SAVED
File name .JPG
File alt. text
Image should be px wide x px tall.
Select Image
home - Stomach - Miscellaneous - Gastric Stasis Written by Dr Sebastian Zeki
Nausea and Vomiting:
Understands the pathophysiology of vomiting.
Appreciates the gastrointestinal conditions that cause nausea and
vomiting as well as the range of extra-intestinal causes

Recognises the influence of neurological conditions and metabolic
derangements such as diabetes

Understands the physiology of gastric emptying and how this is
affected by disease, toxins and drugs

Abdominal Pain:
Knows the causes of acute and chronic abdominal pain that arise
from upper gastrointestinal, biliary and pancreatic diseases

Understands the clinical presentations of the various conditions
causing pain and the means by which they can be diagnosed and
treated

Weight Loss:
Knows the significance of weight loss as a consequence of upper
gastrointestinal disease, knows those conditions that present with
loss of weight and how they are managed

Skills
Makes a detailed clinical assessment of patients presenting with
symptoms indicating possible upper gastrointestinal disease,
construct a management plan and be aware of the various avenues
of treatment

Behaviours
Evaluates patients in a structured and timely manner, carries out
appropriate investigations and formulates management plan.

Gastric Stasis

Causes of Gastroparesis Idiopathic. Diabetic. Drugs. Post-operative. Systemic. Rheumatological. Intestinal pseudo-obstruction. Infection (eg Chaga's ). Neurological. Gastroparesis Type 1: about 30% prevalence After >10 years of DM Type 2: occurs with less than 10 years of DM Associated with neuropathy in both Investigations for gastroparesis:Barium meal.Gastric scintigraphy-does not correlate well with symptoms. Causes Of Rapid Gastric Emptying:Post-surgical Dumping Syndrome.Pancreatic insufficiency.Thyrotoxicosis.Newly diagnosed diabetics. Treatment for Gastroparesis: Cisapride. Metoclopramide. Domperidone. Erythromycin. Avoidance of a high fat diet. Electrical Stimulation. Gastric pacing indications: For individuals with chronic, unrelenting symptoms of at least one year in duration. Only licensed for diabetic and idiopathic gastroparesis. Visual representation of the causes of gastroparesis Gastroparesis/gastric dysmotility/gastric outlet obstruction Medications Idiopathic gastroparesis Infiltrative processSclerodermaAmyloidosis DysautonomiaDiabetic neuropathyAmyloid neuropathyPrimary autonomic neuropathy Spinal cord injury CNS DisorderStressPsychiatric diseaseBrainstem CVA/ tumourParkinsonismMultiple sclerosis Causes of Gastric outlet obstruction: PUD. Gastric polyps. Ingestion of caustics. Pyloric stenosis. Congenital duodenal webs. Gallstone obstruction (Bouveret syndrome). Pancreatic pseudocysts. Bezoars. Hypertrophic pyloric stenosis. Complications including infection, lead dislodgement, and bowel obstruction have necessitated removal of the device in > 10%. Written by Dr Sebastian Zeki