Briner Ralph, Mathys Philippe, Frossard Jean-Louis, Bichard Philippe
Service de gastroentérologie et d'hépatologie, Département de médecine, Hôpitaux universitaires de Genève, 1211 Genève 14.
Rev Med Suisse. 2024 Aug 28;20(884):1456-1463. doi: 10.53738/REVMED.2024.20.884.1456.
Gastroparesis is a pathology associating upper digestive symptoms, such as nausea and vomiting, with impaired gastric emptying in the absence of mechanical gastric or duodenal obstruction. It has a major impact on patients' quality of life, can lead to undernutrition, and -increases overall mortality. Several schools of thought converge on the hypothesis of a clinico--pathological spectrum of gastric neuro-muscular dysfunction encompassing gastroparesis and functional dyspepsia, in particular the subtype known as "postprandial distress syndrome". Its management includes non--pharmacological interventions, such as hygienic--dietary measures, pharmacological interventions using prokinetic, antiemetic or neuromodulatory treatments, and endoscopic interventions.
胃轻瘫是一种病理状况，其将上消化道症状（如恶心和呕吐）与在无机械性胃或十二指肠梗阻情况下的胃排空受损相关联。它对患者的生活质量有重大影响，可导致营养不良，并增加总体死亡率。几种观点都集中在胃神经肌肉功能障碍的临床病理谱假说上，该谱包括胃轻瘫和功能性消化不良，特别是被称为“餐后不适综合征”的亚型。其治疗包括非药物干预，如卫生饮食措施；药物干预，使用促动力、止吐或神经调节治疗；以及内镜干预。
