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Gastroparesis

 Syn. Delayed gastric emptying

Signs & Symptoms

 Upper abdominal pain
Note: if the patients' predominant symptom is pain, it may not be attributable to delayed gastric emptying
Ref: Uptodate [ Etiology and diagnosis of delayed gastric emptying] Harrison [ 257] ACG Gideline [ https://journals.lww.com/ajg/Fulltext/2013/01000/Clinical_Guideline__Management_of_Gastroparesis.8.aspx]
Easy satiety
Ref: Uptodate [ Etiology and diagnosis of delayed gastric emptying] Cecil [ 414]
Nausea
Ref: Uptodate [ Etiology and diagnosis of delayed gastric emptying] Harrison [ 2880] Cecil [ 414]
Vomiting
Ref: Uptodate [ Etiology and diagnosis of delayed gastric emptying] Harrison [ 2880] Cecil [ 414]

Physical Examination

 Gastric residual in four hours
Ref: Uptodate [ Etiology and diagnosis of delayed gastric emptying]
Severe bloating
Ref: Uptodate [ Etiology and diagnosis of delayed gastric emptying] Harrison [ 2880]
Vomitus contain old ingested food
Ref: Uptodate [ Etiology and diagnosis of delayed gastric emptying] Harrison [ 255]

Lab / Serology

Imagin Study

 Scintigraphy document delayed gastric emptying
Ref: Harrison [ 254]

Complication

 Microvascular complications
Ref: Harrison [ 2880]
Neuropathy
Ref: Harrison [ 2880]
Retinopathy
Ref: Harrison [ 2880]

Risk Factors

 Female
Ref: Epocrates [ https://online.epocrates.com/diseases/64232/Gastroparesis/Risk-Factors]
History of gastric surgery
Ref: Epocrates [ https://online.epocrates.com/diseases/64232/Gastroparesis/Risk-Factors]
History of pancreatic surgery
Ref: Epocrates [ https://online.epocrates.com/diseases/64232/Gastroparesis/Risk-Factors]

Cause

Other