Gastroparesis

Delayed gastric emptying with no physical obstruction

Aetiology

• Idiopathic

• Diabetes mellitus

• Cannabis

• Medication e.g. opiates, anticholinergics

• Systemic diseases e.g. systemic sclerosis

Clinical presentation

• Feeling of fullness

• Nausea and vomiting

• Weight loss

• Upper abdominal pain

Investigations

• Gastric emptying study

Management

• Removal of precipitating factors

• Liquid/sloppy diet

• Eat little and often

• Promotility agents

• Gastric pacemaker