Research Fellow, Digestive Disease Institute, Department of Gastroenterology, Hepatology, and Nutrition, Cleveland Clinic, Cleveland, OH.
Internal Medicine Resident, Department of Internal Medicine, Cleveland Clinic, Cleveland, OH.
Cleve Clin J Med. 2024 Jun 3;91(6):373-383. doi: 10.3949/ccjm.91a.23078.
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.
胃轻瘫是一种以恶心、呕吐和餐后饱胀为特征的异质性运动障碍。其诊断需要客观记录固体食物胃排空延迟,并排除机械性梗阻。其流行病学尚不清楚,主要病因是糖尿病和特发性疾病。主要症状常同时发生。治疗包括营养评估、饮食改变、药物评估、血糖控制(对于糖尿病患者)和症状缓解。在这篇综述中,我们探讨了非胃肠病学家可能遇到的挑战,以及他们如何利用现有的建议来治疗胃轻瘫患者。