Gastroparesis

Dilated stomach with decreased or absent peristalsis

TOP DIFFERENTIAL DIAGNOSES

• Gastric outlet obstruction

• Postoperative state, stomach

• Intestinal scleroderma

• Cystic fibrosis, abdominal signs

• Gastric bezoar

• Idiopathic: No identifiable cause in ∼ 50% of cases

• Type 1 diabetes is main identifiable cause

Usually longstanding and poorly controlled

Affects 40% of patients with diabetes

• Narcotic analgesics are 3rd most common cause

Others drugs may also be implicated

• Postsurgical

Prior thoracic or gastric surgery may injure vagus nerve

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Nov 16, 2016 | Posted by admin in GASTROINTESTINAL IMAGING | Comments Off