Due to food in stomach moving to duodenum too quickly
Late symptoms begin 1-3 hours after meal
Symptoms: Weakness, sweating, dizziness
Due to large glucose load moving into small intestine too quickly with resulting insulin response leading to symptoms
Common causes: GI surgery, vagal nerve damage, functional dyspepsia (disorder of sensation/movement in upper GI tract)
IMAGING
General Features
Imaging Recommendations
DIFFERENTIAL DIAGNOSIS
PATHOLOGY
General Features
CLINICAL ISSUES
Treatment
DIAGNOSTIC CHECKLIST
Consider
Image Interpretation Pearls
Selected References
Kwatra NS et al: Gastric emptying of milk in infants and children up to 5 years of age: normative data and influencing factors. Pediatr Radiol. 50(5):689-97, 2020
Maurer AH et al: Appropriate use criteria for gastrointestinal transit scintigraphy. J Nucl Med. 61(3):11N-17N, 2020
Cooper CJ et al: Rapid or normal gastric emptying as new supportive criteria for diagnosing cyclic vomiting syndrome in adults. Med Sci Monit. 20:1491-5, 2014
Sachdeva P et al: Use of a high caloric liquid meal as an alternative to a solid meal for gastric emptying scintigraphy. Dig Dis Sci. 58(7):2001-6, 2013
Shin AS et al: Diagnostic assessment of diabetic gastroparesis. Diabetes. 62(8):2667-73, 2013
Ziessman HA et al: The added diagnostic value of liquid gastric emptying compared with solid emptying alone. J Nucl Med. 50(5):726-31, 2009
Couturier O et al: Gastric scintigraphy with a liquid-solid radiolabelled meal: performances of solid and liquid parameters. Nucl Med Commun. 25(11):1143-50, 2004
Due to food in stomach moving to duodenum too quickly
Late symptoms begin 1-3 hours after meal
Symptoms: Weakness, sweating, dizziness
Due to large glucose load moving into small intestine too quickly with resulting insulin response leading to symptoms
Common causes: GI surgery, vagal nerve damage, functional dyspepsia (disorder of sensation/movement in upper GI tract)
IMAGING
General Features
Imaging Recommendations
DIFFERENTIAL DIAGNOSIS
PATHOLOGY
General Features
CLINICAL ISSUES
Treatment
DIAGNOSTIC CHECKLIST
Consider
Image Interpretation Pearls
Selected References
Kwatra NS et al: Gastric emptying of milk in infants and children up to 5 years of age: normative data and influencing factors. Pediatr Radiol. 50(5):689-97, 2020
Maurer AH et al: Appropriate use criteria for gastrointestinal transit scintigraphy. J Nucl Med. 61(3):11N-17N, 2020
Cooper CJ et al: Rapid or normal gastric emptying as new supportive criteria for diagnosing cyclic vomiting syndrome in adults. Med Sci Monit. 20:1491-5, 2014
Sachdeva P et al: Use of a high caloric liquid meal as an alternative to a solid meal for gastric emptying scintigraphy. Dig Dis Sci. 58(7):2001-6, 2013
Shin AS et al: Diagnostic assessment of diabetic gastroparesis. Diabetes. 62(8):2667-73, 2013
Ziessman HA et al: The added diagnostic value of liquid gastric emptying compared with solid emptying alone. J Nucl Med. 50(5):726-31, 2009
Couturier O et al: Gastric scintigraphy with a liquid-solid radiolabelled meal: performances of solid and liquid parameters. Nucl Med Commun. 25(11):1143-50, 2004