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Gastrointestinal
Diagnosis
Stomach
Degenerative
Gastroparesis
Gastroparesis
Atif Zaheer, MD, FSAR; Michael P. Federle, MD, FACR
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KEY FACTS

  • Terminology

    • Imaging

      • Top Differential Diagnoses

        • Pathology

          • Clinical Issues

            TERMINOLOGY

            • Definitions

              • Objectively delayed gastric emptying in absence of mechanical obstruction

            IMAGING

            • General Features

              • Imaging Recommendations

                • Radiographic Findings

                  • CT Findings

                    • Nuclear Medicine Findings

                      DIFFERENTIAL DIAGNOSIS

                        PATHOLOGY

                        • General Features

                          CLINICAL ISSUES

                          • Presentation

                            • Demographics

                              • Natural History & Prognosis

                                • Treatment

                                  Selected References

                                  1. Atieh J et al: Correction to: gastroparesis following immune checkpoint inhibitor therapy: a case series. Dig Dis Sci. ePub, 2020
                                  2. Kamboj AK et al: A slow and distended stomach. Gastroenterology. 157(6):1485-6, 2019
                                  3. Szarka LA et al: Evaluation of patients with suspected gastroparesis. Gastrointest Endosc Clin N Am. 29(1):39-54, 2019
                                  4. Hafezi-Nejad N et al: Imaging of post-operative pancreas and complications after pancreatic adenocarcinoma resection. Abdom Radiol (NY). 43(2):476-88, 2018
                                  5. Santhanam P et al: Functional imaging of evaluation of diabetic gastroparesis. Curr Diabetes Rev. 14(3):222-6, 2018
                                  6. Khashab MA et al: Gastric per-oral endoscopic myotomy for refractory gastroparesis: results from the first multicenter study on endoscopic pyloromyotomy (with video). Gastrointest Endosc. 85(1):123-8, 2017
                                  7. Guniganti P et al: CT of gastric emergencies. Radiographics. 35(7):1909-21, 2015
                                  8. Olausson EA et al: A small particle size diet reduces upper gastrointestinal symptoms in patients with diabetic gastroparesis: a randomized controlled trial. Am J Gastroenterol. 109(3):375-85, 2014
                                  9. Toro JP et al: Efficacy of laparoscopic pyloroplasty for the treatment of gastroparesis. J Am Coll Surg. 218(4):652-60, 2014
                                  10. 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
                                  11. Hasler WL: Gastroparesis. Curr Opin Gastroenterol. 28(6):621-8, 2012
                                  12. Abell TL: Gastric electric stimulation is a viable option in gastroparesis treatment. Nat Clin Pract Gastroenterol Hepatol. 6(3):E8-13, 2009
                                  13. Anaparthy R et al: Gastroparesis and gastroparesis-like syndrome: response to therapy and its predictors. Dig Dis Sci. 54(5):1003-10, 2009
                                  14. Gamenthaler A et al: Colitis and gastroparesis associated with syphilis in an HIV-infected person with an undetectable viral load. AIDS Read. 19(6):230-2, 244, 2009
                                  15. Hyett B et al: Delayed radionucleotide gastric emptying studies predict morbidity in diabetics with symptoms of gastroparesis. Gastroenterology. 137(2):445-52, 2009
                                  16. Khoo J et al: Pathophysiology and management of gastroparesis. Expert Rev Gastroenterol Hepatol. 3(2):167-81, 2009
                                  17. Reddymasu SC et al: Endoscopic pyloric injection of botulinum toxin-A for the treatment of postvagotomy gastroparesis. Am J Med Sci. 337(3):161-4, 2009
                                  18. Reddymasu SC et al: Pharmacotherapy of gastroparesis. Expert Opin Pharmacother. 10(3):469-84, 2009
                                  19. Tonelli AR et al: Erythromycin improves gastric emptying half-time in adult cystic fibrosis patients with gastroparesis. J Cyst Fibros. 8(3):193-7, 2009
                                  20. 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
                                  Related Anatomy
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                                  Related Differential Diagnoses
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                                  References
                                  Tables

                                  Tables

                                  KEY FACTS

                                  • Terminology

                                    • Imaging

                                      • Top Differential Diagnoses

                                        • Pathology

                                          • Clinical Issues

                                            TERMINOLOGY

                                            • Definitions

                                              • Objectively delayed gastric emptying in absence of mechanical obstruction

                                            IMAGING

                                            • General Features

                                              • Imaging Recommendations

                                                • Radiographic Findings

                                                  • CT Findings

                                                    • Nuclear Medicine Findings

                                                      DIFFERENTIAL DIAGNOSIS

                                                        PATHOLOGY

                                                        • General Features

                                                          CLINICAL ISSUES

                                                          • Presentation

                                                            • Demographics

                                                              • Natural History & Prognosis

                                                                • Treatment

                                                                  Selected References

                                                                  1. Atieh J et al: Correction to: gastroparesis following immune checkpoint inhibitor therapy: a case series. Dig Dis Sci. ePub, 2020
                                                                  2. Kamboj AK et al: A slow and distended stomach. Gastroenterology. 157(6):1485-6, 2019
                                                                  3. Szarka LA et al: Evaluation of patients with suspected gastroparesis. Gastrointest Endosc Clin N Am. 29(1):39-54, 2019
                                                                  4. Hafezi-Nejad N et al: Imaging of post-operative pancreas and complications after pancreatic adenocarcinoma resection. Abdom Radiol (NY). 43(2):476-88, 2018
                                                                  5. Santhanam P et al: Functional imaging of evaluation of diabetic gastroparesis. Curr Diabetes Rev. 14(3):222-6, 2018
                                                                  6. Khashab MA et al: Gastric per-oral endoscopic myotomy for refractory gastroparesis: results from the first multicenter study on endoscopic pyloromyotomy (with video). Gastrointest Endosc. 85(1):123-8, 2017
                                                                  7. Guniganti P et al: CT of gastric emergencies. Radiographics. 35(7):1909-21, 2015
                                                                  8. Olausson EA et al: A small particle size diet reduces upper gastrointestinal symptoms in patients with diabetic gastroparesis: a randomized controlled trial. Am J Gastroenterol. 109(3):375-85, 2014
                                                                  9. Toro JP et al: Efficacy of laparoscopic pyloroplasty for the treatment of gastroparesis. J Am Coll Surg. 218(4):652-60, 2014
                                                                  10. 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
                                                                  11. Hasler WL: Gastroparesis. Curr Opin Gastroenterol. 28(6):621-8, 2012
                                                                  12. Abell TL: Gastric electric stimulation is a viable option in gastroparesis treatment. Nat Clin Pract Gastroenterol Hepatol. 6(3):E8-13, 2009
                                                                  13. Anaparthy R et al: Gastroparesis and gastroparesis-like syndrome: response to therapy and its predictors. Dig Dis Sci. 54(5):1003-10, 2009
                                                                  14. Gamenthaler A et al: Colitis and gastroparesis associated with syphilis in an HIV-infected person with an undetectable viral load. AIDS Read. 19(6):230-2, 244, 2009
                                                                  15. Hyett B et al: Delayed radionucleotide gastric emptying studies predict morbidity in diabetics with symptoms of gastroparesis. Gastroenterology. 137(2):445-52, 2009
                                                                  16. Khoo J et al: Pathophysiology and management of gastroparesis. Expert Rev Gastroenterol Hepatol. 3(2):167-81, 2009
                                                                  17. Reddymasu SC et al: Endoscopic pyloric injection of botulinum toxin-A for the treatment of postvagotomy gastroparesis. Am J Med Sci. 337(3):161-4, 2009
                                                                  18. Reddymasu SC et al: Pharmacotherapy of gastroparesis. Expert Opin Pharmacother. 10(3):469-84, 2009
                                                                  19. Tonelli AR et al: Erythromycin improves gastric emptying half-time in adult cystic fibrosis patients with gastroparesis. J Cyst Fibros. 8(3):193-7, 2009
                                                                  20. 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