorge Araujo-Duran, MD

Research Fellow, Digestive Disease Institute, Department of Gastroenterology, Hepatology, and Nutrition, Cleveland Clinic, Cleveland, OH

Arjun Chatterjee, MD

Internal Medicine Resident, Department of Internal Medicine, Cleveland Clinic, Cleveland, OH

18207Samita Garg, MD⇑

Staff Gastroenterologist, Digestive Disease Institute, Neurogastroenterology Section, Department of Gastroenterology, Hepatology, and Nutrition, Cleveland Clinic, Cleveland, OH

Address:
Samita Garg, MD, Digestive Disease Institute, Department of Gastroenterology, Hepatology, and Nutrition, A31, Cleveland Clinic, 9500 Euclid Avenue, Cleveland, OH 44195; gargs{at}ccf.org